Billing and Insurance - Kansas City VA Medical Center
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Kansas City VA Medical Center

 

Billing and Insurance

Billing and Insurance

Copayments

The US Department of Veterans Affairs has established guidelines for veterans and their copayments. Copayments may be charged for the following services:

Typical copayments are:

  • $15 for visit to Primary Care Clinic
  • $50 for visit to Specialty Clinic (Radiation, Orthopedics, Podiatry, etc.)
  • $8 for each 30-day prescription ( Priority group 2-6 )
  • $9 for each 30-day prescription ( Priority group 7-8 )

Veterans who do not make their copayments upon checking out and who have third party insurance will receive a bill at their address of record within 90 days. If a Veteran does not have third party insurance, they will receive a bill at their address of record within 30 days.

If you have questions about your copay balance, please contact the Health Resource Center at 1-866-393-4074.

Repayment Plans

If you have a problem making copayments, you may contact the Health Resource Center at 1-866-393-9132 to request that a repayment plan be established for your financial situation. If approved, the plan will result in a more affordable monthly payment. VA Form 1100, Agreement to Pay Indebtedness, and VA Form 5655, Financial Status Report, is used to create a repayment plan. If you set up a repayment plan, and cannot make one of your monthly payments, you must notify the Health Resource Center. If you miss a payment and do not notify us, you will not be able to use the repayment plan option again. Repayment plans must be updated every 90 days for new charges.

Waiver Requests

Special circumstances such as job loss may qualify you for a one time cancellation of debt if the debt is not older than 180 days. You may request a waiver for paying your current debt by submitting a written request and sufficient proof that you cannot financially afford to make payment to VA.

Forms that are required include VA Form 5655, Financial Status Report, and VA form 4138, Statement in Support of Claim. To further support your claim, you may want to provide copies of the following information as it applies:

  • Unemployment Statement
  • Divorce Decree
  • Federal Income Tax Return
  • Social Security Statements
  • Business or Personal Bankruptcy Documents
  • Last Two Bank Statements
  • Last Two Paycheck Stubs
  • Medical Care Bills Paid/Owed by You
  • Income Verification
  • VA Compensation/Pension Benefit Statement
  • Disability Benefit Statement

Mail all documents to:

VA Medical Center
Attn: CPAC/Facility Revenue Division
4801 E Linwood Blvd
Kansas City, MO 64128

Other Health Insurance

VA is required by law to bill your private insurance company for care provided for your nonservice-connected conditions. You should bring your insurance card with you for your appointment and present it during the check-in process.

Reimbursements received from private insurance carriers are retained at the Marion VA Medical Center. These funds may be used to provide better equipment, additional staffing, facility improvements, and expanded services for you and fellow veterans.

Please note:

  • You will NOT be responsible for any unpaid balance that the insurance carrier does not pay except for VA copay.
  • Please disregard any information about balance due on the Explanation of Benefits (EOB) provided by your insurance company. VA will send a bill for the amount you owe.
  • Payments from your private health insurance carrier may allow us to offset part or all of your copay
  • Many private health insurance companies will apply VA health care charges toward the satisfaction of your annual deductible.

Learn more about private health insurance and your VA benefits

Medicare/Medicaid

The Department of Veterans Affairs does not bill Medicare or Medicaid at this time. You may, however, wish to review information for veterans about the new Medicare prescription drug benefits.

Health Resource Center (HRC)

The VA Health Resource Center, First Party Call Center, takes calls from veterans to answer questions about bills. Veterans have the opportunity to use pre-programmed options when calling the toll free number 1-866-393-4074 to retrieve their balance or to hear answers to frequently asked questions. Hours of operation are from 7:00 AM to 7:00 PM CST, Monday through Friday.

When calling, please have your account number (located in the middle of your statement) ready, and input it on your keypad when requested. If you do not have the account number, your call will be transferred to a trained contact representative. Although Mondays and the days following a holiday can be busy, the average wait time the rest of the week is less than one minute. You also have the option to leave a call back number and a time you would like HRC staff to return your call.

Contact Info

Location

  • Leavenworth CPAC

Contact Number(s)

  • 866-393-4074

Hours of Operation

  • Monday - Friday
    8:00am - 4:30pm