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Military Update: 2.4 million veterans may face $230 annual health-care enrollment fee
Special to Stars and Stripes ^ | March 3, 2005 | Tom Philpott

Posted on 03/02/2005 4:54:46 PM PST by Former Military Chick

Republican majorities on the House and Senate veterans’ affairs committees have voted to impose an enrollment fee of at least $230 a year on 2.4 million veterans — one of every three now eligible to use VA health care.

Those targeted are in priority categories 7 and 8, meaning they are neither poor nor suffering from service-connected disabilities. Half of the 2.4 million used the VA health system last year.

The Bush administration proposed the enrollment fee to hold down costs. The VA committees rejected another Bush proposal to raise co-payments on VA-filled prescriptions for these same Priority 7 and 8 veterans.

While both committees endorsed enrollment fees, differences emerged. The Senate panel, chaired by Sen. Larry Craig, R-Idaho, embraced the Bush plan for a straight $250 annual fee. The House committee, chaired by Rep. Steve Buyer, R-Ind., voted to set the fee for Priority 7 enrollees at $230, matching the enrollment fee of under-65 military retirees using Tricare Prime, the military managed care program. For Priority 8 veterans, Buyer proposes a sliding scale fee, of $230 to $500, depending upon income.

Both Craig and Buyer, in separate letters to their budget committees, said difficult choices have to be made this year, given a tight VA budget and the number of new veterans returning from war with severe injuries. Against that backdrop, they defended enrollment fees against the stiff criticism expected from veterans’ service organizations.

“VA must garner supplemental funding from some source, and there are no easy options,” Craig wrote. To critics who say $250 is not modest for some veterans, Craig pointed to the Tricare enrollment fee paid by military retirees who have at least 20 years. Shorter-serving veterans are no less worthy, Craig wrote, but neither are they “more worthy as a class than military retirees.”

Buyer wrote that Congress erred in 1996 by voting to open VA health care to “lower priority, non-service-connected categories of veterans.” Assumptions that such a move would be “budget neutral” were wrong, he said. So it’s time to refocus VA health resources on the “disabled, injured, low-income and special needs veterans,” Buyer wrote.

Buyer also said enrollment fees will “correct the inequity” between lower-priority veterans and Tricare users “who pay an enrollment fee and deductibles and who have higher co-payments.” His committee “at this time” is not directing that lower-priority veterans also match Tricare deductibles and co-payments. But Buyer hinted he might return to those disparities in future VA budgets.

To comment, write:
Military Update,
P.O. Box 231111, Centreville, VA 20120-1111,
e-mail milupdate@aol.com or visit www.militaryupdate.com


TOPICS: Front Page News; News/Current Events
KEYWORDS: enrollmentfee; healthcare; supplementalfunding; veterans; veteransaffairs
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While both committees endorsed enrollment fees, differences emerged. The Senate panel, chaired by Sen. Larry Craig, R-Idaho, embraced the Bush plan for a straight $250 annual fee. The House committee, chaired by Rep. Steve Buyer, R-Ind., voted to set the fee for Priority 7 enrollees at $230, matching the enrollment fee of under-65 military retirees using Tricare Prime, the military managed care program. For Priority 8 veterans, Buyer proposes a sliding scale fee, of $230 to $500, depending upon income.

Should I be surprised?


1 posted on 03/02/2005 4:54:46 PM PST by Former Military Chick
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To: Former Military Chick
No, but by comparison...

basic cable = $420/year

basic cell phone costs >$1200/year

dinner out once a month > $420 year

6 pack o'beer a week $200/year

It just comes down to priorities.

2 posted on 03/02/2005 5:05:12 PM PST by xcamel (Deep Red, stuck in a "bleu" state.)
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To: Former Military Chick

Bush has the best idea for this, but the media will spin it differently, like the article title implies.


3 posted on 03/02/2005 5:05:17 PM PST by RedBloodedAmerican
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To: RedBloodedAmerican

Sounds fair to me.


