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VA North Texas Health Care System

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Billing & Insurance

As per VA guidelines, copayments are due upon check-out at the Agent Cashier and may be charged for the following services:

  • inpatient care
  • outpatient care
  • outpatient prescriptions
  • long-term care

Typical Copayments:

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

Copayment Issues:

  • If you do not make your copayments upon check-out, you will receive a bill at your address of record within 30 days after your stay/appointment.
  • Questions: Health Resource Center, 1-866-393-9132
  • If you cannot make your copayment, you may request a repayment plan using VA Form 1100, Agreement to Pay Indebtedness. If approved, the plan will result in a more affordable monthly payment.
  • If you set up a repayment plan and cannot make one of your monthly payments, notify the Health Resource Center immediately. If you miss a payment and do not notify us, you will not be able to use the repayment plan option again.
  • Special circumstances such as job loss may qualify you for a one time cancellation of debt. You may request a waiver by submitting a written request and sufficient proof you cannot financially afford to make payment. Complete VA Form 5655, Financial Status Report and mail it to:

Dallas VA Medical Center
Attn:  MCCF 04D
4500 S. Lancaster Rd.
Dallas, TX  75216


The Department of Veterans Affairs does not bill Medicare or Medicaid.

Health Resource Center (HRC)

  • The VA Health Resource Center is open Monday through Friday, 7 a.m. to 7 p.m. to answer questions about bills.
  • Telephone: 1-866-393-9132
  • Automated options include account balance and answers to Frequently Asked Questions. 
  • Have your account number located in the middle of your statement ready. If you do not have it, a trained representative will assist you.
  • While the average wait time is usually less than one minute, you do have the option to leave a call back number and a time you are available.

Private Health Insurance

Private health insurance coverage through a Veteran or Veteran's spouse is insurance provided by employer, Veteran or other non-federal source.

VA health care is not considered a health insurance plan.

VA is required to bill private health insurance providers for medical care, supplies and prescriptions provided for treatment of Veterans' nonservice-connected conditions. Generally, VA cannot bill Medicare, but can bill Medicare supplemental health insurance for covered services.

All Veterans applying for VA medical care are required to provide information on their health insurance coverage, including coverage provided under policies of their spouses. Veterans are not responsible for paying any remaining balance of VA's insurance claim not paid or covered by their health insurance, and any payment received by VA may be used to offset "dollar for dollar" a Veteran's VA copay responsibility.

What's in it for me for providing health insurance information?

  • You will not be responsible for any unpaid balance that the insurance carrier does not pay except for VA copay.
  • 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.

Insurance Coverage and Eligibility for VA Health Care

Your insurance coverage or lack of insurance coverage does not determine your eligibility for treatment at a VA health care facility.

Risks of Giving Up Your Private Insurance

What should you do with your private health insurance if you are accepted into VA health care? You could save of money if you dropped the insurance, but there are some things you should consider.

  • What about your non-Veteran family members?
  • VA does not normally provide care for family members of Veterans enrolled in VA's health care program. If you drop your private health insurance, they may have no health care coverage.

  • What would happen if you are disenrolled from VA's health care program?
  • There is no guarantee that in subsequent years Congress will appropriate sufficient funds for VA to provide care for all enrollment Priority Groups. This could happen if you are enrolled in one of the lower Priority Groups. This would leave you with no health care coverage.

  • Do I still need Medicare Parts A and B if I receive my health care from VA?
  • VA does not require a Veteran to have Medicare Part A or B to be enrolled in VA health care. However, a Veteran may want to consider their total health care needs before changing any insurance coverage.

  • What would happen if you drop your Medicare Part B coverage?
  • If you cancel your Medicare Part B Coverage, you need to know that you cannot be reinstated until January of the following year, and you may be penalized for reinstatement.

For these reasons, VA encourages you to keep your private health insurance.


Agent Cashier
Dallas VA Medical Center, Clinical Addition, Building 1, Room 1B-300
214-742-8387 Ext. 71207 or 71206

Agent Cashier
Sam Rayburn Memorial Veterans Center, Building 1, Room 165
903-583-2111 Ext. 36575 or 36511

Health Resource Center
Monday - Friday, 7a.m. - 7 p.m.
Dallas VA Medical Center

Health Benefits Guide