Copay Relief for VA Community Care Visits
Program Overview
We help eligible veterans cover their patient responsibility (copays/coinsurance/deductibles) for approved medical visits with licensed VA Community Care Providers. This program is provider‑neutral and needs‑based.
Operated by Veterans Desk, Inc. (IRS 501(c)(3)). Works in both VA and private insurance scenarios where a patient portion remains.
What We Fund
- Patient responsibility for education/evaluation visits related to medical‑health education or integrative care.
- In‑person or tele‑education visits (where lawful).
- Approval is determined by the applicant’s documented VA Community Care copay. The Program does not pay medical or health-related charges or other clinical charges; assistance is limited to the patient-responsibility portion and is needs-based. Funds are payer-of-last-resort, applied only after insurance/VA adjudication or pursuant to a transparent access-rate cash bill.
Why This Matters
Even modest copays make many veterans delay or skip care.
A pooled, neutral fund unlocks first steps without steering to any provider.
Community sponsors can “unlock a visit” in their county.
What We Don't Fund
health products, accessories, certifications, or dispensary purchases.
Payments tied to referrals, volume, or specific clinics (“pay‑to‑play”).
How It Works
01
Check eligibility and complete the 5‑minute application.
02
If approved, we issue a digital voucher to the VA Community Care Provider (e.g., $50–$100) valid for 60 days.
03
You choose a medical care provider: any licensed provider on the VA Community Care Provider list on the VA.gov website.
04
After the visit, we cover only the documented patient responsibility up to the voucher cap: Reimbursement to the veteran (upload EOB/receipt), or Direct‑to‑clinic payment with veteran consent and a clear invoice.
Eligibility
- Veterans (and, where authorized, qualifying family caregivers) only.
- Financial need: e.g., household income ≤ 300% FPL or documented hardship.
- Visit type: education/evaluation related to medical‑health education or integrative care; no product purchases.
- Annual caps (example): $50 per visit, up to 2 visits/year, $100 per veteran.
The nonprofit makes final determinations to ensure fairness and compliance.
For Providers — Participation Pledge (Non‑Exclusive)
- Maintain licensure and lawful practice; set your own fees and terms.
- Post a transparent access rate for an education/evaluation visit (optional but encouraged).
- Invoice clearly: patient responsibility shown separately; no add‑ons beyond standard billing.
- No referral fees, kickbacks, or marketing quid‑pro‑quo.
- Allow de‑identified attendance counts for impact reporting.
Recognition is organizational only (no paid placement, no rankings).
Compliance Guardrails
For Sponsors — Sponsor a County, Unlock Visits
- $50 helps unlock one visit (average copays vary).
- Public, de‑identified impact reporting: visits unlocked, average award, median wait time.
- Organizational recognition only; no control over recipient selection or provider choice.
Transparency & Stewardship
- Administrative costs targeted at ≤ 20 %.
- Quarterly impact summaries; annual audited totals.
- Conflict‑of‑interest, anti‑inducement, and data‑privacy policies are posted publicly.
FAQ
Do you cover health products or dispensary costs?
Will you pay the clinic directly?
Does a VA disability rating automatically qualify me?
How will I know if policies change?
We email the address on file and flag updates in your account.