Group 3, 10 Percent Disabled: Veterans whom the VA has determined have a 10 or 20 percent service-connected disability are placed into this category. If someone could shed some light on this manner or tell me where I might resolve these conflicting answers, I would be grateful. Group 2, 30 Percent Disabled: Veterans with VA-rated service-connected disabilities of 30 or 40 percent disabling are placed in Group 2. At my local VA center, though, someone in the Member Services Department told me that my coverage is subject to an annual means test (using my tax return) and that I will lose medical coverage if my income rises above the limit. At the VA Health Resources Center (1-87) they tell me that I will always be covered. Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember. I have asked the VA directly but have received conflicting replies. I move to an area with a lower geographically-adjusted income limit My income rises above the threshold for my area, or My concern arises from the fact that I was approved on the basis of having “an annual income below the VA's geographically-adjusted income limit (based on your resident ZIP code).” It is not clear to me if I will continue to be covered by the VA if Group 8: Income above VA’s geographically adjusted income limits. Note: You may be in priority group 7 and qualify for these rates if you don’t meet eligibility requirements for priority groups 1 through 6, but you have a gross household income below our income limits for where you live and you agree to pay copays. I have been trying to find out if continued coverage under Priority Group 5 is subject to an annual means test. Group 7: Income below VA’s geographically adjusted income limits. Patients who are enrolled in government healthcare prescription medicine programs are not eligible, including, without limitation, Medicare Part D, Medicaid, VA, DOD, ADAP, state pharmaceutical assistance plan, or TRICARE.I was recently approved for enrollment in the VA health care system under Priority Group 5: "Nonservice-connected Veterans and non-compensable Veterans rated by VA as 0% disabled and who have an annual income below the VA's geographically-adjusted income limit (based on your resident ZIP code)." Veterans in Priority Groups 2 - 8 may have a copay of 15 for a primary care doctor or 50 for a specialist visit for treatment of non-service connected conditions. There is no copayment requirement for preventive care services such as screenings and immunizations. The copayment amount is based on the highest level of service received. Present this card and, if applicable, your insurance card with your valid prescription at any participating pharmacy. Copayment amount is limited to a single charge per visit regardless of the number of health care providers seen in a single day.Total savings not to exceed $7500 per year. Savings not to exceed $7500 per year for TRIUMEQ (abacavir, dolutegravir, and lamivudine tablets), $7500 per year for TRIUMEQ PD (abacavir, dolutegravir, and lamivudine tablets for oral suspension), $7500 per year for RUKOBIA (fostemsavir tablets), $6250 per year for DOVATO (dolutegravir and lamivudine tablets), $6250 per year for JULUCA (dolutegravir and rilpivirine tablets), $5000 per year for TIVICAY (dolutegravir tablets), or $5000 per year for TIVICAY PD (dolutegravir tablets for oral suspension), and for other eligible ViiV Healthcare medicines not to exceed $4800 per year.See /medicines for the list of eligible medicines and Prescribing Information. THIS CARD MAY BE USED FOR OTHER ViiV MEDICINES. This card is nontransferable & not valid if reproduced.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |