Treatment FAQ

how can a retired vet get treatment at a va hospital?

by Madisen Hackett V Published 3 years ago Updated 2 years ago
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Rules established under the law and published Wednesday in the Federal Register say the VA will pay for veterans to see non-VA doctors if they have to wait longer than 20 days or drive more than 30 minutes for primary or mental healthcare at a VA facility.

If you're retiring, you're eligible for TRICARE. You may also qualify for certain VA health care benefits. If you're separating from service due to a service-connected illness or injury, you may be eligible for VA health care benefits and certain TRICARE benefits.Apr 19, 2022

Full Answer

Can I get VA health care as a veteran?

Eligibility for VA health care Find out if you can get VA health care as a Veteran. Am I eligible for VA health care benefits? You may be eligible for VA health care benefits if you served in the active military, naval, or air service and didn’t receive a dishonorable discharge.

Who can use the Veterans Administration Hospital?

Who Can Use the Veterans Administration Hospital? The United States Department of Veterans Affairs provides over 1,875 health care facilities in the 50 states and U.S. territories, accessible for medical care to veterans, dependents and survivors who qualify, at the time of publication.

Can a veteran get long-term care services through the VA?

As a Veteran, you may be able to get assisted living, residential (live-in), or home health care through VA. Find out how to access these long-term care services. What kinds of long-term care services does VA offer for sick or disabled Veterans?

What is VA health care for elderly veterans geriatrics?

VA Health Care for Elderly Veterans Geriatrics is health care for elderly Veterans with complex needs. Extended care – also known as long term care – is a program for Veterans of all ages who need the daily support and assistance of another individual.

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Can retired military use VA hospital?

Retired Service members may qualify for VA health care benefits if they served on active military service, were discharged, or released under conditions other than dishonorable and meet length of service requirements.

Who is eligible for treatment at the VA?

Basic Eligibility A person who served in the active military, naval, or air service and who was discharged or released under conditions other than dishonorable may qualify for VA healthcare benefits.

Does the VA take care of Veterans?

All enrolled Veterans receive the Department of Veterans Affairs (VA's) comprehensive Medical Benefits Package which includes preventive, primary and specialty care, diagnostic, inpatient and outpatient care services.

Can the VA refuse to treat you?

You can agree to or refuse any treatment. You will be told what is likely to happen to you if you refuse a treatment. Refusing a treatment will not affect your rights to future care but you take responsibility for the impact this decision may have on your health.

Do Veterans get free healthcare for life?

You can get free VA health care for any illness or injury that we determine is related to your military service (called “service connected”). We also provide certain other services for free.

What is the maximum income to qualify for VA benefits?

VA Income Limits 2020 $41,005 or less if you have one dependent. $43,356 or less if you have two dependents. $45,707 or less if you have three dependents. $48,058 or less if you have four dependents.

How Much Does VA health care cost per month?

The charge ranges from $5 to $11 for each 30 day or less supply of medications provided on an outpatient basis for nonservice-connected conditions. Outpatient – The copayments will be based on primary care visits ($15) and specialty care visits ($50).

Can a veteran go to any hospital in an emergency?

Eligibility requirements notwithstanding, Veterans should always seek care at the nearest medical facility during a medical emergency, and never delay emergency medical care.

Why do veterans not like the VA?

Of the veteran and active service members who reported to the annual Wounded Warrior Project Survey that they have never used VA health care services, the most common reasons given included preferring to use other health care coverage and too much trouble or red tape....CharacteristicPercentage of respondents--9 more rows•Jun 20, 2022

Will the VA pay for outside treatment?

VA can pay for emergency medical care outside the United States if the emergency is related to your service-connected condition.

Can VA fill prescriptions from non VA doctors?

VA cannot fill prescriptions that are written by private physicians. Will the VA pay for a prescription filled at a non-VA pharmacy? No. VA is not responsible for payment of outside physician's fees or medication.

Why does the VA not care?

Instead of simply providing care to all veterans who pass statutory muster, VA creates its own set of regulations that further excludes former service members. It assumes that those who received honorable or general (under honorable conditions) discharges qualify as veterans and thus can receive services.

