VA Medical Care Copayment
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
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.
Contact:
HRC Help Desk
Phone:
888-827-4817 Hrs:7a-7p CT