Current va health care copay rates | veterans affairs

NOTE: You may be in priority group 8 and qualify for these rates if you don’t meet eligibility requirements for priority groups 1 through 6, and you have a gross household income above our

income limits for where you live, agree to pay copays, and meet other specific enrollment and service-connected eligibility criteria. Learn more about priority groups

------------------------- MEDICATION COPAY RATES IF YOU’RE IN PRIORITY GROUP 1 You won’t pay a copay for any medications. NOTE: You may be in priority group 1 if we’ve rated your

service-connected disability at 50% or more disabling, if we’ve determined that you can’t work because of your service-connected disability (called unemployable), or if you’ve received the

Medal of Honor. Learn more about priority groups IF YOU’RE IN PRIORITY GROUPS 2 THROUGH 8 YOU MAY PAY A COPAY FOR THESE TYPES OF MEDICATIONS: * Medications your health care provider

prescribes to treat non-service-connected conditions, AND * Over-the-counter medications (like aspirin, cough syrup, or vitamins) that you get from a VA pharmacy. You may want to consider

buying your over-the-counter medications on your own. NOTE: The costs for any medications you receive while staying in a VA or other approved hospital or health facility are covered by your

inpatient care copay. The amount you’ll pay for these medications will depend on the “tier” of the medication and the amount of medication you’re getting, which we determine by days of

supply. Once you’ve been charged $700 in medication copays within a calendar year (January 1 to December 31), you won’t have to pay any more that year—even if you still get more medications.

This is called a copay cap.