
This guide is designed to provide Veterans and their families with the information they need to understand VA’s health care system – eligibility requirements, health benefits and services available to help Veterans and copayments that certain Veterans may be charged.
Updated Topics and Benefits Include:
- Stay Connected With VA
- Veterans Can Apply for Enrollment by Telephone
- Seamless Care for Traveling Veterans
- Medication Copay Update
- VA Dental Insurance Program
- Veterans Crisis Line
- Free Transportation to VA Appointments
- Do I Declare Health Care Coverage to IRS?
Get a first-hand account of this book on our blog: https://govbooktalk.gpo.gov/2017/12/05/new-centers-of-excellence-in-prim...
Related products:
Other products produced by the United States Department of Veterans Affairs can be found here: https://bookstore.gpo.gov/agency/department-veterans-affairs-va
Code of Federal Regulations, Title 38, Pensions, Bonuses, and Veterans' Relief, Pt. 0-17, Revised as of July 1, 2017 is available here: https://bookstore.gpo.gov/products/cfr-t38-pt0-17-code-federal-regulatio...
Code of Federal Regulations, Title 38, Pensions, Bonuses, and Veterans' Relief, Pt. 18-End, Revised as of July 1, 2017 is available here: https://bookstore.gpo.gov/products/cfr-t38-pt18-end-code-federal-regulat...
Table of Contents:
Benefits of Enrolling.....................................................................................................2
Medical Care for Service-Connected Veterans Abroad..........................................2
High Quality Care............................................................................2
Stay Connected With VA......................................................2
VA Health Care Enrollment and Eligibility..................................................................3
Quickly Find Out If You May Be Eligible For Enrollment...................................................................3
Easy Ways to Apply for Enrollment............................................................................................................................3
You Select Where You Want to Receive Your Care................................................................................................3
VA Veterans Choice Program..............................................................................................................4
Enrollment Priority Groups - What are they and how do they work?..............................................4
Basic Eligibility for VA Health Care..............................................................................7
Minimum Duty Requirements ............................................................................................................7
Returning Service Members (OEF/OIF/OND)...................................7
New Enrollees Will Receive a Welcome to the VA Call and a Personalized Veterans Health Benefits
Handbook ............................................................................................................................................7
Keep your Personal Information Updated with All VA Organizations...........................................................8
Your Information is Secure with the Veteran Health Identification Card.....................................................8
Schedule an Appointment ...............................................................9
You Will Be Assigned a Personal Care Team....................................9
Seamless Care for Traveling Veterans......................................................................9
Coordination of Care among VA Facilities...............................................................................................................9
Enrolled, but Later Determined Ineligible.........................................................................................9
Financial Reporting Requirements......................................................... 10
Net Worth Information No Longer Required ........................................ 10
Use Our Online Tool to Determine Your Eligibility Based on Income............................... 10
Medication Copayments ............................................................................................11
Copay rates may change annually, including the annual cap on medication copayments. .......11
Inpatient Copayments....................................................................................... 11
Long-Term Care Copay Rates*.................................................................. 11
Cost-Free Care for Certain Veterans.............................................................. 11
VA Has Programs That Can Help Veterans Pay Copays ...................................................................12
Veterans with Catastrophic Disabilities................................................................................................................. 13
Coverage Under The Affordable Care Act.................................................................14
Three things you should know: ........................................................................................................14
Tax Credit .......................................................................................................... 14
VA and Other Health Insurance.................................................................................15
Private Health Insurance...................................................................................................................15
Medicare Coverage............................................................................................................................15
Creditable Coverage ..................................................... 15
Medical Benefits Package ..........................................................................................17
Meeting Women Veterans’ Unique Needs .......................................................................................17
Available Long-Term Care Services ..................................................................................................17
VA Community Living Centers (Nursing Home) Programs..................................................... 18
Domiciliary Care ........................................................................................................... 18
Medical Foster Home............................................................................ 18
State Veterans Homes................................................. 18
Additional Services ...........................................................................................................................18
Geriatric Evaluation............................................................................................................. 18
Geriatrics and Extended Care ....................................................................................... 18
Adult Day Health Care................................................................................................................................................. 18
Respite Care.................................................. 18
Home Health Care............................................................... 18
Home Telehealth ...................................................................... 19
Hospice/Palliative Care ........................................................ 19
Some Veterans receive Free Long-Term Care Services.................................................................................... 19
Benefits with Special Eligibility Criteria.................................................. 19
Hearing Aids and Eyeglasses................................................................... 19
Highly Rural Transportation Grants........................................................................................................................ 20
Additional VA Health Benefits Programs..................................................................21
Dependents and Survivors ...............................................................................................................21
CHAMPVA...................................................................................................... 21
Children of Women Vietnam Veterans Health Care Benefits.......................................... 21
Spina Bifida Health Care Benefits............................................................................................................................ 21
Emergency Care.................................................................................................................................22
VA Payment for Emergency Care of your Service-connected Conditions
without Prior Authorization ...................................................................................... 22
VA Payment for Emergency Care of your NonService-connected Conditions
without Prior Authorization ...................................................................................... 22
VA Dental Insurance Program ..........................................................................................................23
Mental Health Services .....................................................................................................................23
Veterans Crisis Line............................................................................................. 23
Military Sexual Trauma........................................................................................................................... 24
In-/outpatient and Residential Services Available............................................................................................ 24
Receive Free MST-Related Care..................................................................................... 24
Readjustment Counseling Services.......................................................................... 24
Homeless Veterans.......................................................................... 24
Caregivers Program...........................................................................................................................24
Camp Lejeune Water Contamination Benefits ................................................................................25
Camp Lejeune Veterans: ........................................................ 25
Family members: .............................................................................................. 25
Free Transportation to VA Appointments........................................................................................26
Medically Related Travel Benefits ....................................................................................................26
No More Standing In Line ....................................................................................... 27
Health Benefits for Service-Connected Conditions are Never Out of Reach ................................27
Notice of Privacy Practices................................................................................................................27
Services and Tools Available Online ................................................................................................28
VA’s Health Benefits website ....................................................................... 28
Office of Public Health..................................................................................................................... 28
Self-Service Kiosks..................................................................................................................................... 28
Your Personal VA Health Information At Your Finger Tips..............................................................29
MyHealtheVet............................................................................................................. 29
Special Care Access Network – Extension for Community Healthcare Outcomes (SCAN- ECHO)... 29
Mobile Apps.................................................................................................................... 29
eBenefits................................................................................................................ 30
Veterans Canteen Service ..................................................................................... 30
Frequently Asked Questions .....................................................................................31
Military veterans and their families seeking to use the U.S. Department of Veterans Affairs health care system and learn more about how it works, with contact information for a variety of VA health care services.
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