How to Establish Eligibility For VA Medical Benefits

VA health care eligibility is based upon active duty military service in the Air Force, Army, Marines, Navy, Coast Guard, or Merchant Marines (duri...

VA Health Care Eligibility Questionnaire

Let’s start by looking at some basic eligibility requirements, based on the VA health care eligibility questionnaire:1. Are any of these statements...

Applying For VA Health Care Benefits

Once you have established your eligibility for VA health care benefits, you will need to fill out Form 10-10EZ or Form 10-10EZR to apply for benefi...

Required Supporting Documentation

You can reduce the application processing time by providing information about your service when you apply. This includes documentation such as your...

VA Health Care Enrollment

Applying with for 10-10EZ and providing all relevant information will generally enroll you into the VA medical care system. Most veterans will auto...

How to update VA health insurance?

Once you have established your eligibility for VA health care benefits, you will need to fill out Form 10-10EZ or Form 10-10EZR to apply for benefits. These forms are also used to update your current information if anything has changed. There are several ways you can fill out or update the 10-10EZ: online, by phone, by mail, or in-person at a VA medical facility. Here is the info you need: 1 Online: Visit this link and fill out the form. 2 Phone: Call 1-877-222-VETS (8387), Mon-Fri, 8:00 am – 8:00 pm EST. A VA rep will send you a completed form via mail. You will need to verify and sign the form, then return it to the VA. 3 Mail: Complete Form 10-10EZ or Form 10-10EZR and mail it to Health Eligibility Center, 2957 Clairmont Road, Suite 200, Atlanta, GA 30329-1647. 4 In person: Visit any VA Medical Center or clinic. Here is the VA Directory.

What are the eligibility factors for VA health care?

VA health care eligibility factors: VA health care eligibility is based on many issues, including active duty military service, type of military discharge, service-connected disabilities, medical conditions incurred while in the service, location of service, and more. You can be eligible based on your service dates, deployments you served on, ...

Can veterans use VA medical centers?

Veterans with a service-connected disability rating can use VA medical centers, but health care benefits aren’t only limited to those individuals. Let’s dispel some of the myths about VA health care eligibility, see who is eligible, and learn how you can apply for VA health care benefits.

Can you get VA health care if you are on active duty?

Members of the National Guard and Reserves may be eligible for VA health care benefits if they were called to active duty on a Federal Executive Order (this generally excludes active duty for training purposes). Other groups of servicemembers may also be eligible for VA medical care.

Can you visit a VA clinic?

Each case is unique, and final benefits decisions rest with the VA. VA health care eligibility only means you can visit VA medical centers and clinics for health care. It does not necessarily mean all health care is 100% free (some medical care may be free, however, many veterans may be required to pay a co-pay).

Do you need a service connected disability rating to be eligible for VA health care?

Misconceptions about VA health care eligibility: It is not a requirement to have served in combat or in a war zone. You do not need a service-connected disability rating. You did not need to be injured or wounded while in the service.

Do you have to pay co-pays for VA?

There may be limitations on the type of health care you may be eligible for, and some medical care may require a co-pay or other associated cost, depending on your VA Priority Group, the nature of your coverage, and the medical care you receive.

What are the benefits of being an elderly veteran?

VA benefits include disability compensation, pension, education and training, health care, home loans, insurance, vocational rehabilitation and employment, and burial.

How to apply for VA benefits?

Generally, Servicemembers, Veterans, and families can apply for VA benefits using one of the methods below. Apply online using eBenefits, OR. Work with an accredited representative or agent, OR. Go to a VA regional office and have a VA employee assist you.

What is geriatric care?

Extended care – also known as long term care – is a program for Veterans of all ages who need the daily support and assistance of another individual. Elderly Veterans can receive geriatric and long term care programs at home, at VA medical centers, or in the community.

What is the vision limit for a nursing home patient?

