Mental health copay exemptions | veterans affairs

Eligible Veterans may not have to pay an outpatient care copay for their first 3 visits in a calendar year with a qualified mental health care provider at a VA facility or in our VA

community care network. The visits must be between June 27, 2023, and December 29, 2027. Keep reading to find out how to get a mental health copay exemption and lower your health care costs.

  ELIGIBILITY FOR COPAY EXEMPTIONS You’re eligible for this exemption if you’re enrolled in VA health care and have copays for outpatient mental health and substance use disorder services.

We’ll review your copays to determine if they’re eligible for exemption. We’ll reimburse you by direct deposit or check for any eligible copays you already paid. SERVICES COVERED BY COPAY

EXEMPTIONS If you’re eligible, you won’t have to pay the first 3 copays for outpatient mental health or substance use disorder visits with these types of providers: * A qualified outpatient

mental health care provider at a VA facility * A qualified outpatient mental health care provider in our VA community care network  Outpatient care is care that doesn’t require an overnight

stay. The visits must be between JUNE 27, 2023, AND DECEMBER 29, 2027. The benefit applies to the first 3 visits in each calendar year (January 1 to December 31) of the benefit period. 

NOTE: You’ll still be responsible for any medication copays, inpatient care, and other copays. Inpatient care is care that requires you to stay 1 or more days in a hospital. HOW TO GET THIS

COPAY EXEMPTION You don’t need to do anything or provide any documents to get this exemption. You can simply go to your outpatient mental health or substance use disorder appointments as

scheduled. WHAT IF I HAVE QUESTIONS? If you have questions about your copays, call the phone number on your patient statement.  If you need help with your copays, you may be able to set up a

repayment plan or request a waiver. Find out how to request financial hardship assistance