Copayments
The US Department of Veterans Affairs has
established
guidelines for veterans and their copayments.
Copayments may be charged for the following
services —
Any copayments due should be paid upon
checking out of the medical center. Copayments
may be made at the Agent Cashier window, located
in the Clinical Addition, Building 2, Room 1B300
at Dallas VAMC, and in Building 1, Room 165 at
the Bonham facility.
Typical copayments are:
-
$15 for visit
to Primary Care Clinic
-
$50 for visit
to Specialty Clinic (Radiation, Orthopedics,
Podiatry, etc.)
-
$ 8 for each
30-day prescription
Veterans who do not make their copayments
upon checking out will receive a bill at their
address of record within 30 days after their
stay or appointment.
If you have any questions about your copay
balance, please contact the
Health Revenue Center at
1-866-393-9132.
If you have a problem
making copayments, you may contact the
Health Revenue Center at
1-866-393-9132 to request that a
repayment plan be established for your financial
situation. If approved, the
plan will result in a
more affordable monthly payment.
VA Form 1100, Agreement to Pay Indebtedness,
is used to create a repayment plan. If you
set up a repayment plan, and cannot make one of
your monthly payments, you must notify the
Health Revenue Center. If you miss a
payment and do not notify us, you will not be
able to use the repayment plan option again.
Special
circumstances such as job loss may qualify you
for a one time cancellation of debt.
You may request a waiver for paying your
current debt by submitting
a written request and
sufficient proof that you cannot
financially afford to make payment to VA.
Complete
VA Form 5655, Financial Status Report, and
mail it to:
VA Medical Center
Attn: MCCF 04D
4500 S. Lancaster Rd.
Dallas, TX 75216
Other Health Insurance
VA is required by law
to bill your private insurance company for care
provided for your nonservice-connected
conditions. You should bring
your insurance card with you for your
appointment and present it during the check-in
process.
Reimbursements received from private
insurance carriers are retained at VA
North Texas Health Care
System. These funds
may be used to provide better equipment,
additional staffing, facility improvements, and
expanded services for you and fellow veterans.
Please note:
- You will NOT be responsible for any unpaid
balance that the insurance carrier does not
pay except for VA
copay. Please disregard
any information about balance due on the
Explanation of Benefits (EOB) provided by your
insurance company. VA will send a bill
for the amount you owe.
- Payments from your private health
insurance carrier may allow us to offset part
or all of your
copay.
- Many private health insurance companies
will apply VA health care charges toward the
satisfaction of your annual deductible.
Learn more about private health insurance and
your VA benefits
Medicare/Medicaid
The Department of Veterans Affairs does not
bill Medicare or Medicaid at this time. You may,
however, wish to review
information for veterans about Medicare
prescription drug benefits.
Health Revenue Center (HRC)
The VA Health Revenue Center,
First Party Call Center, takes calls from
veterans to answer questions about bills.
Veterans have the opportunity to use
pre-programmed options when calling the toll
free number 1-866-393-9132 to retrieve
their balance, or to hear answers to frequently
asked questions. Hours of operation are from
7:00 AM to 7:00 PM CST, Monday through Friday.
When calling, please have your account number
(located in the middle of your statement) ready,
and input it on your keypad when requested. If
you do not have the account number, your call
will be transferred to a trained contact
representative. Although Mondays and the days
following a holiday can be busy, the average
wait time the rest of the week is less than one
minute. You also have the option to leave a call
back number and a time you would like HRC staff
to return your call. |
