VA MISSION Act: top questions answered



Last week, VA implemented changes to community care under the VA MISSION Act. The changes included expanded eligibility for community care and a new urgent care benefit. As part of our outreach and engagement efforts, we collected the top questions received from Veterans and provided answers to each one below. Our goal is to make it easier to access the care you have earned.

General health care

  1. When can I receive community care? Eligibility for community care depends on your individual health care needs or circumstances. You should discuss community care eligibility with your VA care team to determine if you are eligible. This video provides a quick overview of Veteran community care.
  2. Can I get dental care through the MISSION Act? Eligibility for dental services has not changed under the MISSION Act. You should talk to your VA care team about eligibility for dental services. Click here for more information about dental care.
  3. How does a community provider know I am eligible to receive community care? If your VA care team has determined that you are eligible for community care and you chose a community provider, VA will send the provider a referral and authorization prior to you receiving care. You must receive approval from VA prior to obtaining care from a community provider in most circumstances.
  4. I was authorized for community care under the Choice program. What happens now? The Choice program expired on June 6, 2019, and specific Choice eligibility for community care is no longer being used. If you were eligible for community care under Choice, you should speak with your VA care team or a VA staff member at your local VA medical facility about updated eligibility for community care. This video also provides a quick primer regarding community care eligibility under the new Veteran community care program.

Urgent care

  1. How do I become eligible for the urgent care benefit? You must be enrolled in VA health care and have received care through VA from either a VA or community provider within the past 24 months to be eligible for the urgent care benefit.
  2. How can I find an urgent care provider? To find an urgent care location in VA’s contracted network, use the VA facility locator at https://www.va.gov/find-locations/. Select the link entitled “Find VA approved urgent care locations and pharmacies near you”.
  3. What is the difference between urgent care and emergency care? Urgent care consists of medical services provided for minor illnesses or injuries that are not life-threatening such as strep throat, pink eye, or influenza. Emergency care consists of inpatient or outpatient hospital services that are necessary to prevent death or serious impairment of health such as severe chest pain, seizures or loss of awareness, heavy uncontrollable bleeding, or moderate to severe burns.
  4. Do I have to pay a copayment if I receive urgent care that relates to my service-connected condition? Copayments for urgent care are different from other VA medical copayments. Copayments for urgent care depend on your assigned priority group and the number of times you visit any urgent care provider in a calendar year. Visit the Urgent Care webpage for more information about copayments.
  5. How do I get prescription medication related to an urgent care visit? VA will pay for or fill prescriptions for urgent care. For urgent care prescription medication longer than a 14-day supply, the prescription must be submitted to VA to be filled. For urgent prescriptions written by an urgent care provider, you can fill a 14-day supply of medication at a contracted pharmacy within the VA network, in VA, or at a noncontracted pharmacy. If a noncontracted pharmacy is used, you must pay for the prescription and then file a claim for reimbursement with your local VA medical facility.

More Information

Click here for detailed information on community care and urgent care.

Author

VAntagePoint Contributor

— VAntage Point Contributors provide insight and perspective on a wide range of Veterans issues. If you’d like to contribute a story to VAntage Point, learn how you can submit a guest blog at http://www.blogs.va.gov/VAntage/how-to-submit-a-guest-post/

Comments

  1. A Warner    

    Does a broken bone constitute urgent ortho care? I’ve been broken 10 days, confirmed fractured at civilian urgent care 7 days ago. I have NOT been able to get an ortho consult to fix my fracture. Is this an acceptable and normal standard for care? I am 153 miles away from MSP, the closest VA hospital. I need help.

  2. https://wellnesshome24.de/mstridesMfr    

    It’s great that you are getting ideas from this article as well as from our dialogue made here.

  3. Rick Wenner    

    I am 100% disabled receiving SSI. Not eligible of course for any dental, missing two front teeth (lower) that I had to pull myself (not recommended) could not afford Dentist or denture treatment. It’s quite embarrassing walking around with missing teeth. I served my country proudly and honorably. I’m raising a teenage daughter alone whose Mother passed away when she w3as but 11 years old (my daughter). Her mother served in the military as well. Im a post VN Vet years 75-78 USNR AO3 served aboard USS Independence CV-62 and USS Kitty Hawk CV-63. Ready to answer the call at anytime. But because there was no conflict police action or declared war, I have to pay a $20 copay for every prescription, Primary visit, hospital visit. Were’nt we all ready to pay the price if called upon? we are all brothers and sisters sons and daughters. of this great nation.Why are we so neglected? in the time it has taken me to write/type this post ,somewhere in this country a homeless vet has just taken his life.We all hear “Thank you for your service” But they seemed to be just words. God bless all of you. and God bless The United States of America!!

  4. Juan Garza Jr    

    Why don’t we just treat VA medical benefits for our Medicare eligible Veterans like we do Medicaid? If you have Medicare and full VA benefits you will have no out of pocket costs for Medicare covered items. That would help our Vets with Medicare use private doctors at no additional cost and VA would only be on the hook for 20% and free up space at the VA for Vets not on Medicare. Just a thought.

    1. PJ    

      The reason that won’t work is because those on Medicare only get 80% of their care paid for and medicare is billed first. The VA does NOT pay the additional 20% like secondary insurance would normally. So what that means is you get 100% free va healthcare until you are eligible for medicare and after that age you start having to pay the 20% co-pay. Its the worst scenario for veterans because they will be older, in need of more services, more hospital visits as they age, and making less money because they are retired and on social security. The system is designed to deflect the cost BACK to the veteran.

  5. Cecil Burt    

    Oh another point. President Trump is not a politician, he is a Businessman. He doesn’t mix his words, he texts so that the ‘Press’ doesn’t use paraphrases of his words. He is doing the best job any president could do with all of the ‘POLITICIANS’ and Democraps biting at his butt all of the time instead of doing their job: THE PEOPLES BUSINESS.

