LONG DESCRIPTION |
All enrolled Veterans have a comprehensive medical benefits package, which
Shipboard Hazard and Defense (SHAD), Combat Veteran (CV), Camp Lejeune
(CL), Military Sexual Trauma (MST), Toxic Exposure Risk Activity (TERA).
Veterans assigned this VHAP meet one of the following conditions:
. Determined to be 10% to 40% Compensable SC*
. Received a Purple Heart (PH)**
. Discharge Due to Disability**
. Military Disability Retirement **
. Granted a Financial Hardship based on the evidence provided***
. Receive Medicaid**
. Non-Service Connected (NSC)****
VA administers through an annual patient enrollment system. Veterans who
*They are exempt from copay for medications related to their SC rated
condition, but they must complete a Pharmacy Copay Exemption Test and the
outcome is Non-Exempt. They must pay copay for their NSC medication copays.
**They must complete a Pharmacy Copay Exemption Test and the outcome is
Non-Exempt. They must pay copay for their NSC medication.
***The Hardship assigns Means Test (MT) Status outcome of MT Copay Required
for Medical Benefits Treatments. The Hardship does not affect Pharmacy
Copay Exemption Test outcome. If the Pharmacy Copay Exemption Test outcome
is Non-Exempt, they are subject to NSC medication copays.
****NSC Veterans who are subject to Means Testing; the outcome of the Means
meet Veteran status for VA healthcare benefits and are not subject to copay
Test is MT Copay Exempt and Rx Exemption status is Non-Exempt.
For eligible individuals, under Veterans Comprehensive Prevention, Access
to Care, and Treatment Act of 2020 (COMPACT), Section 201, VA will
furnish, reimburse, pay for emergent suicide care, make referrals, as
appropriate, for care following the period of emergent suicide care.
Eligible individuals are Veterans who served in the active military
service, and meet the minimum duty service requirement according to 38
USC 5303A.
for their inpatient, outpatient services but are subject to copay for their
For eligible individuals, under Dr. Kate Hendricks Thomas Supporting
Expanded Review for Veterans in Combat Environments (SERVICE) Act, VA
will furnish clinically appropriate breast cancer risk assessment for
care. Eligible individuals are Veterans who served in the active military
service, and meet the minimum duty service requirement according to 38 USC
5303A.
medications.
Veterans are exempt from copayments for inpatient, outpatient services and
medications related to their Service Connected (SC) related disability and
special authority factor(s) - Agent Orange Exposure (AO), Southwest Asia
Conditions (SWA), Ionizing Radiation (IR), Nose Throat Radium (NTR),
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