VA EXTENDED CARE SERVICES INELIGIBLE (78)    HEALTH BENEFIT PLAN (25.11)

Name Value
NAME VA EXTENDED CARE SERVICES INELIGIBLE
PLAN CODE 287
SHORT DESCRIPTION
Inel ECS
LONG DESCRIPTION
Individuals who may receive extended care services on a Humanitarian basis 
include:
   .  Veterans who are not enrolled in VA Health Care System, non-Veterans, 
      and other patients who have no eligibility for Extended Care.
   .  Veterans who refuse to provide financial information and do not agree 
      to pay VA the applicable copayment amount (documented on VA Form 10-
      10EC) or refuse to pay the required copayments.
COVERAGE CODE EC01004