    1. Ronald Offner    

      Amen Alleluia, funny how medicare and VA do not communicate and how your privately paid insurance follows medicare but the V A does not and you are left with paying the difference.

  6. Cecil Burt    

    I guess I am blessed. I go to the VA Hospital in Loma Linda, CA and my to my Primary at the Murrieta, CA. I have NEVER had any problem getting appointments or the doctors mentioning the Choice option. I am extremely pleased with these two facilities. I am going to be moving to Texas and hope to receive the same care and service.

  7. Mondal Construction    

    Thank you author. Keep it up.

  8. DANNY C KASTL    

    THE MISSION ACT FORGOT ONE VERY IMPORTANT ITEM!

    DENTAL CARE FOR ALL! INCLUDING THE RIGHT TO USE OUTSIDE DENTIST!

  9. DANNY C KASTL    

    THE MISSION ACT FORGOT ONE THING?

    DENTAL CARE FOR ALL VETS!!! MUST BE ABLE TO GO TO CIVILIAN DENTIST!

  10. Steven S. Palmer    

    some of my VA Medical records. Of course your experiences may differ..

    1. Steven S. Palmer    

      looks like you have to click on my name to see the photo of them….

  11. Paul Woolford    

    Brain Damaged veteran rated by VARO Manila as 100% Totally and Permanently Disabled (not at Government expense) prejudiced at BVA and now his claims are before USCAVC (all on paper) and veteran on the Hamster Wheel without an attorney or VSO Officer albeit a request for 20 years sent VARO Manila… Veteran needs help and is able to communicate via email.

    In short…. Laws continually broken and no one paying attention nor caring…

    Where is the help for brain damaged veterans? VA wants brain damaged to call them. Duh…. etc.

  12. Joe jackson    

    I Live outside the 30 minute guideline. Requested community care on June 7th, got a message June 21 that the provider will look at the request within “Several” weeks and give me a reply. In the meantime, a VA clinic appointment will be over 30 day s (if you are lucky to get one). Just Publicity, no action. Will write my congressman again (but did not get a reply last time). And 17+15 does equal 32 (even though VA does not accept that)

  13. Ryan Gavin    

    I’m a 100% disabled veteran that is having trouble with my VA Choice/community care. My primary care nurse tells me my community care has been reapproved, but they have yet to tell this to the provider (Advanced Pain Management). Because of this the provider is refusing me care. I’ve been out of medication since June 18th and the pain is pretty bad. My primary care doctor can’t prescribe me anything because I’m under contract with Advanced Pain Management, so I’ve had to go without since Tuesday morning. I’ve gone through all the appropriate channels and nothing is getting done. I’m contacting a senator this is unacceptable.

    1. Scott Roberts    

      Ryan Gavin
      I have gone through the exact same thing. Been told I was on the choice program because the VA couldn’t get me in to pain management for 4 months so got the referral to go down town, went down town and was told the VA had denied my referral because they could provide services in house. Go back to the VA and they say we can’t get you in for four months you are now on the veterans choice program, go back down town and told the VA denied my referral because they could provide services in house! It’s a damn revolving door that never stops and no one talks to each other and sure as hell doesn’t listen to the patient. After five tries I gave the hell up and now I just live with pain. The system is garbage!!!

  14. Stephen Cline    

    This new program is worse than the old one. Oh sure I can get an appointment within 30 days but that doesn’t mean I’ll actually get care in that time. For the second time I laid on a gurney for more than 4 hours waiting for a surgical procedure only to go home without the surgery. I live less than 40 miles/30 minutes from the Dallas VA Medical Center. The Mission Act is totally useless for many veterans that rely on the VA for their health care.

  15. Michael D Colyott    

    My question is, “Will the process of getting a referral be the same as the ‘Choice’ program or has the process been made more efficient”?

    REFERENCE #3:
    How does a community provider know I am eligible to receive community care? If your VA care team has determined that you are eligible for community care and you chose a community provider, VA will send the provider a referral and authorization prior to you receiving care. You must receive approval from VA prior to obtaining care from a community provider in most circumstances.

  16. Roger D. Farlee    

    Once eligible for Medicare will the VA pay the cost of the monthly premium?

  17. victor manuel zavala    

    it all good but the problems i see with the va is that they are not hold accountable. Back in 2010 my Harlingen Texas VA Clinic Refuse to Refill my service connected Meds. I file a Torn Claim against the VA but went as high as our President “O” and than he gave it to my state senator (Tx) and at the end he told me he can no long assist me. It went all the way to Washington DC just to get Denied. The other problem with the VA is that the VA Claim Process is to long and they never open our VA Records when we submit a VA Claim. They always ask us to submit medical records on our claims. So the VA Claims Process in not being used by them…Our Questions is Why does it take to long for a VA Claim to be look at and than on Top of that Denied….I have been seem by so many doctors and still have been able to get my VA Claims Approve. I service 20 years and 4 month Active Army and still my VA Claims are not put in a Docket Status and they tell me, They the VA don’t know how long that will take for them to look at it or make a decision on my Claims.
    Sincerely,
    Victor M. Zavala
    Retired, SFC
    USA

  18. Fred Stegner    

    Struggles are real. On the phone for 1 1/2 hours after I was transferred. Then told the people who transferred me was who I was supposed to talk to. No clear cut way to get setup with local clinic. My wife has used choice for years now we are being told her VA doc which she doesn’t have is supposed to setup her community care? Really so now she has to reestablish with VA to get back to square one. Ridiculous!!!!

  19. Dave Larsen    

    In the web talk “they” said that there would be a millage cal. -still have NOT seen it ???

