| LONG DESCRIPTION |
All enrolled Veterans have a comprehensive medical benefits package, which
status is Exempt. These Veterans are subject to copays for their inpatient
services at a reduced rate, copayment for their outpatient services at the
full copay rate, but no copayment for their 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),
Shipboard Hazard and Defense (SHAD), Combat Veteran (CV), Camp Lejeune
(CL), Military Sexual Trauma (MST), Toxic Exposure Risk Activity (TERA).
VA administers through an annual patient enrollment system. Veterans who
Veterans assigned this VHAP meet one of the following conditions:
. 0% SC, non-compensable
. Non-Service Connected
. Priority Group 7 (i.e., SC 0% Non-Compensable or NSC)
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.
meet Veteran status for VA healthcare benefits and must complete a
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
5303A.
Financial Assessment to determine their copay status for their inpatient,
outpatient services and medications.
Veterans with gross household income below the geographically adjusted
income limits for their resident location and who agreed to pay copays. The
Means Test outcome of GMT Copay Required and outcome of their Rx Exemption
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