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VA Medical Care Copayment

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.

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.

Paying online with is safe, secure, and the preferred method to make a payment. To make a payment using one of the below accepted payment methods, please click the Continue to the Form button.

Accepted Payment Methods:

  • Bank account (ACH)
  • Debit or credit card

This form provides you the ability to schedule recurring, automatic payments by withdrawing from your checking, savings, debit or credit card account. To take advantage of this feature, you must have a account. If you already have an account, please Sign In; otherwise, click Create an Account to create one.

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?


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


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Troubleshooting Information:

Name Value
User IP
User Agent CCBot/2.0 (
Current URI /public/form/start/25987221
Current Server Date 03/23/2018 12:42:18 EDT
User Sign In Name UnAuthenticatedUser
Tracker p4RTvU039aePTNNY0OsE
Paygov Tracking ID N/A

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