  20. Johnny Ebineezer Hopkins    

    I have been getting treated at the VA and am in need of some dental work but can not afford, will they help me in Gainesville, FL I go there quite often and will be going back mid July. Thanks

    1. Joseph Giammearse    

      The VA will give you dental only if you have a 100% disability. I know that is sad. I know Veterans who need the dental service and can’t get is, because either they don’t have a disability or have lest then 100%.

  21. Matthew T Grattenthaler    

    I have been going to the VA Clinic in N Fort Myers, FL . I have been declared legally blind. I have macular degeneration. I cannot go to the VA clinic because their prepay charges are way too high. I cannot believe this a way to take care of their veterans.

  22. John Petrichella    

    The Mission Act is nothing new, it was called Choice five tears ago and they gave out white laminated cards which I still have . I tried it with an outside Dentist for a few visits and til the funds ran out. What I want to know is when are we disable Vet going to get a damn decent annual raise instead of the crumbs they throw us !!!

    1. John Petrichella    

      Also, if any outside medical facility take a vet, tell the to offer a discount for earlier reimbursements. VA is regulated to act on discounts.

  23. Ronald Jay Ridenhower    

    My Community Provider has tried to file for payment and was told by Community Care Gainsville, Fl, that they were not sur about payments. Their words, “we are just as confused about the new Mission Act as you are.” So, what is a vet suppose to do? I paid out of pocket for the needed care. Can you provide an answer?

    1. Joe Lee    

      I was not qualified for the Choice Act, will I be qualified for this renaming of the Choice Act?

    2. Ralph smith    

      I had the say run around. My pharmacy,va dr, va registration in iowa city iowa.my vfw rep.when I hear trump and others say how great it is I see another lie.

  24. Paul Carroll Daiute HM3    

    I am very grateful for the Sanders- McCain Veterans Bill, that was passed under president Obama in 2014. Senator McCain was our brother in arms and he never forgot us. Even when Senator McCain was fighting his cancer up to the very end he worked to refine the bill!

    1. Michael Molamphy    

      Looks like window dressing; if providers don’t get paid reasonably, most will refuse you.
      Con Man Trump at it again. Liar and draft dodger.

  25. James    

    I believe the Mission Act is one step closer to privatization of health care for Veterans!!

  26. STQ    

    I just had two poor experiences w/new Mission Act. I went to an urgent care on June 18 listed on the VA locator site only to find they had not been approved when I got there. I had to pay for services out of pocket. Afterwards I went to a CVS for the prescriptions. The CVS was also listed on the site. When I arrived to pickup my meds I find out that they not approved either. Now I’m out $550 which should have cost me $0. How do I get reimbursed? Why do I have to even ask??

    1. David Allen Goodman    

      Sounds familiar. I don’t know about you but my primary care Doctor is hard to understand because her English is not that good.

      1. Clinton Sturdevant    

        Same here at the Community Clinic in Salem, OR. I can deal with the communication issue, but she has made it clear she doesn’t really like to provide medical care.

    2. Thomas Manthe    

      The Mission Act would be great if it were fully funded. $ for these ‘private care’ services come directly from the existing VA budget, thereby ‘taking’ needed dollars from VA to compensate a private entity (s). This was just one of many questions asked of Congress and the Administration by all Veterans Service Organizations before the implementation, who also unanimously demanded the Mission Act be delayed until such funding is secured and doesn’t threaten existing VA Health Care programs. This issue was regretfully ignored by TPTB (the powers that be), Congress, VA Secretary and the President.

  27. Shahid Raki    

    Is this the action from Capitol Hill that was supposed to address veterans being able to receive dental care or is that something separate from this? Thanks.

  28. David Yates    

    I for one would like to know how many doctors out there on the Mission Act have actually treated the many various ailments that wartime veterans may well have? The VA accepts almost all veterans, what’s to stop a Mission Act Provider from telling you that you are not wanted there, or told that they can not provide care for you or the many other excuses you normally do not find through the VA Healthcare System?

  29. mark a linton    

    I need primary care doctor can’t afford to spend $60 round trip to go to hospital and not be reimbursed $ 19.00. Don’t understand how 30 day process takes 90 days and still no reimbursement for 3 trips to hospital. Can’t get transportation to get primary care doctor without referral from primary care doctor if I can’t get to hospital how do referral for transportation was never told primary care doctor I had left and why wasn’t my case turned over to doctor who replaced the one I had this whole process makes no sense

  30. Arnold Cabral    

    Mission Act don’t cover G4 implants for free because their is no Veteran Medical Centers and don’t have a contract with the Veteran Affairs Administration so email your Senators or Representative contract the Veteran Affairs Committee passed a new Benefit Law for Disabled Veterans who is Disabled Veterans is one hundred service connected get free G4 implants and Spread my belief and you don’t have to be Veteran to share my firm belief……Semper Fi Don’t Surrender.

  31. JC Riseling    

    So far this looks a lot like the Veterans Choice program. I got that card in 2014, and the two times I used it, one worked and the other was a disgrace. Hope this “new” thing has fixed some of the issues. I still think there should be some way for us to get dental care too. Hard to get old and stay healthy if your teeth don’t woek right.

    1. David Allen Goodman    

      I can relate. I used my veteran choice card for a dermatologist. But when I went to use it for my pain management doctor which he accept’s it. I was denied and have to drive 175 miles away to Gainesville. I was told that the VA pain management has to okay it. I’ve been waiting for 4 years now. And still have to pay out of pocket every month. I guess I upset the VA pain management doctor when he told me I needed to get my neck adjusted I promptly asked what college he went to. Because I have c-4 and c-5 fused also c-7 c-8 fused and you can’t adjust the neck once it’s been fused unless you want to be a wheelchair.

  32. Paul Layton    

    Hi, I have knee replacements and a fused lower back that bother me constantly. I can do stretching and other non-physical things.

