| LONG DESCRIPTION |
All enrolled Veterans have a comprehensive medical benefits package, which
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),
Shipboard Hazard and Defense (SHAD), Combat Veteran (CV), Camp Lejeune
(CL), Military Sexual Trauma (MST).
Veterans assigned this VHAP meet one of the following conditions:
. 0% SC, Non-Compensable *
. NSC
VA administers through an annual patient enrollment system. Veterans who
. Priority Group 8a/b/c/d (i.e., SC 0% Non-Compensable or NSC)
*They are exempt from copay for medications related to their SC condition,
but they must complete a Means Test to determine their copay status for NSC
inpatient, outpatient services and medications. The outcome of Means Test
was MT Copay Required for their inpatient, outpatient services and Non-
Exempt for their Pharmacy Copay Exemption Test.
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
meet Veteran status for VA healthcare benefits and must complete a Means
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 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
Test (MT) to determine their copay status for their Medical Treatment and
5303A.
Medication. Veterans receiving inpatient, outpatient services for Non-
Service Connected (NSC) conditions and whose income exceeds the applicable
National Income Threshold are subject to copayments for inpatient,
outpatient services and medications.
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