If you live in a high-cost area, you may qualify for a reduced inpatient copay rate no matter what priority group you’re in. You’ll pay either our full copay rate or reduced copay rate. You won’t need to pay a copay for inpatient care. (Care that requires you to stay one or more days in a hospital) If you have a service-connected disability rating of 10% or higher

Note: You won’t need to pay any copays for X-rays, lab tests, or preventive tests and services like health screenings or immunizations. (like a visit to a hearing specialist, eye doctor, surgeon, or cardiologist) (like a visit to your primary care doctor) 2023 outpatient care copay rates Type of outpatient care You may need to pay a copay for outpatient care for conditions not related to your military service, at the rates listed below. If you don’t have a service-connected disability rating of 10% or higher You won’t need to pay a copay for outpatient care. (Primary or specialty care that doesn’t require an overnight stay) If you have a service-connected disability rating of 10% or higher Note: Special authorities include conditions related to combat service and exposures (like Agent Orange, active duty at Camp Lejeune, ionizing radiation, Project Shipboard Hazard and Defense (SHAD/Project 112), Southwest Asia Conditions) as well as military sexual trauma, and presumptions applicable to certain Veterans with psychosis and other mental illness. If not related to a condition covered by a special authority: $30 each visit If related to a condition that’s covered by a special authority: $0 (no copay) Learn more about urgent care benefits 2023 urgent care copay rates Priority groupĬopay amount for first 3 visits in each calendar yearĬopay amount for each additional visit in the same year

If you’re only getting a flu shot at your visit, you won’t have to pay any copays, no matter your priority group. You must have received care from us within the past 24 months (2 years).You must be enrolled in the VA health care system, and.To be eligible for urgent care benefits, including through our network of approved community providers, both of these must be true: There’s no limit to how many times you can use urgent care.

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