    1. mark a linton    

      I don’t understand why they’ll spend $ 20,000 to give you an operation but not $125 to get a tooth filled

  33. Yvon P Lemieux    

    My local VA in Newington and West Haven Ct are terrific. We were alerted that the Mission Act was coming and they anticipated it with documentation passed on explaining how this program would work and they started to educate the local staff who could now answer questions. Where there’s a will there’s a way..
    DOn’t be passive push your local VA.

  34. J. Ackermann    

    I typed in my zip code under the Mission Act program and there are no providers close by. I’m assuming because the private providers do not want to deal with the VA for various reasons.
    I also found out recently, after breaking my leg at work, that the VA does not get involved in any way with workers comp. The mission act was not in place at that time.
    Here I was at the VA hospital thinking I could get my care and workers comp paperwork filled out and seen by the VA…I was very wrong. They would take care of my medical needs but I had to pay even though this all took place at work.
    Left in the middle of winter with a broken leg to struggle to find a doctor that handles workers comp.
    No family to help and I certainly can’t impose on friends to drive me all over, they have lives and work.
    It is disappointing as a veteran.
    Most people who are not veterans think that we get our medical for free. When I explain that it is a system that goes by income, everyone of them stated that it’s not right that a veteran should have to pay for their care at a VA hospital after servicing your country whether during war-time or non-war-time.

  35. Alex    

    So, if VA can’t provide necessary medical care within 30 days, an eligible veteran can expect a community provider to do so after approval. Cool so far. So, if the approval process takes 30+ days, what is the point?? Though the intent is admirable, the execution will not meet anyone’s expectations. Too bad.

  36. Theron Bambeck    

    I have other comments and have now copied and pasted THIS post so I can repeat it until I get through CAPTCHA.

    In case the people at the V.A. and Captcha dont’ know it 16-9 does equal 7 AND 8 – 1 does equal 7. Interesting they continually say the answer is wrong and you lose your entire message.

    Now I’m going to try 19-4 which is 15; lets see if my 6th try works!

  37. Rebecca King    

    Last summer I needed a new pain management doctor. Instead of that, I was put into the va’s pain management. What a joke. When I asked them when I would be getting my injections, they were like, you want injections? Took months to see that doctor and no injections. They sent me finally out under the new program. However, they micro manage the doctor. They tell him what he can and can’t do. What meds he can and can’t write. And I still have to see the va doctor! How is this better? A year and nothing is getting done. What a mess!

  38. Gary BRAY    

    Could hear synthesized music very well. Too well. Could bearly understand what she was saying. Useless video for me. Total waste of VA money. Your website does not even list Missoula clinic jumping through all the hoops. If it does, then why can I NOT find it?? There is nothing I can find listed for zip 59801. I am not computer illiterate.

  39. Theron Bambeck    

    North TX V.A. is non-supportive of the Mission Act. I say this because of all the non-working phone numbers being given out by the Mission Act 800 number. Despite all the “up-in-the-air” statistics they keep cramming down my throat, my statistic is that the entire Mission Act is failing at 100%.

    The people who are supposed to answer questions about the Mission Act have failed. Primarily all they do is read pre-scripted dialogue and if that doesn’t appease the caller, they give them phone numbers to call. Well, I played that game and made the numerous phone calls which were either non-active phone numbers or they route me to the Mental Crisis Line. After reporting all these bad phone numbers, I requested a call from the Mission Act Director. That was DAYS ago and I’ve heard nothing back. As a result of all the statistics being pointed out to me, I want you to know that I simply don’t give a damn. You are to provide a service and you are failing. In my book that is 100% failure on the part of the Mission Act Implementation and support people. QUOTE THOSE STATISTICS TO EVERYONE!

    My questions are tough ones and I’m tired of being pushed off to another phone number with automated selections and I’m tired of making phone calls. NOW, it’s the director’s turn to call me. My name and phone number are on file at the V.A.

    1. Bruce Bailey    

      Deep State run V.A. system if you ask me. In the ’80s we Viet nam veterans gave them hell, we were in change.

      1. Ljh    

        I am Appalled at the way the vets are being treated at the VA the doctors and nurses do not care and they do not take good care I had an experience where I was in rehab went a week without a bass treated me like I was a dog I’m so tired of getting treated so bad when I go to the VA hospital

  40. David Maxey    

    It’s open field blocking. Trying to see your primary care doc is almost impossible at a local Indianapolis clinic.

  41. Tim P    

    So much for what I had to say before, my comments didn’t save. I’ll keep it short this time.
    Don’t blame our president for the corruption inside our VA care. He entrusted the VA leaders to do their job, they told him how great it would be, and ensured that the vets would be taken care of. Our president wants the best for the vets. He doesn’t run the VA program. He doesn’t hold hands with all the appointed leaders, telling them how to do their job.
    Unfortunately, with the VA, there is no urgency in urgent care. There is no care in community care. What is the “Mission” in “Mission Act”? Look into the Medical Industrial Complex. The corruption is no accident.
    I praise the Lord that there will be a new heaven and new earth, where corruption and sin do not exist.
    About me, I am a 100% disabled vet. I’m in the same priority group as MOH recipients (I don’t believe that anyone should be in as high of a priority group). I’ve used all the VA programs since being discharged, and nothing has changed. I shouldn’t be alive, definitely shouldn’t be fully functional. I praise the Lord that He gave me a second chance in life. Amen. Without Christ, there is no hope.

  42. Guy Griffin    

    You’re lucky your not in Arizona, people. Round trip of almost 200 miles to get to a dermatologist. They tried to say they don’t do cosmetics. I guess the non-healing bloody scabs finally got to them. I’m moving to Florida and making sure I’m in the middle of the state!

    1. Phil Bateman    

      Trump is a serial draft dodger. He is no friend of veterans. Wake up!

