What is Co-Managed Care for Veterans?

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VA Health Care Financial Assessment

Most veterans not receiving VA disability compensation or pension payments must provide information on their gross annual household in¬come and net worth to determine whether they are below the annu¬ally adjusted financial thresholds.  Veterans who decline to disclose their information or have income above the thresholds must agree to pay copays in order to receive certain health benefits, effectively placing them in Priority Group 8. VA is currently not enrolling new applicants who decline to provide financial information unless they have a special eligibility factor. 

This financial assessment includes all household income and net worth, including Social Security, retirement pay, unemployment insur¬ance, interest and dividends, workers’ compensation, black lung ben¬efits and any other income. Also considered are assets such as the market value of property that is not the primary residence, stocks, bonds, notes, individual retirement accounts, bank deposits, savings accounts and cash. 

VA also compares veterans’ financial assessment with geographical¬ly based income thresholds. If the veteran’s gross annual household income is above VA’s national means test threshold and below VA’s geographic means test threshold, or is below both the VA national threshold and the VA geographically based threshold, but their gross annual household income plus net worth exceeds VA’s ceiling (cur¬rently $80,000) the veteran is eligible for an 80-percent reduction in inpatient co-pay rates.

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