VA Form 10-0246: Veteran Patient Statement Guide – Veterans receiving care for non-service-connected conditions at VA facilities often receive a monthly billing statement known as VA Form 10-0246, the Veteran Patient Statement. This document details copayments for medical services and prescriptions. Understanding it helps manage VA health care costs effectively.
What Is VA Form 10-0246?
VA Form 10-0246 is the official Veteran Patient Statement issued by the U.S. Department of Veterans Affairs (VA). It summarizes charges, payments, credits, and the current balance for copay-eligible services at VA medical centers or clinics.
The form includes key sections such as:
- Patient name and account number
- Statement date
- Previous balance, payments received, new charges, and current balance due
- Detailed description of services or prescriptions
- Payment options and coupon for mailing
It serves as your official monthly bill for VA copayments on non-service-connected care.
Who Receives VA Form 10-0246?
Veterans enrolled in VA health care who receive treatment for non-service-connected conditions may owe copayments and thus receive this statement. Service-connected care is generally not subject to copays.
Eligibility for copays depends on your VA priority group, income level, and specific services. Many veterans qualify for exemptions or reduced rates—check your enrollment status via VA.gov or your local VA facility.
How to Access Your Veteran Patient Statement Online?
Since 2019, veterans can conveniently view, download, and print their VA Form 10-0246 through AccessVA:
- Visit AccessVA
- Sign in with DS Logon, ID.me, or MyHealtheVet Premium account
- Select Veteran Patient Statement
Statements are available online for up to six months and include summaries from any VA medical facility where you received care.
This digital access eliminates waiting for mailed statements and allows quick review of charges.
How to Download and Fill VA Form 10-0246
You can download the fillable PDF version directly from the official VA source:
Download VA Form 10-0246 (Veteran Patient Statement)
The form is designed for easy completion if paying by mail or in person. It includes fields for credit card information (if choosing that option) and a detachable payment coupon. Always include your account number on any payment.
How to Pay Your VA Copay Bill?
The Veteran Patient Statement provides multiple convenient payment methods:
- Online — Fastest option via www.pay.gov (ACH, debit, or credit card)
- By Phone — 1-888-827-4817
- By Mail — Use the coupon and mail check or money order payable to “VA”
- In Person — At any VA Medical Center
Pay the full balance by the due date to avoid late charges or collection actions.
Understanding Your VA Patient Statement: Key Sections Explained
- Account Summary — Shows previous balance, payments, new charges, and total due.
- Description of Charges — Itemizes medical visits, procedures, or prescriptions.
- Payments and Credits — Lists any payments received or adjustments (including canceled copays).
- Local VA Message — Facility-specific information or instructions.
- Payment Coupon — For mailing payments with your account details.
For a detailed breakdown, refer to VA’s guide: Understanding Your VA Patient Statement.
Common Questions About VA Form 10-0246
Why did I receive a bill for VA care?
Only non-service-connected care typically incurs copays. Service-connected conditions are usually free of charge.
What if I disagree with charges?
Contact the billing office at the VA facility listed on the statement or call 866-400-1238 (Monday–Friday, 8 a.m.–8 p.m. ET).
Can I use private insurance?
Some veterans submit statements to private insurers for reimbursement of deductibles. Contact your insurer for their process.
How do I update my address?
Use the statement’s instructions or update through VA.gov to ensure timely delivery.
Tips for Managing VA Medical Copayments
- Log into AccessVA regularly to monitor statements.
- Apply for financial hardship relief if copays create burden.
- Keep records of all statements for tax or insurance purposes.
- Confirm your VA health care enrollment status and priority group.
Staying proactive helps avoid surprises and maintains good standing with VA billing.
Veterans should always rely on official VA sources for the most current information. For personalized assistance, contact your local VA medical center revenue staff or use the national helpline.
Official Download:
VA Form 10-0246 Fillable PDF
This article is for informational purposes only and is based on publicly available VA resources as of 2026.