Bay Pines Chief Resolves VA Billing Snafu

Apr 28, 2017

A new administrator at the Bay Pines Healthcare System is being credited by veterans for resolving a paperwork snafu that had some low income VA clients being billed for medications they should have gotten for free.

And what’s worse, some of the low income veterans, who may have been unaware of the VA charges or thought they were a mistake, ended up having the money taken from their benefits checks, according Bill Dreyer, a veteran and peer counselor.

“I have a lot of problems with, right now, the billing system for the VA,” Dreyer told a veterans’ roundtable at American Legion Post 273 last week.

Dreyer described how a female veteran with military sexual trauma, who he is counseling, was charged for her VA medications, yet she never received a bill.

“The reason I found out about this is I’ve been counseling Megan for a while and she got a letter from the Treasury Department that said we are now docking your Social Security benefits,” Dreyer said.

An unidentified veteran in the audience chimed in, “I got one of those (letters) too.”

Unexplained charges for VA medications that are supposed to be free to qualified, low income veterans is not something new to veteran and advocate Randall McNabb, a ride captain with the Patriot Guard Riders.

McNabb said many low income veterans who qualify for free medications don’t know they are required to verify their income status every year. It’s known as a “means test.”

“If their means test goes out of date, it says they’ll be notified at their next appointment. That next appointment could be 10, 12, 14 months down the line,” McNabb said. “Meanwhile, they’re being charged for their medications unknown to them.”

If the veteran ignores the VA bill, thinking it’s just a mistake, it goes to collections. McNabb said that scenario was happening too often especially among veterans who had gone through the VA homeless programs.

“Most of the low income veterans mistakenly believe that it’s a mistake,” McNabb said “Instead of going and checking on it.”

American Legion Post 273 in Madeira Beach sells Remember Everyone Deployed t-shirts for those who want to participate in "wear red Fridays."
Credit Bobbie O'Brien / WUSF Public Media

So, McNabb started speaking up like at the quarterly town hall held by the Bay Pines Healthcare System last fall.

One of the people who heard him was Jonathan Benoit, the new, chief of health administration service at Bay Pines Healthcare Systems.

Benoit dug into the data and found 600 veterans who needed to renew their “means test”. But instead of waiting for the veterans to come in for their appointments, Benoit sent letters to all 600 immediately.

“What’s nice is we started with that 600 and in our recent run, I coincidentally saw the stack of letters and it’s only a little more than 100 right now,” Benoit said. “And that’s all the way out for the entire year and I’m hoping it gets lower and lower to a point where we’re on top of every single one of these veterans and they don’t have to experience that inconvenience of having to pay copays.”

McNabb mentioned Benoit’s efforts at the roundtable and said the solution should be shared nationally. Benoit is working on that.

“This is certainly something that I’m going to share with other chiefs and I actually just transferred from Eastern Colorado and I have already shared the process with them,” Benoit said.

He was gratified to see results within just a few months and he is thankful for the veterans’ feedback because he’s a veteran too. Now, Benoit is moving on to his next VA mission: fixing the scheduling system at Bay Pines.