Suspension of Veteran VA medical care debts during COVID-19 scheduled to end on December 31, 2020. Billing resumes in January 2021 for deferred copays. Veterans should be aware and plan accordingly. The VA Pharmacy Benefits Management Services offer a broad range of services and are committed to provide and deliver Veterans personalized, proactive, patient-driven health care. Our Mission: To improve the health status of Veterans by encouraging the appropriate use of medications in a comprehensive medical care setting.
Signing In to Make a Payment. Tip: You can duplicate (copy) and reuse VA Medical Copay forms used for previous payments. On your My Account page, click MAKE A PAYMENT at the top of the page. Under Department of Veteran Affairs, click VA Medical Care Copayment. Click the Continue to the Form button. The Before You Begin page opens. Under the current regulations, medication copay amounts are based on priority groups and established using a formula based on the medication components of the Medical Consumer Price Index formula. VA estimates that copayment amounts would increase three times over the next six years if the current regulations are left unchanged.
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Veterans can pay the balance of their VA bills from the comfort of their own home: no more writing checks or driving to the local VA to make a payment.
Pay.Gov is the secure, free, fast and easiest way to pay your VA health care and prescription copayments online. Join the growing number of Veterans already using this service.
Making an online payment is easy:
Go to www.pay.gov
Create a Pay.Gov account
Under Common Payments, click the VA Medical Care Copayment link
Fill out the form. Enter the account number exactly as it appears on your VA billing statement. Click Continue
Enter credit card, debit card, checking account or savings account information to process payment. Click Submit Payment
Veterans can establish recurring payments through Pay.Gov for a set amount to come out on the same date each month. If a Veteran is established in Pay.Gov with an existing account, recurring payments from a checking account can be modified or canceled at any time. Credit card payments must be canceled by midnight of the same business day the payment was processed.
Recurring payments do not establish or take the place of a Repayment Plan.
You can make a payment or set up recurring payments on your own, or with assistance by calling 1-888-827-4817.
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Updated December 8, 2020Copayment change chart
Effective February 27, 2017, the Department of Veterans Affairs will amend its regulations concerning copayments for outpatient medications used to treat non-service connected conditions. This change aligns with VA’s goals to reduce out-of-pocket costs, encourage greater adherence to prescribed outpatient medications and reduce the risk of fragmented care that results when Veterans use multiple pharmacies fill prescription.
Under the current regulations, medication copay amounts are based on priority groups and established using a formula based on the medication components of the Medical Consumer Price Index formula. VA estimates that copayment amounts would increase three times over the next six years if the current regulations are left unchanged. The revised rulemaking will eliminate future rate increases and the current formula used to calculate medication copays. In addition, Veterans will see a decrease in the current copayment cap of $960 to $700 per year.
Effective February 27th, 2017 the copayment regulations and associated cost for Veterans filling outpatient medications prescribed to treat non-service connected conditions will change, establishing three classes of outpatient medications tiers. Each tier will have a fixed copayment amounts and will only vary depending upon the class of outpatient medication in the tier.
Tier 1- Preferred Generics will cost $5 for a 30-day or less supply.
Tier 2 Non-Preferred Generics will cost $8 for a 30-day or less supply.
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Tier 3- Brand Name -$11 for a 30-day or less supply.