Outpatient Health Care Copay
VA charges some veterans a copay for outpatient care provided for their nonservice-connected conditions. These veterans have gross household income over the current VA Income Threshold. A three-tired copay system is used for all outpatient services:
| Term |
Definition |
VA Charges |
| Basic Care Services |
Services by a primary care clinician. |
$15 per visit |
| Specialty Care Services |
Services provided by a clinical specialist such as a surgeon, radiologist, audiologist, optometrist, cardiologist, and specialty tests such as magnetic resonance imagery (MRI), computerized axial tomography (CAT) scan, and nuclear medicine studies. |
$50 per visit |
| Other Services |
Copays do not apply to publicly announced VA health fairs or outpatient visits solely for preventive screening and/or immunizations for influenza and pneumococcal, or screening for hypertension, hepatitis C, tobacco, alcohol, hyperlipidemia, breast cancer, cervical cancer, colorectal cancer by fecal occult blood testing, education about the risks and benefits of prostate cancer screening, and smoking cessation counseling (individual and group). Laboratory, flat film radiology, and electrocardiograms are also exempt from copays. |
$0 |
Click here for a brochure on Outpatient Health Care Copay rates.
If you are now receiving VA compensation for a service-connected disability or VA pension benefits, your VA medical care and/or prescription copays may be reduced or eliminated. You may also be eligible for a refund of copay charges you have previously paid based on this decision. For further information, please call our Health Benefits Service Center at 1-877-222-VETS (8387) or contact the Enrollment Coordinator at your local VA medical center.
Federal Benefits for Veterans and Dependents |
VA National Means Test Income Threshold |
GMT Income Threshold
Viewers, Plug-Ins, & Readers |
Health Care Eligibility Site Map
For questions about Health Care Eligibility, please visit the VA inquiry website.
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