VETERAN FULL MED BENEFITS TX COPAY EXMT AND RX COPAY REQ 6 (73)    HEALTH BENEFIT PLAN (25.11)

Name Value
NAME VETERAN FULL MED BENEFITS TX COPAY EXMT AND RX COPAY REQ 6
PLAN CODE 242
SHORT DESCRIPTION
FM RxCo 6
LONG DESCRIPTION
All enrolled Veterans have a comprehensive medical benefits package, which 
Conditions (SWA), Ionizing Radiation (IR), Nose Throat Radium (NTR), 
Shipboard Hazard and Defense (SHAD), Combat Veteran (CV), Camp Lejeune 
(CL), Military Sexual Trauma (MST), Cleland Dole Act World War II 
(WWII), Toxic Exposure Risk Activity (TERA).
 
Veterans assigned this VHAP must meet one of the following conditions:
   .  Determined to be 0% Compensable SC*
   .  Cleland Dole Act World War II (WWII)
 
*They are exempt from copay for medications related to their SC rated 
VA administers through an annual patient enrollment system. Veterans who 
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.
 
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.
meet Veteran status for VA healthcare benefits and are not subject to copay 
 
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.
for their inpatient, outpatient services but are subject to copay 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 
COVERAGE CODE FB01011