• Before You Begin
  • Complete Agency Form
  • Enter Payment Info
  • Review & Submit
  • Confirmation

About this form

Please use this form to pay your medical care and prescription copayments billed on your monthly statement (form 0246) for services provided by a VA medical center or clinic.



Notice: The VA account number and payment amount are required to complete this form. If you need to obtain your VA account number, payment amount or account balance, please contact the VA Billing Office at 866-400-1238.

Accepted Payment Methods:

  • Bank account (ACH)
  • Debit or credit card

By creating an account you can:

  • See the payments you made since you created an account.
  • Store payment information, such as credit card numbers, so that you do not have to reenter it each time you make a payment.
  • Copy a form you already submitted so that you do not have to reenter you information next time.
  • Set up automatic recurring payments (from a bank account, debit card, or credit card).

To take advantage of these benefits, you can Sign In or Create an Account . To continue as a guest user, click the 'Continue to the Form' button.

This is a secure service provided by United States Department of the Treasury. The information you will enter will remain private. Please review our privacy policy for more information.

Need Help?

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Contact: HRC Help Desk
Phone: 888-827-4817 Hrs:7a-7p CT

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