Billing and Payment
Medical Debt Relief: American Rescue Plan
Copayments for Medical Care and Pharmacy Services Resume on October 1, 2021
Due to the passage of the American Rescue Plan in March 2021, copayments for medical care and pharmacy services provided by the VA from April 6, 2020 through September 30, 2021 were canceled. If a payment was made to an account during this period, VA has issued a refund.
Collection of copayments has resumed as of October 1, 2021.
Please review the COVID-19 Medical Debt Relief page for answers to some common questions.
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.
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.
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 general Federal 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.
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.
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.
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.
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 website How Do I Appeal?