  43. Jack Stevens    

    You aren’t alone! Who thinks that it’s a good idea to make people strain to hear the words?
    Even with good hearing, that much music is very distracting.

  44. Richard A. Daigle    

    When Donald Trump was campaigning for president, he promised that the veterans would be able to choose their care, in the community or at the VA, paid for by the VA. As usual, it never works out as promised. When I returned from South East Asia, I was able to seek care in my community for my service connected disabilities. That worked out very well. It worked so well that the VA decided to put a stop to community care. President Trump has kept most of his promises, but unfortunately has failed on the right of a disabled veteran to choose care in the community or at the VA. The VA still makes that choice, in their best interests. A promise not kept. It just sounded good during a campaign speech.

  45. John Holladay    

    I suspected I was not the only one with major issues.

    My question to all making comments, have you contacted your Senator and Rep (my Rep is useless)? In the past my Senator (John Cornyn) had to contact the VA for me and explain their Choice 40 program to them.

    The folks in DC that represent us need to know that just getting a law passed doesn’t cut it – a retooling of teh VA process should have taken place ages ago.

  46. Ray Campbell    

    One more ‘make America great again’ trick by dump trumpy. Vote for him you fools! ‘make America great again’ is a dumb slogan. America has always been great! Think things out logically not emotionally please. The mission care is one more joke. Do you really believe that Trump really cares for us vets? The joke is on us! No more”tricky Dick’ now we have tricky Donny Ha! Ha!

  47. Yale Rutstein    

    My time with the Army was in the early 50s. Service connected problems have been taken care of by the VA for about 20 years. I have had nothing but great care. Thank You to all the people in the Orlando, and Viera, Florida areas.

  48. Paul Smith    

    Personally, I’ve had very good success with the Boston VA health care system and also the Bedford, MA I feel terrible for all my brothers who served our country and have had all of these bad experiences. They deserve much better! My hope is that President Trump can get these other facilities in line and make the Mission Act work well as intended. The page I clicked on was supposed to answer the most important questions, but all it did was raise complaints and more questions from Vet’s. As far as I can tell, no questions have been answered! Like the others, I’m still scratching my head over this. As one Vet put it “it’s like a coat of paint on an old house.” Pretty true at least for the moment anyway. Also looks like the house got smaller and with smaller doors!

  49. Angela Stromquist    

    I live in Nebraska and the Mission Act is working great for me. I live 2 hours from VA hospital. My Primary Care Provider is only 13 miles away. I set my appointment and the insurance portion of facility sets everything up through the Mission Act. I have never had to wait for more then a week for my appointment. With VA Choice I had to wait 6 weeks or more for an appointment and I had to constantly stay on top of them. I had to have outpatient surgery under Mission Act. A week after my primary appt. I had my surgery set up and done. Two weeks later they found out I had Cancer. It’s been a whirlwind of appts. In the past month have had 6 appts. all covered and set with Mission Act. Got letter from TriCare stating that now they will cover all my appts. through 2020. Mission Act works great so far here in Nebraska.

    1. Bruce Dew    

      So you got all those apts done with the mission act before it was signed into law; how did you do that.

  50. Ken Blanchard    

    Reading all the negative replies got my curiosity going so, I 1) checked to see if I qualify for Urgent Care, 2) checked if there are available urgent care centers. I am qualified and found out very easily by calling the number referenced in the article and 2) there are plenty of care centers around.

    I wonder why so many above my reply are having problems.

    1. Steven S. Palmer    

      wait until you go to another clinic and get the bills!

  51. Robert Mason    

    Bottom line…Where is the accountability? Name a person who can answer questions and get something done.Answer is NO ONE. Why does the VA swamp continue to lie to Trump? This is not a joke. The joke is the failure of VA to work in favor of Veterans and not continue the horrible care ?

  52. Patricia    

    I have waited over two months to get my knee injection scheduled. You can never reach anyone at customer care. Their phone lines are all messed up. So far this program sucks! Veterans deserve better.

  53. Donald R. Mannis    

    In my area, central Texas, the Veterans Choice program was administered by TriWest. The system worked well except when I was required to interface with actual V.A. Then it was the same old hours on hold, you’re talking to the wrong person we’ll get back to you, and we all know how that goes. It seemed like the V.A. people were doing every thing they could to cause the Choice Program to fail! Understandable. If it worked well, and it would have, half of them would have been out of work.
    Now we are under the management of the V.A. As has been mentioned…nothing like breaking a wheel that is working perfectly well then trying to sell me on the idea that it is for my benefit……really?
    This is the second attempt to leave a comment…even this doesn’t work as it should!!

    1. tugbow    

      My father was a WWII veteran. I am a veteran. My son and grandson will never serve!! My father always told me; Deny, deny, deny until you DIE!!

    2. John Holladay    

      Don, I am seeing the same thing in East Texas. I am fully eligible under both old (Choice 40) and new rules yet it took a month to get a erring test after my VA MD authorized it. Same for my chiropractor who I had been going to under Choice 40 for ages. First the coordination between the VA and TriWest is fromthe dark ages and second, TriWest can’t handle the load – in my chiropractic issue I told them all they needed to know and it still took for ever.

      If the Director ot the VA would stop sending us emails and smiling and get to work it would help.

  54. John M Mayer    

    It took me over 2 months to get into the community care program for Dermatology and now after a year I find out it has to be renewed after a year. Its been one month and still have not been able to get renewed.
    What a big disappointment.

    1. David L Korf    

      When enlisted in the VA I was 62. Was told never have to worry about treatment again. The VA will take care of you. When eligible for Medicare. I did not take out part B. The Medical team has told me to take me Medicare card and try to get treatment from outside a, and see what I get. If not an emergency, treatment is not good.

