Billing and Payment - Community Care
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Billing and Payment

Medical Debt Relief

American Rescue Plan: Copayment Cancellations and Refunds

Due to the passage of the American Rescue Plan in March 2021, copayments for medical care and prescriptions provided by the Veterans Health Administration (VHA) during the period of April 6, 2020 through September 30, 2021 will be canceled. All copayments paid to VA for medical care and prescriptions during the period of April 6, 2020 to present will be refunded.

Please review the COVID-19 Medical Debt Relief page for answers to some common questions.

COVID-19 Medical Debt Relief FAQs

Understand Your Bill

If you need help understanding your bill, call the VA Health Resource Center at 866-400-1238 or view the Understanding Your VA Patient Statement information sheet.

Understanding Your VA Patient Statement

Fact Sheet: Billing and Payments

Get Financial Help

If you are experiencing a financial hardship, you may be eligible to set up a repayment plan, request a copayment exemption, or a debt waiver. Learn about available options on our Financial Hardship page.

Learn about available financial hardship options

Make a Payment

You can pay online, by phone, in person at your local VA medical facility, or by mail.

Online: Pay directly from your bank account, by debit card, or credit card at the Pay.gov website

By Phone: 888-827-4817

In Person: Pay at your local VA Medical Center Agent Cashier’s Office

By mail: Pay by check or money order made payable to “VA.” Be sure to include the account number and payment stub. Submit to: Department of Veterans Affairs, P.O. Box 3978, Portland OR 97208-3978

IMPORTANT: VA does not contact Veterans seeking or requesting personal banking information to make a payment on a monthly patient statement or copayment balance. If you receive a telephone call from someone asking for this information, hang up immediately. Do not give out any personal or sensitive information such as checking account information.

If you feel you’ve been improperly contacted, you can report the incident to your state’s attorney general or file a complaint with the Federal Trade Commission.

Find my state attorney generalFederal Trade Commission
(By clicking on the Find My AG or the Federal Trade Commission website link above, you will leave the VHA OCC website. We do not endorse and are not responsible for the content of the linked website.)

Pay by Check or Money Order

You can pay your bill by check or money order in person at your local VA medical center or by mail.

  • Make the check or money order payable to “VA”
  • Include the account number and payment stub
  • Go to the nearest VA medical center’s Agent Cashier’s Office or mail your payment to the following address:

    Department of Veterans Affairs
    P.O. Box 3978
    Portland, OR 97208-3978

Your check can be deposited through either a one-time electronic fund transfer or as a check transaction. If VA makes an electronic funds transfer, funds may be withdrawn from your account on the same day as we process your payment and you will not receive your check back from your bank.

Late Charges

VA is required by law to assess late charges, including interest and administrative fees, on payment balances that remain unpaid 30 days after the first statement date. After 30 days, interest and administrative charges will continue to accumulate until the balance is paid in full or a repayment plan is in place.

NOTE: Rates for interest and administrative charges are established by VA on an annual basis.

If a repayment plan is established and an installment is not received by the expected payment due date, the monthly administrative cost or collection fee will be charged until the balance is paid. Other costs may be added to the balance if collection actions become necessary. Learn about VA repayment plans on our Financial Hardship page.

Learn about VA repayment plans

Avoid late fees

You can avoid late charges, interest, and/or collection actions by paying your balance in full by the due date on the initial billing statement.

Disputes

You have the right to dispute a copayment charge or amount by written request. To avoid late charges, submit your dispute within 30 days of receiving your bill.

How to Submit a Dispute

  • Write a letter explaining why the copayment charge or balance may not be correct.
  • Write “Billing Dispute” on the envelope.
  • Submit your dispute in person or by mail to your local VA medical center.

NOTE: VA will not initiate collection actions if your dispute is received within 120 days of the charge initially appearing on your billing statement. Offsets on your pension and compensation pay may take place within 90 days of the charges initially appearing on your billing statement.

For additional information about submitting a dispute, contact:

VA Health Resource Center: 866-400-1238, Monday – Friday, 8 a.m. – 8 p.m. EST

Visit the Facility Revenue Office at your local VA medical center.

Representation

You may be represented by an attorney or accredited agent for all VA payment disputes. You can employ an attorney or a VA-accredited agent for a fee, or receive representation from a Veteran Service Organization (VSO) or other VA-recognized service organization without charge.

If you would like representation and have not already designated one, you can contact VA at 866-400-1238 to request the necessary forms. If an attorney or accredited agent represents you before VA, a copy of any agreement between you and your attorney or accredited agent about the payment of the attorney’s or the agent’s fees must be filed at the following address:

Counsel to the Chairman (01C3)
Board of Veterans’ Appeals
810 Vermont Avenue NW
Washington D.C. 20420

For more information on disputing charges, visit the VA Board of Veterans’ Appeals (Board) website and/or read the Board's pamphlet, How Do I Appeal?

VA Board of Veterans’ Appeals websiteHow Do I Appeal?

Contacts

The following options are available for Veterans who have a question about their VA bill or VA patient statement:

In person: A Veteran can speak directly with facility revenue staff located in every VA Medical Center (VAMC) or at an off-site location.

Veterans who wish to make a payment on their VA account in person may do so at their local VAMC agent cashier’s office.

By phone: 866-400-1238
Monday – Friday
8 a.m. – 8 p.m. EST

Customer service representatives have full access to Veteran accounts.