June
10, 2019 at 04:30 AM
Editor's Note: This
article by Jim Absher originally appeared onMilitary.com,
a leading source of news for the military and veteran community.
Got a sore throat or a
sprained ankle and don't want to go to a Department of Veterans Affairs hospital?
Got sick at 8:00 on a Friday night and don't want to wait until Monday to see a
VA doctor? A new VA program may be for you.
As of June 6, 2019,
the VA offers medical care to eligible veterans at selected civilian urgent
care facilities nationwide.
This is an expansion
of the VA's Mission Act, which itself was an
expansion of the Veterans
Choice Act. The Choice Act was passed in 2014 as the result of
highly publicized problems with veterans not being able to get appointments at
VA hospitals in a timely manner.
Under this new
expanded program, veterans are eligible to get limited urgent care from
civilian doctors regardless of how close they are to a VA facility.
Eligibility
If you are enrolled in
the VA health care system and have received VA medical care within the last 24
months, you should be eligible for this program. However, you should contact
your local VA medical facility before visiting a civilian urgent care provider.
Only certain services and providers are covered under this new benefit. If you
visit a provider that isn't part of the program, or you get medical treatment that
isn't covered under this program, you may end up paying out-of-pocket.
You don't have to go
to a civilian doctor if you don't want to. The VA says that most of its
locations, including hospitals and community-based outpatient clinics, offer
same-day services for most situations.
You should contact
your local medical office to check your eligibility. Or you can call (866)
606-8198. You can also find civilian community-care locations near you at https://www.va.gov/find-locations/.
Payments
One way this program
differs from regular VA medical care is that you may have to make a co-payment
to see the civilian doctor. The amount depends on your VA Priority Group and how many times you
visit civilian doctors each year. Typically, you get three free visits each
year.
Co-payments for office visits
·
Priority Groups 1-5.
There is no co-payment for the first three visits during a calendar year. For
all subsequent visits, the co-payment is $30.
·
Priority Group 6. If
the visit is for medical treatment related to combat and chemical exposures
such as Agent Orange;
contaminated water at Camp Lejeune, NC; Gulf War
Syndrome, etc., as well as some mental illnesses, there is no co-pay
for the first three visits during a calendar year. For all subsequent visits,
the co-payment is $30. If the visit is not related to these conditions, the
co-payment is $30 per visit, for all visits.
·
Priority Groups 7-8.
The co-payment is $30 per visit.
There is no co-payment
for any Priority Group for flu shots.
Co-payments for prescriptions
If you get a
prescription from an urgent care center, you should fill it at a VA network
pharmacy. If you go to an out-of-network pharmacy, you will have to pay the
full price at the drug store and then file a claim with the VA to get your
money back.
If you are given a
prescription for what the VA considers routine or maintenance drugs (such as
blood pressure or cholesterol drugs), you will have to get those filled by the
VA.
Some veterans may be
required to make a co-payment for medication. Prices are based on your Priority
Group, as well as the type of drugs prescribed. For details, see https://www.va.gov/COMMUNITYCARE/revenue_ops/copays.asp.
When the benefit
starts, you will be able to contact the VA Health Resource Center for questions
related to urgent care co-payments at 1-877-222-VETS (8387)."This
article originally appeared on Military.com"Lord Jesus, grant this day, to direct and sanctify, to
rule and govern our hearts, minds, and bodies, so that all our thoughts, words,
and deeds may be in accord with your Father's law and wisdom. And thus may we
be saved and protected through your mighty help."
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