You are bedridden. You are a patient in a nursing home. Your eyesight is limited to a corrected 5/200 visual acuity or less in both eyes; or concentric contraction of the visual field to 5 degrees or less.

How to access VA mental health services?

To access free VA mental health services right away: Call or walk in to any VA medical center —anytime, day or night. Find your nearest VA health facility. Call or walk in to any Vet Center during clinic hours. Find your nearest Vet Center. Call us at 877-222-8387.

How many hours a day does the VA provide mental health care?

This includes: Emergency mental health care 24 hours a day, 7 days a week, through VA medical centers and some local, non-VA hospitals. The Veterans Crisis Line, which offers support 24 hours a day, 7 days a week, for Veterans in crisis and their families and friends. Learn more about VA mental health services.

What is the VA mental health number?

We’re here Monday through Friday, 8:00 a.m. to 8:00 p.m. ET. If you have hearing loss, call TTY: 800-877-8339. You don’t need to be enrolled in VA health care to get care. Learn more about accessing VA mental health services. To connect with other resources for Veterans and transitioning service members:

How to contact the VA about homelessness?

Contact the National Call Center for Homeless Veterans at 877-424-3838 for help 24 hours a day, 7 days a week. A trained VA counselor will offer information about VA homelessness programs, health care, and other services in your area. The call is free and confidential.

What are the priority groups for veterans?

At the top of the list are those who incurred a service-related permanent disability with a rating calculated in percentages. Other groupings include former prisoners of war , purple heart recipients , housebound and catastrophically disabled veterans and those on VA pensions and Medicaid. At the bottom of the list are non-injured veterans with gross income limits below the geographically-adjusted income thresholds and veterans over the income limits with agreement to co-pays.

What happens if you are in excess of the VA national threshold?

If your income is in excess of the VA national threshold or the geographic threshold for the area in which you live, the VA may lower your priority group assignment. You may be charged co-pays or be billed for non service-connected medical care. Your priority group also determines how quickly you receive an appointment.

What is non service related medical care?

Non service-related medical care in veteran hospitals and clinics has income threshold guidelines. Geographic thresholds are by metropolitan statistical areas and depend on the number of dependents the service member has as well. Once you apply for VA health care benefits and complete the income information, Veterans Affairs compares your income statistics with the Internal Revenue Service and Social Security Administration records. VA contacts you for verification of any differences.

What is VA 10-10EZ?

Complete VA form 10-10EZ, the application for for health benefits with an option to complete it online. You can indicate if you want an appointment at the time of application . Veterans requesting care for a service-connected disability get preference or a higher priority group assignment. A financial assessment considers gross household income, including earned and unearned income. Asset values do not include your homestead, but includes other property, such as stocks and bonds, individual retirement and bank accounts and available cash.

Do veterans get preference?

Some veterans receive preference, especially for treatment of service-caused disabilities or illnesses. Length of service, income level and VA resources available are other determinants. Advertisement.

Do female veterans get the same benefits as male veterans?

This includes Reservists or National Guard members called for active duty by a federal order who completed their tour of duty. The length of your service in the military affects your priority group, along with your present income level. Female veterans receive the same benefits as males.

What time does the VA call?

Call us at (412) 395-6272 from 8:00am to 9:00pm, Eastern Standard Time, Monday through Friday. Send us an email using the VA Inquiry Routing and Information System. For questions related to education benefits: Call us at (918) 781-5678 from 8:00am to 7:00pm, Eastern Standard Time, Monday through Friday.

What are the benefits of being a veteran overseas?

VA benefits include disability compensation, pension, education and training, health care, home loans, insurance, ...

How to contact direct deposit VA?

For help related to international direct deposit and currency conversion: Call us at (918) 781-7550 from 9:00am to 5:30pm, Eastern Standard Time, Monday through Friday. Send us an email at [email protected]. To speak to a benefits representative at an American embassy or American Consulate:

How to contact VA social worker?

To find out how to access these services, contact your VA social worker. Or, call our toll-free hotline at 877-222-8387, Monday through Friday, 8:00 a.m. to 8:00 p.m. ET. If you’re not currently in the VA health care program, you can apply for benefits now. Apply now.

