2022 VA Copayment Rates
2022 Copayment Rates
Outpatient Services *
Basic Care Services
$15 / visit
services provided by a primary care clinician
Specialty Care Services
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
$50 / visit
* Copayment amount is limited to a single charge per visit regardless of the number of health care providers
seen in a single day. The copayment amount is based on the highest level of service received. There is no
copayment requirement for preventive care services such as screenings and immunizations.
Urgent Care (Community Care)
Veterans must be enrolled in the VA health care system; and received VA care within 24 months of receiving
urgent care. An eligible Veteran, as a condition for receiving urgent care provided by VA, must agree to pay
the applicable VA copayment.
Note: Urgent Care services provided in VA facilities/CBOC¡¯s is not subject to urgent care copayment.
Priority Group(s)
1-5
6
7-8
1-8
IB 10-430
Revised Dec 2021
Copayment Amount
? First three visits (per calendar year): $0
? Fourth and greater visits (per calendar year): $30
? If related to a condition covered by a special authority:
? First three visits (per calendar year): $0
? Fourth and greater visits (per calendar year): $30
? If not related to a condition covered by a special authority:
? $30 per visit
? $30 per visit
? $0 copay for visit consisting of only a flu shot
Page 1 of 2
Medications
Veterans in Priority Groups 2-8, for each 30-day or less supply of medication for treatment
of nonservice-connected condition
Tier 1 drugs (preferred generics)
$5
Tier 2 drugs (non-preferred generics)
$8
Tier 3 drugs (brand name drugs)
$11
(Veterans in Priority Groups 2 through 8 are limited to $700 annual cap)
NOTE: Veterans in Priority Group 1 do not pay for medications
Inpatient Services
Priority Group 8
Inpatient Copay for first 90 days of care during a 365-day period
Inpatient Copay for each additional 90 days of care during a 365-day period
Per Diem Charge
$1,556
$778
$10/day
Priority Group 7
Inpatient Copay for first 90 days of care during a 365-day period
$311.20
Inpatient Copay for each additional 90 days of care during a 365-day period
$155.60
Per Diem Charge
$2/day
Long-Term Care **
Nursing Home Care/Inpatient Respite Care/Geriatric Evaluation
maximum of $97/day
Adult Day Health Care/Outpatient Geriatric Evaluation Outpatient Respite Care
maximum of $15/day
Domiciliary Care
Spousal Resource Protection Amount
maximum of $5/day
$137,400
** Copayments for Long-Term Care services start on the 22nd day of care during any 12-month period¡ª
there is no copayment requirement for the first 21 days. Actual copayment charges will vary from Veteran to
Veteran depending upon financial information submitted on VA Form 10-10EC.
IB 10-430
Revised Dec 2021
Page 2 of 2
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- exempt veterans charged va home loan funding fees
- va standard loan programs tpo connect
- policy guidance update va refinance loans and the economic growth
- cash out refinance veterans affairs
- 629 000 student loan borrowers in virginia would benefit from refinancing
- to all va lenders and servicers subj changes to interest rate
- refinancing ditech
- wells fargo va refinance mortgage rates today
- 2022 va copayment rates
- chapter 6 refinancing loans overview veterans affairs
Related searches
- current va loan rates 30 year fixed
- va irrrl rates today
- va refinance rates today
- usaa va mortgage rates calculator
- usaa va mortgage rates today
- usaa va loan rates today
- lowest va loan rates today
- va mortgage rates today
- 2017 va copayment rates
- va copayment 2020 pdf
- va copayment statement
- va copayment fact sheet