VETERAN FULL MED BENEFITS TX GMT COPAY REQ AND COPAY EXMT 6 (70)    HEALTH BENEFIT PLAN (25.11)

Name Value
NAME VETERAN FULL MED BENEFITS TX GMT COPAY REQ AND COPAY EXMT 6
PLAN CODE 239
SHORT DESCRIPTION
FM TxCoG 6
LONG DESCRIPTION
All enrolled Veterans have a comprehensive medical benefits package, which 
status is Exempt. These Veterans are subject to copays for inpatient 
services at a reduced rate, copays for outpatient services at the full 
copay rate, and no copays for 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 the following condition:
   .  Priority Group 6 (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. 
Eligible individuals are Veterans who served in the active military 
service, and meet the minimum duty service requirement according to 38 
meet Veteran status for VA healthcare benefits and must complete a 
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 
COVERAGE CODE FB01012