(3) "Above the means test and below the GMT threshold." "Above the means test and below the GMT threshold," is defined as those veterans whose attributable income and net worth are such that they are able to defray the expense of care, but whose inpatient medical care co-payments are reduced 80 percent. Within the VistA system these veterans are designated as "Means Test Copay Required." (2) "Above the means test and GMT threshold." "Above the means test and GMT threshold" is defined as those veterans whose attributable income and net worth are such that they are able to defray the expenses of care therefore they must agree to pay a co-payment for hospital care and outpatient medical services. Within the Veterans Health Information Systems and Technology Architecture (VistA) system such veterans are designated as "Means Test Copay Exempt." (1) "Below the means test threshold." "Below the means test threshold" is defined as those veterans whose attributable income and net worth are such that they are unable to defray the expenses of care therefore, they are not subject to co-payment charges for hospital and outpatient medical services.
#2018 VA COPAY RATES PDF#
The actual GMT Threshold table is available in PDF format (requires Adobe Acrobat Reader) online from a link at: Finally, on that line, find the correct amount based on the number of your dependents, shown in the column headers. Then find your county in the County Name column within your state. To use the table, scroll down to your state (in the State Alpha column that has state abbreviations). GMT threshold amounts are found in an extremely large table that is ordered by county (or MSA) within each state, listed alphabetically. Note that the GMT thresholds are also used in conjunction with another set of thresholds, the Financial Means Test Thresholds, to help determine copayment requirements. These "low income" limits represent 80% of median income.
VA uses the Department of Housing and Urban Development (HUD) "low-income" geographic-based income limits as the thresholds for VA's GMT. This means that a veteran's income from the previous year is compared with the appropriate GMT threshold for the previous fiscal year to determine if the veteran should be placed in treatment priority category 7. Public Law 107-135, the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001, directed the Veterans Administration (VA) to implement a Geographic-based Means Test (GMT) to help determine VA health care eligibility. Get Affairs (VA) Benefits - Geographic Means Test Thresholds (GMT) Veterans Affairs (VA) Benefits - Geographic Means Test Thresholds (GMT)
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