There are three options.
First, contact the Revenue Coordinator at the VA health care facility and request a waiver from paying your current debt. This requires sufficient proof of financial hardship that prevents you from paying the VA.
Second, contact the Enrollment Coordinator to request a hardship determination to avoid medical care copay charges. This determination is also based on financial need. If you are approved for a hardship determination, your copay status will change and your enrollment priority will improve.
Third, contact the Revenue Coordinator to request an Offer in Compromise, which is applicable to past debts for medical services. If the VA accepts the offer to compromise, a partial payment of the balance owed is settlement of the entire debt. This requires proof of inability to pay the entire amount of the debt due.