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Va medical reimbursement Form: What You Should Know

If you are under age 62, claim to any other source of public assistance. If you have a co-payment for VA medical care, attach a letter from your insurance carrier or plan stating the amount (or a notation in Section A of the application form) that you will be unable to pay your VA claim in full because of your medical condition. You must make sure your claims are paid with advance funds from private insurance plans and/or your own funds if you have private insurance for your medical care. You must submit the application no later than December 1, 2018. Claims submitted late will be denied. If your application is denied, you may appeal to the Merit Systems Protection Board. VA Claim Information for Individuals Age 65 or Older VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits (Attached) (see Note (A)). This claim has been approved for review, filing the claim in the following VA regional offices only: Albany, NJ (Settlement) Alleging County, NY (Settlement) Allentown, PA (Settlement) Altoona-Johnstown, PA (Settlement) Augusta, GA (Settlement) Atlanta, GA (Settlement) Austin, TX (Settlement) Bakersfield, CA (Settlement) Baltimore County, MD. (Settlement) Bangor, ME (Settlement) Bangor, ME (Settlement) Barnstable, MA (Settlement) Baton Rouge, LA (Settlement) Bayonne, NJ (Settlement) Baytown, TX (Settlement) Berkeley City, CA (Settlement) Billings, MT (Settlement) Biloxi-Gulfport, MS (Settlement) Binghamton, NY (Settlement) Birmingham, AL (Settlement) Blacksburg, VA (Settlement) Blacksburg, VA (Settlement) Bloomsburg, PA (Settlement) Boise City, ID (Settlement) Boone County, MS (Settlement) Bolingbrook, IL (Settlement) Bonita Springs, FL (Settlement) Bozeman, MT.

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