Billing & Insurance - VA North Texas Health Care System
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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

VA is required by law to bill private health insurance carriers for medical care, supplies and prescriptions provided for treatment of Veterans' nonservice-connected conditions. Private health insurance coverage through a Veteran or Veteran's spouse is insurance provided by an employer, Veteran or other non-federal source, including Medicare supplemental plans. Generally, VA does not bill Medicare or Medicaid for reimbursement; however, VA does bill other types of health insurance including Medicare Supplemental plans for covered services.

Note: A Veteran’s insurance coverage or lack of insurance coverage does not determine their eligibility for treatment at a VA health care facility.

Veterans applying for and using VA medical care must provide their health insurance information, including coverage provided under policies of their spouses. Veterans are not responsible for the remaining balance shown as patient responsibility on the explanation of benefits from their insurance carrier. However, Veterans may be responsible for a VA copayment depending on their assigned Priority Group.

Importance of Providing Health Insurance Information

  • Veterans are not responsible for any unpaid balance that the insurance carrier does not pay, except for VA copayments they may be required to pay, depending on their assigned Priority Group.
  • Payments received from a Veteran’s private health insurance carrier are credited towards any applicable VA copayments, reducing all or part of the Veterans out-of-pocket expenses.
  • Many private health insurance companies will apply VA health care charges towards satisfying a Veteran's annual deductible and maximum out of pocket expnse.
  • Money collected by VA from private health insurance carriers is returned back to the VA medical center providing the care. The funds are used to provide the best care possible to our Veterans.

Cancelling Private Health Insurance

Veterans who have private health insurance should consider a number of important factors before canceling their health insurance, such as:

  • Impacts to Family Members. VA does not normally provide care for family members of Veterans enrolled in VA health care. If you cancel your private health insurance, they may have no health care coverage.
  • Disenrollment in VA health care. 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 a Veteran with no health care coverage.
  • Medicare Parts A and B. VA does not require a Veteran to have Medicare Part A or B to be enrolled in VA health care. However, Veterans should always consider their current and future health care needs before changing any insurance 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.

In most cases, if you don't sign up for Part B when you are first eligible, you'll have to pay a late enrollment penalty. You will have to pay this penalty for as long as you have Part B. Your monthly premium for Part B may go up 10% for each full 12-month period that you could have had Part B, but didn't sign up for it. Also, you may have to wait until the General Enrollment Period (from January 1 to March 31) to enroll in Part B. Coverage will start July 1 of that year.

For these reasons, VA strongly encourages Veterans to consider important factors, risks and benefits before making any changes to their 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