  55. Jimmy Cagle    

    VA Mission Act is no help for me. No facilities listed in directory locator for my zip code. I had no problem with Choice. I am very disappointed with this change.

    1. Jack Stevens    

      I find the VA Facility Locator to be a bad joke. I wasted hours trying to find providers in my area. They are here,
      but none can be found by the system yet.

  56. Paul Hester    

    Will I be reimbursed if I have a medical emergency and go to the local hospital. I.E. chest pains, severe back pain, wounds, high fever, etc. Obviously, I wouldn’t have time to pre approval, and sometimes it’s on the weekend, with no one to even give the approval. I’m happy with my VA care; but this issue is of concern to me.

    1. Steve Gaylo    

      If you fear for your life, don’t worry about any kind of pre-approval. Get to the nearest emergency room via 911 or your vehicle if possible. Once you’re receiving treatment, you can provide the ER with all of your VA numbers and contacts. If you are admitted to a non-VA hospital, make sure the admission is “in-patient” and not “for observation,” to get it eligible for payment by the VA’s Non-VA payment office. Try to get all of the billing information sent to that office, including any transportation by ambulance. Even if you aren’t enrolled in Medicare Part B, you can be reimbursed for hospital costs – minus the standard deductible – if you have Part A. I had gall-bladder surgery using an ER and local hospital and found out much of this the hard way. It can be a real snake’s nest of billing problems, but the important thing is to save your life and health – worry about the billing system later.

  57. d b adkison    

    My area for urgent care is set up with the CVS pharmacy. Is their a real doctor at CVS?

  58. Randall Miller, smsgt,usaf/ret    

    Judt moved to Atlanta. Thought VA HERE would be better than LA or Long Beach? , wrong on both
    Atlanta is equally crappy.

  59. Ronni G. Salpino    

    How can we expect anything good from a department that can’t even update your personal information? I provided the EIC all of the requested Legal documentation plus extra. The New VA website doesn’t even have what little was updated on the VA Ebenefits site.
    This is nothing more than a new coat of paint on a condemned building!

    1. Steven S. Palmer    

      I was at VA San Diego, found out Oregon is much worse….

  60. Sewell Mackins    

    From what I just read — it sounds like the MISSION Act has a LOT!!! of problems??? Hope they get resolved early and quick.

  61. John Dennison    

    The background “music” in your video is distracting to the hearing impaired. Makes it difficult to understand the message and of course is not needed even by those with good hearing.

    The math problem is a little tough for the elderly??

    21+13 should be sufficiently tough for the robots.

  62. Benjamin P. Porter Jr.    

    I was given approval for cataract surgery by the VA and the Choice program back in April/May this year. My surgery is scheduled for the middle of July. Does that mean I won’t be covered. I received an authorization number and everything was all set. Can I still go forward with the surgery or is it all null and void???

    1. VetNav6    

      You have probably learned by now, but I recommend you contact those responsible and re-plan your cataract surgery, since the 1st Choice plan expired on June 6 when the Mission Act took effect. Pain in the arse, yes, but that’s the govment for ya.

  63. Charles Perez    

    Why is it that I pay for Tricare prime care and can’t even pick my own community care provider. But yet I’m subject to see a doctor in a military facility. I find this to be totally infair. My wife put in for an appointment and was given an appointment one 1.5 months away, and this was cause she was coughing so much. 1.5 months THATS RIDICULOUS. Going to this Mission Act Care seems to be going in the wrong way.

  64. steven l davis    

    does not work here in Georgia

  65. steven l davis    

    total disaster in Atlanta

  66. Ted Lewis    

    Dental care should be included for all VA Recipients. Here in Florida dental care is a mess, shoddy and full of scam artists…

  67. Frank L. Engling    

    I live 1 1/2 hours from the VA Hospital. I was told I didn’t qualify for the Choice program because I was within the required driving distance. I’m sure this new program won’t be any different. Another horse and pony show. Also when I try to look up an Urgent care facility, my local VA shows up for my only choice. They close at 4:30 pm. What if I require urgent care outside of their operating hours? Am I supposed to make the 1 1/2 Drive???

    1. Steve Gaylo    

      Almost all VA facilities have no urgent or emergent care options. Try calling your VA hopital and asking for the office that handles payment for emergency treatment in non-VA facilities. Try to get all the contact information you can from that office, including all of its requirements for submitting and paying bills from non-VA providers. Keep all of the office’s contact info on a card in your wallet so that you have it handy if you need to go to an emergency room for a life or health-threatening situation after normal operating hours.

  68. Tim rieman    

    The VA in Long Beach horrifically ruined my dads long awaited golden years , cuased my family to be forced into a 7 year nightmare of unbelievable mal practice case that has now continued to devistate my wife and myself as a permant result of our post dramatic stress and quality of trying to get back to a some what normal life now that my dad has gone to heaven after suffering the final 7 years of his tormented life as a brain damaged victom of such an unnecessary misstake at the hands of the medical staff that my dad so trustingly put his perfect mind , body and care in as they ignerantly cuased his permanent front lobe brain damage and early loss of life . Gone now for 3 years and we are still devistated with all the permanent damage cuased to our now unsettled life and hardship of trying to live a good and normal life ! Obama ignored our deserate attempts for help during this time of desaster at the hands of the VA and we were completely ignored and went through exstensive mental and finacial hardship that is now our never ending night mare of what was so traggically cuased by the ones we so trusted . May Trump
    establish a hopeful VA system that is truly designed to STOP any furthur horror storys like ours ! So frustrating and forever more ! Fix the mess please , no more family trama please , my dad gave his life twice for our country once in korea and once in Long Beach at the hands of those he served .

  69. Edward T Daughtry    

    Will the VA do dental work for Vets that are not 100% disable.