4 posted on 03/02/2005 5:28:07 PM PST by OldFriend (America's glory is not dominion, but liberty.)
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To: Former Military Chick

We see a lot of retirees who are using the TRIcare program at expensive Ophathalmologists offices and Tricare pays their bills. They have BOTH Medicare AND TRICare.


5 posted on 03/02/2005 5:34:40 PM PST by stopem (Support the troops yellow ribbon purse-key-holders.)
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To: Former Military Chick

I'm a vet and that is damn cheap!


6 posted on 03/02/2005 5:34:41 PM PST by Run Silent Run Deep ("Leftists are little Ward Churchills")
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To: OldFriend
I agree. In a civilian company, an employee will pay $240 toward health care premiums in 2 to 3 weeks.
7 posted on 03/02/2005 5:34:57 PM PST by flair2000
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To: Former Military Chick

Sounds fair to me. Luckily I am priority 3 so I dont have to worry. Besides that the only veterans affected are those that are healthy and receive a decent income.


8 posted on 03/02/2005 5:57:39 PM PST by aft_lizard (This space waiting for a post election epiphany)
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To: Former Military Chick
This veteran has no problem pitching in to share the costs. The max would be $41.67 per month or $1.37 per day. That's less than most cable/dsl bills. There shouldn't be any whining about this.
9 posted on 03/02/2005 6:03:45 PM PST by rottndog (WOOF!!!!)
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To: stopem

who is elligible for TRIcare?


10 posted on 03/02/2005 6:13:42 PM PST by XBob
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To: Former Military Chick
I don't think the public owes me any more than I've already received for my 3 years in the Army.

Except maybe that flag when I check out.

11 posted on 03/02/2005 6:18:43 PM PST by jwalsh07
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To: jwalsh07
I don't think the public owes me any more than I've already received for my 3 years in the Army.

Except maybe that flag when I check out.

Ditto!

I am in touch with a number of former colleagues - retired engineers - most of whom spent two years in the military during peacetime. Our former employer gives us - free - a 50% deduction on all of our medications. No deductible, no limit. Yet many of these free-loaders have enrolled in the VA, to get their $7 prescriptions. I think that it is a disgrace.

By the way, their assets total in excess of one million dollars.

12 posted on 03/02/2005 6:23:46 PM PST by jackbill
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To: jackbill
By the way, their assets total in excess of one million dollars.

You're right, it is a disgrace.

13 posted on 03/02/2005 6:27:36 PM PST by jwalsh07
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To: xcamel
As a vet and one who knows a nubmer of vets who have recently headed toward VA health care, 230 is a low number and everyone knows it. The fact that we served does not mean that even if there was a war during our service we don't deserve a free ride. That is not why we served.

Your comparison numbers are a great beginning. I wonder how many vets we could find in a casino this month or this year who drop way more than 230?

14 posted on 03/02/2005 6:37:38 PM PST by q_an_a
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To: jwalsh07

I agree. Nobody told me I would ever be entitled to non service connected medical expenses. Unfortunately, a few have spoiled it for the many.


15 posted on 03/02/2005 6:37:38 PM PST by caisson71
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To: stopem

I use Tricare Prime and I was under the belief that you cannot use both Tricare and Medicare. Do you know how this is done?


16 posted on 03/02/2005 6:37:45 PM PST by ops33 (Retired USAF Senior Master Sergeant)
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To: XBob

Retired Military.


17 posted on 03/02/2005 6:38:45 PM PST by ops33 (Retired USAF Senior Master Sergeant)
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To: ops33

Active duty dependents too.


18 posted on 03/02/2005 6:44:20 PM PST by FreedomCalls (It's the "Statue of Liberty," not the "Statue of Security.")
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To: jwalsh07

I am sure it they (vets) feel they are owed -- they feel by serving their country that their country will do right by them.

I am certainly glad that you are comfortable with the monies you receive but there are some who are not as lucky. If lucky and service to our country can be said in the same breath.


19 posted on 03/02/2005 6:48:01 PM PST by Former Military Chick
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To: Former Military Chick
That's way less than my monthly premiums which are heavily subsidized by my employer.
20 posted on 03/02/2005 6:55:19 PM PST by Dog Gone
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