Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

Health Benefits

Quick Links

Veterans Crisis Line Badge
My healthevet badge

Health Benefits Copay Rates

Outpatient Services

Basic Care Services

$15 / visit

Services provided by a primary care clinician.


Specialty Care Services

$50 / visit

Services provided by a clinical specialist such as surgeon, radiologist, audiologist, optometrist, cardiologist, and specialty tests such as magnetic resonance imagery (MRI), computerized axial tomography (CAT) scan, and nuclear medicine studies.

Inpatient Services

There are two inpatient copay rates, the full rate and the reduced rate.

Priority Group 7 and certain other Veterans are responsible for paying 20 percent of VA’s inpatient copay rate.

• Inpatient Copay for the first 90 days of care during a 365-day period.

$236.80

• Inpatient Copay for each additional 90 days of care during a 365-day period.

$118.40

• Daily Charge

$2/day


Priority Group 8 and certain other Veterans are responsible for VA’s full inpatient copay rate.

• Inpatient Copay for the first 90 days of care during a 365-day period.

$1,184

• Inpatient Copay for each additional 90 days of care during a 365-day period.

$592

• Daily Charge

$10/day

   
Veterans living in high cost areas may qualify for a reduced inpatient copay rate. For more information contact VA toll-free at 877-222-VETS (8387).

Medications

Veterans in Priority Groups 2-6, for each 30-day or less supply of medication for treatment of nonservice-connected condition.

(Veterans in Priority Groups 2 through 6 are limited to $960 annual cap)

$8


Veterans in Priority Groups 7-8, for each 30-day or less supply of medication for treatment of nonservice-connected condition.

(Veterans in Priority Groups 7-8 do not qualify for medication copay annual cap)

$9

Veterans in Priority Group 1 do not pay for medications