  70. Edward T Daughtry    

    The dental question, tell me more! I see where it was mention but after not being a 100% disable will the VA do dental work now!

  71. Solomon S Hellinger    

    I am 100% due to AO exposure 45 min drive to get to the specialty clinic. Limited servicee Can I request community care? I already use it for Heart Dermatology and podiatrist. I would like to also like to use community care for CPAP Bioness 300 And physical therapist

  72. Ronald Rudnicki    

    President Trump, and VA secty. Wilkie really think they have done something for us vets with the Choice and Mission programs. these two programs are TOTALLY WORTHLESS to vets trying to receive medical care. I want to ask both of them. WHAT THE HELL GOOD ARE THE PROGRAMS IF NO DOCTOR OR MEDICAL CENTER / HOSPITAL WILL ACCEPT THEM? There are 4 hospitals in my area. approx. 18 – 40 miles away, a lot closer than the Dallas VA Medical Center, NONE OF THE FOUR, I REPEAT, NONE OF THE WILL ACCEPT THE VA CHOICE PROGRAM OR MISSION PROGRAM.. So the VA needs to stop promoting these worthless programs. The Secty. of the VA can not fox the vetrans health care sitting on his ass behind a desk in Washington. Just another failure for us Veterans,as usual.

    1. Robert Edward Deakins    

      I’m in the same boat here in Fayetteville NC. No one will accept the rates that they pay. Triwest is a bigger joke th than anything else and if you have a problem with them there is no published procedure to address grievances. I’m still waiting for that call from their non existent escalation team.

  73. NAM VET 2    

    IT SEEMS LIKE YOU HAVE TO GET PERMISSION FOR ANY SERVICE OUTSIDE THE VA. EXCEPT FOR EMERGENCY CARE.

  74. LAURA LEE SUTHERLAND    

    Very very confusing! VA makes everything so impossible!

  75. Jerry Shoemaker    

    Gone because of some 21/3= is a mathematical equation that needs to be answered correctly to ensure your comments are not AI generated. It is supposed to ensure your are a “Real Human”…..

    If you think your situations are bad with the Mission Act, try being a Veteran in Germany (or other foreign country) and all of these complaints are a mute argument. None of those “benefits” are available here.

    Just for the record, I have an appeal in that is currently active and it is dated from 27 January 2007, and what is todays date????

    I am beginning to believe VA is hoping I will die so my case can be disposed of without action, I mean 12 1/2 years as it is seems to be somewhat “long”….

    1. Johnnie Martin    

      Since your appeal has gone on that long, why don’t you contact an attorney who specializes in Veterans? Most, if not all, will give you a free consultation over the phone. Nothing to lose.

    2. Bruce Dew    

      That’s the way the VA works, stall until you die and it saves them money.

    3. James Donohoe    

      Same here, Jerry. Can’t use evets because I don’t have a domestic U.S. address. I live in Scotland, and when I call the VA, I’m charged at international rates, to be stuck in a loop because the VA staff aren’t trained to assist vets who live oconus. So, you get passed from one member of staf to the next. I spent 4 hours on the phone trying to resolve an issue, to get my disability through direct deposit instead of paper check. It’s a joke.

  76. Roberto E. Maldonado    

    What about prescription meds by care in the community? I live 4 hours from the nearest VA hospital. My local clinic doesn’t have a pharmacy. I’m now without meds….

    1. Rafael Martin Munoz    

      Roberto, try Express Scripts. I get all my meds through them, and delivered to my home!

  77. Michael Greenwood    

    If you thought the VA was bad before now it is terrible. Once again us vets get screwed.

  78. Adriene Reed    

    Can I get dental care under this mission act?

  79. Mike Oberg    

    Do I need supplemental insurance if I am 72 and 85% VA disabled?

    1. Jack martin    

      Mike depending on the area you live in. There may be plans that cost you nothing per month that will give you additional benefits. As long as you have Medicare A&B.

  80. Conard E Terhune Jr    

    I had cataract surgery 3 weeks ago in Indianapolis, In. I am now vacationing in Waynesville, NC. My eye, the last couple of days has been scratchy and feeling like a foreign object is there and sensitive to light and watering. I called Indianapolis wanting to see what to do. I was told to find a VA medical center near my location. That is at Asheville, NC. I called them and was told they could not access my records. That they could not connect to anything about Indiana veterans. And they did not even have all of the NC vets in there system. I could not have my eye checked at the Asheville, NC. until I registered there. How can it be that their computer systems are so antiquated and unable to access a veterans records? What if my situation was more urgent. A vet registered at any VA facility in America should be able to get care at any other facility in America without reregistering.

  81. Maureen Phillips    

    I tried to comment on this page and was told I had written a duplicate comment, which I had not. My point: DO NOT give credit to the orange headed idiot for Mission. It is the same as Choice, has similar problems, and already existed. Nothing new. Nothing “greatest” about it.

    1. D H    

      You seem anti-president and don’t understand how things work in this country. Pray for the president and those in authority over us.

  82. Maureen Phillips    

    For heaven’s sake, do not give the current administration credit for some miracle VA cure. It’s b.s. This is no better than Choice and just as problematic. Nothing new here. Same old crap.

    1. Jeff M. Wells    

      Choice, Mission, Medicare SAME B.S. I think VETS should MARCH on Capitol HILL!

  83. Toddcathey    

    Another horror show on the horizon. Va is clown school. I predict very bad is going to occur at many vamc.

  84. Steven C. Russell    

    I have a primary care team at the Rishmond VA hospital. I also have a civilian PC provider who is closer that I see on a regular basis. I have used the VA primarily for PTSD treatment. My medical costs are covered by my Anthem insurace & Medicare for VA and my “community” provider. How is somebody like me affected by the Mission Act? What benefit is there for me?

