Only by Center Provided Eligibility Health VA

[Pages:14]VA HealthPSrEoalvimgidipbeliedlitOybynCleynter

IMPORTANT PHONE NUMBERS

VA HEALTH RESOURCE CENTER

A valuable source of health enrollment information and answers to 1-877-222-VETS (8387) billing questions

Veterans Benefits Administration

Call to get information regarding your VA claim status, compensa- 1-800-827-1000 tion, pension, education, burial and loan guaranty programs

National Call Center for Homeless Veterans

VA HealthPrSEolaivigmidpbleileidtybOynClyenter

If you are homeless or at risk of becoming homeless, make the call 1-877-424-3838

Civilian Health and Medical Program (CHAMPVA)

Call to find out if your dependents, who are not covered under TRI- 1-800-733-VETS (8387) CARE, are eligible

VA Foreign Medical Program

If you are traveling or living overseas, this program provides VA health care benefits

303-331-7590

Veterans Crisis Line

The Veterans Crisis Line connects Veterans in crisis and their families and friends with qualified, caring Department of Veterans Affairs responders through a confidential toll-free hotline, online chat, or text.

1-800-273-8255 and Press 1 chat online @

send a text message to 838255

Important Phone Numbers

Main Hospital

239-939-3939

After Hours

888-820-8200 x0230

Patient Advocate

239-939-3939 x6213

Pharmacy

888-820-0230

Enrollment Coordinator

239-939-3939 x6303

Primary Care Provider

Primary Care Team

Primary Care Team contact

Your local Police department

Your local Fire department

Other Emergency Contact

Other Emergency Contact

VA HealthPSrEoalvimgidipbeliedlitOybynCleynter

VA HealthPrSEolaivigmidpbleileidtybOynClyenter

Table of Contents

Chapter 1: Welcome............................................................................................................................. 1 Overview of VA's Nationwide Health Care System.............................................................................. 1 Overview of VA's Medical Benefits Package ....................................................................................... 2 VA Provides Health Services at Facilities Across the Nation............................................................... 3 What Do I Need to Know About Primary Care? .................................................................................. 3 Your Primary Care Provider and Team Information ............................................................................. 4 Your Eligibility Information ................................................................................................................... 4 Health Benefits Are Different for Each Veteran -- Including You ........................................................ 4

Chapter 2: Your Eligibility.................................................................................................................... 5 Your Priority Group .............................................................................................................................. 5 Your Eligibilities ................................................................................................................................... 5 Your Benefits At A Glance.................................................................................................................... 6 Enrollment Priority Groups .................................................................................................................. 7

Chapter 3: Your VA Health Benefits .................................................................................................... 9 Preventive Care Services .................................................................................................................... 9 Inpatient Care Services ....................................................................................................................... 9 Ancillary Services .............................................................................................................................. 10 Specialty Care Services .................................................................................................................... 10 Mental Health Care ........................................................................................................................... 12 Women's Health ................................................................................................................................ 13 Transplant Services........................................................................................................................... 14 Dental Services ................................................................................................................................. 14 Pharmacy .......................................................................................................................................... 14 Health Promotion and Disease Prevention ....................................................................................... 14 What are VA's Health Registries?...................................................................................................... 15 Home Health Care............................................................................................................................. 15 Geriatrics and Extended Care Services ............................................................................................ 16 Medically Related Travel, Lodging, and Per Diem ............................................................................ 18 Medical Equipment/ Prosthetic Items and Aids ................................................................................. 19 Automobile Adaptive Equipment Program......................................................................................... 19 Home Improvement and Structural Alteration (HISA) Grants ............................................................ 19 Clothing Allowance Benefit ................................................................................................................ 19 Dependents' Health Care .................................................................................................................. 19

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VA HealthPrSEolaivigmidpbleileidtybOynClyenter

Veterans Health Benefits Handbook

Spina Bifida/Children of Women Vietnam Veterans .......................................................................... 20 Medical Benefits Package Exclusions ............................................................................................... 20 Chapter 4: Getting Started with VA Health Care.............................................................................. 21 Your First Appointment ...................................................................................................................... 21 How Do I Get my Veterans Identification Card? ................................................................................ 21 What if my VIC is Lost or Destroyed? ............................................................................................... 21 Is my VIC Like a Credit Card? ........................................................................................................... 21 How Can My HealtheVet Improve the Quality of my Care? .............................................................. 22 My HealtheVet: Registration and Authentication ............................................................................... 22 Why Should I Keep a Personal Health Journal? ............................................................................... 22 How Do I Keep my Information Up To Date?..................................................................................... 23 If You Move, Your VA Health Care Services Move with You .............................................................. 23 Chapter 5: Accessing Your VA Health Care Services ..................................................................... 25 Local VA Medical Center Contact Information ................................................................................... 25 Important Facility Phone Numbers .................................................................................................... 25 Scheduling and Canceling Appointments .......................................................................................... 25 Emergency Care ............................................................................................................................... 26 Urgent and After-Hours Care (Evenings, Nights, Weekends, Federal Holidays) .............................. 27 What if I Require a Hospital Admission? ........................................................................................... 27 Extended-Care Admission ................................................................................................................. 27 Social Work Services......................................................................................................................... 27 Interpreter Services ........................................................................................................................... 28 Chapter 6: Coordination of Care....................................................................................................... 29 How Does VA Coordinate Care if I am Traveling or Living at a Temporary Address? ....................... 29 What About Coordination of Care with Providers Outside the VA Network (Co-managed/Dual

Care)?.......................................................................................................................................... 29 Coordination of Care Among VA Facilities......................................................................................... 30 What if my VA Provider and Private Provider Disagree?................................................................... 30 Chapter 7: Your Pharmacy Services................................................................................................. 31 What is VA's Prescription Benefit? .................................................................................................... 31 VA's Drug Formulary ......................................................................................................................... 31 Understanding Your Medication ........................................................................................................ 33 Filling Your Prescriptions ................................................................................................................... 34 Chapter 8: Your Patient Rights and Responsibilities ..................................................................... 39 Respect and Nondiscrimination......................................................................................................... 39

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