Posted on: Monday, February 12, 2018
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Do I need to pay a medicine copay if I'm rated 100%?
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Question

100% due to Agent Orange Heart Attack.  Only taxable income is less than $7000/Yr.  Recently Express Scripts sending me co-pay charges. Do I have to pay them?  Any waivers available?

Jim's Reply

In most cases, you shouldn't be paying a copay at all unless your 100% rating is temporary or some typical OTC medicines are prescribed. Have a look at this brochure.

https://www.va.gov/HEALTHBENEFITS/resources/publications/IB10-971_medication_copayment_brochure.pdf

There are contact numbers in there that you should call to ensure that you aren't being billed by accident. Accidental billing is a constant issue at your VA. You'll have to be persistent to sort this one out.

You may also want to speak with a patient advocate or a pharmacist at your VHA facility.

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