Veterans Emergency Care Reimbursement: Clarifying Out-of-Pocket Costs and Retroactive Claims.
This law clarifies how the VA reimburses veterans for emergency medical costs incurred outside VA facilities, especially when the veteran has private insurance. It defines specific out-of-pocket expenses like copayments and deductibles that qualify for reimbursement. Crucially, these changes apply retroactively to claims dating back to February 1, 2012, potentially allowing many previously denied claims to be reconsidered.
Key points
Makes it easier for veterans to get reimbursed by the VA for emergency out-of-pocket costs (like copayments or deductibles) paid at non-VA facilities.
The law applies retroactively, allowing the VA to reconsider reimbursement claims submitted since February 1, 2012.
Introduces a clear definition of "copayment" to standardize the reimbursement process for veterans with health-plan contracts.
Introduced
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