{"aaData": [["60-DAY LETTER", "60-DAY LETTERS\n", "\nEach year VA requires most nonservice-connected veterans and 0% service-\n your priority for enrollment in the VA health care system to lapse.\n \nWhat Do You Need To Do?\n o Complete and sign the Financial Assessment portion of the enclosed VA\n Form 10-10EZR, Health Benefits Renewal, reporting income and\n assets for the previous calendar year.\n o Return the completed and signed form in the enclosed envelope before\n your means test anniversary date.\n o When you report to your next health care appointment, bring your health\n insurance card so we may update your health insurance information.\nconnected veterans to complete a financial assessment (means test). Our\n o Notify us if you feel you received this letter in error. \n \nWhat If You Have Questions?\nrecords show that your annual means test is due.\n \nWhat Does This Mean To You?\n o An updated means test is needed to determine your ability to pay\n copayments for your medical care and medications and your priority for\n enrollment in the VA health care system.\n o Failure to complete the means test by the anniversary date will cause\n
\n\n", ""], ["30-DAY LETTER", "30-DAY LETTERS\n", "\nEach year VA requires most nonservice-connected veterans and 0% service-\n copayments for your medical care and medications and your priority for\n enrollment in the VA health care system.\n o Failure to complete the means test by the anniversary date will cause\n your priority for enrollment in the VA health care system to lapse.\n \nWhat Do You Need To Do?\n o Complete, sign and return a new VA Form 10-10EZR, Health Benefits\n Renewal Form, including the financial section. You may obtain this\n form by contacting our Business Office or by downloading the form from\n our website at: http://www.domain.ext/vaforms/search_action.asp. Return\nconnected veterans to complete a financial assessment (means test). Our\n the completed and signed form to the Business Office at the address\n above before your means test anniversary date. \n o When you report to your next health care appointment, bring your health\n insurance card so we may update your health insurance information. \n o Notify us if you feel you received this letter in error.\n \nWhat If You Have Questions?\nrecords show that your annual means test is due.\n \nAs of this date we have not received the updated financial income\ninformation we requested in a previous letter.\n \nWhat Does This Mean To You?\n o An updated means test is needed to determine your ability to pay\n
\n\n", ""], ["0-DAY LETTER", "ZERO-DAY LETTERS\n", "\nAccording to our records you have not responded to our previous requests\n \nHow Does This Affect Your Enrollment?\n o We are unable to determine your priority for enrollment in the VA\n health care system.\n \nWhat Do You Need To Do?\n o Complete a new VA Form 10-10EZR, Health Benefits Renewal Form, including\n the financial section as soon as possible and return it to the\n Business Office at the address above. You may obtain this form by\n contacting our Business Office or by downloading the form from our\nto complete the financial section of VA Form 10-10EZR, Health Benefits\n website at: http://www.domain.ext/vaforms/search_action.asp\n o Read the enclosed VA Form 4107VHA, Your Rights to Appeal Our Decision.\n If you disagree with our decision, you or your representative may\n complete a Notice of Disagreement and return it to the Enrollment\n Coordinator or Health Benefits Advisor at your local VA health care\n facility.\n \nWhat If You Have Questions?\nRenewal Form. This is to inform you that your current financial assessment\n(means test) has expired.\n \nHow Does This Affect Your Eligibility for Cost Free Care?\n o We do not have a current means test for you on file as is required to\n determine your eligibility for either cost-free care or reduced\n inpatient copayments.\n
\n\n", ""], ["REPORT OF CONTACT", "REPORT OF CONTACT\n", "", ""]]}