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Printed Date: 9/22/2015
If the beneficiary has or can get both Medicare and Veteran's Administration (VA) benefits, he/she may choose to get treatment under either program.
For patients entitled to both, Medicare and VA benefits, Medicare:
Since July 1986, the VA has been charging coinsurance payments to some veterans who have non-service connected conditions when treatment is received in a VA hospital or medical facility or for VA-authorized treatment by non-VA sources. The VA charges coinsurance payments when the veteran's income exceeds a particular level.
Note: Medicare cannot reimburse the beneficiary for VA coinsurance payments when VA hospitals and facilities furnish services, unless the services are emergency inpatient or outpatient hospital services.
CMS Regulation References: Publication 100-05, Chapter 2 and Chapter 5.
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Last Updated: 10/08/2019