How long do you have to live to be eligible for hospice?

You qualify for hospice care if you have a terminal condition (a condition that can’t be treated), with less than 6 months to live, and you’re no longer seeking treatment other than to ease pain.

What is physical therapy?

Physical therapy. Help with daily tasks (like bathing, dressing, making meals, and taking medicine) Comfort care and help with managing pain. Support for caregivers who may need skilled help or a break so they can work, travel, or run errands.

Is Geripact for veterans?

Geriatric syndromes (like frailty, falls, incontinence, memory loss, taking many medicines, or being 65 years or older) Caregiver burden (the stress and strain that can come from caring for someone with complex needs) Note: GeriPACT is not for Veterans with untreated substance abuse.

Can a veteran get assisted living?

VA nursing homes, assisted living, and home health care. As a Veteran, you may be able to get assisted living, residential (live-in), or home health care through VA. Find out how to access these long-term care services.

Can you use VA benefits to help pay for extra services?

And you may be able to use VA benefits to help pay for extra services (like visits from a VA health care provider). Learn more about: Medical foster homes Private homes where a few people live together and get care. Adult family homes (or adult foster homes) Private homes with rooms to rent for 6 or fewer people.

How long can you wait to see a VA doctor?

For specialty care, they can see private doctors at VA expense if they have to wait longer than 28 days or drive more than an hour to see a VA provider. Previously, veterans who had to drive more than 40 miles or wait longer than 30 days could choose to see a private doctor paid for by the VA.

Can you go to a VA urgent care clinic without approval?

The rules going into effect Thursday also allow veterans to go to non-VA urgent care clinics at VA expense without prior approval, though they may have to pay a co-payment. Trump signed the law last June, known as the VA MISSION Act, but its key provisions didn’t take effect until now.

What should veterans know about Medicare?

Here are seven things every veteran should know about Medicare. Medicare covers veterans in the same way as it covers most other Medicare beneficiaries. But there are a few things that veterans of the armed forces should know about Medicare. 1. Medicare and VA coverage do not coordinate benefits. Medicare and VA (Veterans Affairs) ...

What if VA does not cover a specific drug?

If the VA does not cover a specific drug that you need to take, you might consider enrolling in a Medicare Part D plan that covers that drug. A drug prescribed by a doctor at a non-VA facility may not be covered by VA benefits without authorization.

How to enroll in Medicare Advantage?

There are a few instances in which enrolling in a Part D plan or a Medicare Advantage plan with prescription drug coverage may make sense: 1 VA coverage includes its own drug formulary (a list of drugs covered by the plan). If the VA does not cover a specific drug that you need to take, you might consider enrolling in a Medicare Part D plan that covers that drug. 2 A drug prescribed by a doctor at a non-VA facility may not be covered by VA benefits without authorization. 3 A non-VA pharmacy may be a more convenient way to obtain your drugs, especially if you reside in a nursing home or other long-term care facility. 4 If you qualify for Medicare Extra Help, your overall drug costs may be lower with a Part D plan than under VA coverage.

Does Medicare Advantage have its own formulary?

There are a few instances in which enrolling in a Part D plan or a Medicare Advantage plan with prescription drug coverage may make sense: VA coverage includes its own drug formulary (a list of drugs covered by the plan).

Does Medicare cover non VA care?

Medicare will not provide coverage at a VA facility, and VA benefits will not provide coverage at a non-VA facility.

Does Medicare and VA insurance work together?

Medicare and VA coverage do not coordinate benefits. Medicare and VA (Veterans Affairs) insurance do not coordinate coverage. The only instance in which the two programs might team up to offer dual coverage is when the VA approves qualified care to be received at a non-VA facility. Medicare coverage for people with VA insurance typically works like ...

Do Medicare and VA overlap?

VA benefits and Medicare coverage do not overlap. 2. There can be advantages to having both types of coverage. There can be some definite advantages in having VA benefits and Medicare insurance. Having both types of coverage can give you more health care options.

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