What should I know about being signed up for VA health care?
The medical standards for treating any health conditions you may have You should also know that being signed up for VA health care meets your Affordable Care Act (ACA) health coverage requirement of having “minimum essential health coverage.” We’ll update this site if the ACA changes with new laws.
What are the requirements for precertification for the VA?
Precertification Requirements. The VA is required by law to bill Third Party Payers (TTP) for care that is not related to a Veteran’s service-connected disability or Special Authority. This requires VA to call TPPs for precertification for patients who are VHA beneficiaries with other billable health insurance (OHI).
How do I apply for VA health care benefits?
Find out if you’re eligible for VA health care benefits; Gather the information listed below that you’ll need to fill out an Application for Health Benefits (VA Form 10-10EZ) You'll need this information: Social Security numbers for you, your spouse, and your qualified dependents; Your military discharge papers (DD214 or other separation documents)
Does my priority group affect my VA health care benefits?
Your priority group may affect how soon we sign you up for health care benefits. It may also affect how much (if anything) you’ll have to pay toward the cost of your care. Learn more about priority groups No. Whether or not you have other health insurance coverage doesn’t affect the VA health care benefits you can get.
Does VA require prior authorization?
VA is required by law to bill Third Party Payers (TPP) for care that is not related to a Veteran's service-connected disability or Special Authority. This requires VA to call TPPs for precertification for patients who are VHA beneficiaries with other billable health insurance (OHI).
How do I get a VA authorization?
Resources and support.Call us. 800-698-2411.Visit a medical center or regional office. Find a VA location.
Will the VA pay for outside treatment?
VA will also help resolve billing issues with the community provider. VA can pay for emergency medical care outside the United States if the emergency is related to your service-connected condition. More information can be found through the Foreign Medical Program (FMP) resources listed below.
Can Veterans use local hospitals?
VA provides health care for Veterans from providers in your local community outside of VA. Veterans may be eligible to receive care from a community provider when VA cannot provide the care needed. This care is provided on behalf of and paid for by VA.
What is a VA Form 21 4142?
Use VA Form 21-4142 to give us permission to obtain your personal information from a non-VA source like a private doctor or hospital. Examples of personal information may include your medical treatment, hospitalizations, psychotherapy, or outpatient care.
Can the VA refuse to treat a Veteran?
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.
Will the VA pay for my emergency room visit?
In general, VA can pay for emergency medical care at a local ER for a Veteran's service-connected condition, or if the care is related to a Veteran's service-connected condition. VA can also pay for emergency medical care for a Veteran's non-service connected condition.
Do veterans get free healthcare for life?
If you are a 50% or greater disabled veteran or a former POW, all your medical care from the VA is free. There are other groups that may get some, or all VA medical care for free, see our VA Copay page for details.
Do I need Medicare if I am covered by the VA?
If you have VA benefits, you do not have to enroll in Medicare in order to keep your VA benefits. That being said, the Veterans Administration actually recommends veterans enroll in Medicare when they become eligible.
Will the VA pay for my surgery?
VA medical facilities provide a wide range of services, including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy.
Can I use my VA insurance anywhere?
To use VA benefits, you'll need to get care at a VA medical center or other VA location.
Does the VA pay for ambulance?
VA can pay for emergency transportation provided by a community provider for a Veteran's service-connected condition and nonservice-connected condition, but there are specific requirements that must be met before VA can reimburse these costs*.