Entitlement to Basic VA Medical Care VFW Basic

Transcript:Entitlement to Basic VA Medical Care VFW Basic:
Entitlement to Basic VA Medical Care VFW Basic Training 1 Review of the basic VA Health Care System (enrollment and priority group assignment) Identify the types of services within the Medical Benefits Package Identify Health Registries, Newsletters and review additional benefits Know the exclusions to the Medical Benefits Package Review the medical appeals process and role of the VA Patient Advocate OBJECTIVES Highly qualified and dedicated health care professionals More than 1,700 nationwide treatment sites Available health and treatment services when and where veterans need them Electronic medical records modernization “MyHealtheVet” website (24 hours access) VA’S NATIONWIDE HEALTH CARE SYSTEM Veterans must enroll into the VA Health Care System as a condition for receiving the medical benefits package by submitting an application (VA Form 10-10EZ) Establishes eligibility and Priority Group assignment Veterans can be placed in Priority Group categories 1-8 (category 1 is the highest) 38 C.F.R. 17.36 ENROLLMENT PRIORITY GROUP CATEGORIES PRIORITY GROUP CATEGORIES Is designed to: Promote good health Preserve your current health Restore you to better health 38 C.F.R 17.38 COMPREHENSIVE “MEDICAL BENEFITS PACKAGE" Primary Care Health Promotion Disease Prevention Diagnosis Palliative Care Surgery Prescriptions for Medications Prosthetics Critical Care Mental Health Care Women’s Health Care Orthopedics Radiology Physical Therapy Rehabilitation Emergency Care Transplants Dental Care * Preventive Care Inpatient Care Ancillary Specialty Care Pharmacy Home Based Primary Care* Geriatric and Extended Care* Prosthetics and Sensory Aids MEDICAL BENEFITS PACKAGE https://www.va.gov/GERIATRICS/Guide/LongTermCare/index.asp Medically necessary services include: Provides support/assistance to eligible caregivers of qualifying veterans VA Mission Act of 2018 expands the eligibility and benefit of the Comprehensive Caregiver Program for caregivers of all eras. As of October 1, 2020, VA implemented the new Program of Comprehensive Assistance for Family Caregivers (PCAFC) which includes a stipend and other benefits for caregivers. www.caregiver.va.gov 38 C.F.R 71.10 - 71.50 FAMILY CAREGIVER PROGRAM Health Registries related to environmental and occupational exposure during military service Exposure Categories Environmental/Toxic Hazards (burn pit smoke, dust…) Chemicals (Agent Orange, contaminated water…) Occupational Hazards (Asbestos, lead…) Radiation (nuclear weapons, X-rays…) Warfare Agents (Chemical, biological weapons) HEALTH REGISTRIES Agent Orange Review Gulf War Review Operation Iraqi/Enduring Freedom Review Ionizing Radiation Review https://www.publichealth.va.gov/exposures/meyh/publications/index.asp NEWSLETTERS, PUBLICATIONS, FACT SHEETS Veteran and/or family members must have resided at Camp Lejeune for 30 days or more between August 1, 1953 to December 31, 1987 to receive care under the new law (no requirement for consecutive days). The VA recognizes a total of 15