  85. John Petrichella    

    A little secret, if you chiropractor upon billing the VA provides a discount say 10% or so if paid in five days of billing, VA regulations must act on the discount and pay in five days.

  86. Gregory Flagg    

    What about pain patents that the VA will no longer treat? As usual, we’re screwed again!

  87. Herbert Trautman    

    I have asked for assistance with medications. I have been told that I make too much money when you include my spouse’s social security, My spouse has terminal cancer and out medical bills are severe. How can I get assistance. I am a Viet Nam era veteran.

  88. Randy M. Jackson    

    I have been getting Acupuncture for yrs I can’t function without it. I only get a certain amount of appointments so I use them wisely, I haven’t had them in two months I haven’t left my apartment in 3weeks can’t work, couldn’t even be with my family for father’s day. I call and and call no answer. I’m at my wits end.

  89. Bruce Dew    

    Mission act is in another long line of lies spewed by trump. Let someone with common sense fix this problem.

    1. Johnnie Martin    

      Mr. Dew, why don’t you find another forum to spew your hate in? Nobody is impressed with you or your hate towards the POTUS.

      1. Michael Art    

        I have no hate for Trump, he is the President. The Mission Act is a joke and right now I’m thinking more harm than good. I’m a 100% disabled Vet.

  90. Frank Upton    

    I live in the DFW Texas area. The “urgent care” facilities under this “plan” are “One Minute Clinic” and a couple of Walgreen’s. So I’m supposed to go to Walgreen’s and get who, exactly, to set a broken bone or write a prescription? Or go to the “clinic” and wait three hours (if you’re lucky) to be seen by a nurse (no Doctors)? I’m sure the Congressmen and Senators are under this same health care plan, right? I mean, that’s their choices for their urgent care, right? And even though it’s long proven that Dental health is causation / prevention of heart health and other diseases, they still don’t offer basic Dental care? This is nothing but another paper tiger act to take a bow for the upcoming elections.

  91. Bruce Dew    

    Great fill out cmt and it gets deleted; make it short, let someone with common sense fix this problem; not trump and his dummies.

    1. Chet Peck    

      Why do you blame our President for this? He is not a micro manager. He places trust in his people that they will perform as required.

  92. Bruce Dew    

    Just like all previous outside medical service, “you need VA approval first”. Really just another Trump gimmick to get votes. Best way to fix VA problem is to allow all P & T vets to use the medicare system with no co payments required if they so desire; this would free up many appointment times.Don’t ask an idiot or an officer to fix something; if you want it fixed right use the sgts (not 9s) to get the job done.

    1. Thomas LaDuc    

      Agree 100% ….. give the P&T the Medicare go anywhere W/O Co payment . EOS Done easy extremely Easy….Not Trump it is The Swamp….hasn’t changed much in my 50 years…..just more vets getting frustrated …. I am well entrenched in the system and I get totally frustrate at times too….

  93. Jersey Jeanne Goldy-Sanitate, MS-OD    

    As usual the VHA has rolled out a program has not been properly researched. What is needed in the VHA is more direct care providers, not knee jerk untested and programs the look good to the legislators to apease them.

    As a female veteran, I have used the VHA health care system since 1985 when I was medically retired for a SCI. I worked in the VHA system as well. I worked in the VHA system first in billing in the 1980’s then as a direct care provider until 1998 when my service connected MS forced me into early retirement

    I have seen many programs come and go and almost all have failed. In the mid 1990’s, the VHA went to a HMO model with veteran being assigned a PCP. The program they tried seemed to work well as they hired more doctors and other direct care providers. It proved successful. During that time the VISN concept was also hatched. That appeared to be a good idea, but history has shown that is not a good concept. The only result was in a GLUT of middle management positions. Due to this increase in middle management with so many looking at ways to improve the system, the direct care providers were neglected. Many doctors left due to the constantly changing policies which were many times in conflict with VHA Directives. Middle management began increase in numbers and less funds were avaiable to hire doctors and direct care providers.

    If the BEAN COUNTERS cared to consult veterans who utilize the VHA healthcare system especially ones who work (or worked) in the VHA and also use the VHA for their care, just imagine what actual USEFUL solutions they could come up with to improve care for thiose who have EARNED this care through their honorable service to our country.

    VHA healthcare is not an ENTITLEMENT, this healthcare is an EARNED BENEFIT for those of us who wrote that blank check for nothing short of their life and ended up with healthcare needs that are unique to those who have served proudly.

  94. James P. Mallett    

    I’ve been to V.A.’s all over the country. None that I’ve been to are worth a damn. I usually know more about my condition than the doctor trying to treat me. That is scarey!
    I’m an old concrete finisher with an 8th grade education!

  95. Ralph Stebbins    

    This is a major degradation in service. Smoke and mirrors. Less care. Harder to get and more expensive. That’s how the government helps us. They screw us. Very dishonorable behavior by the government. The SESs, the house, the senate and the President screwed us. I’ll vote every one of you our of office. We’ll never have decent care again. Thanks for lying to us and trying to spin this as good.

  96. Kenneth c Wonsowicz    

    So I was diagnosed with a lesion on my brain or a tumor on my brain and took probably 10 different tests at the VA hospital which was very good but now I’ve been waiting for weeks because they want to outsource me to a normal logical doctor and the company tri-state or somethings they don’t know what they’re doing it in between the VA and the front of the doctors in the private sector so that’s not working good at all

  97. Debra Eleanor Marh    

    I’m under Doctors care because of an accident on March 24, 2019 will this care still be covered

  98. Wayne Harper    

    This was a bunch of double talk saying nothing.

  99. Jack martin    

    Why don’t we just treat VA medical benefits for our Medicare eligible Veterans like we do Medicaid? If you have Medicare and full VA benefits you will have no out of pocket costs for Medicare covered items. That would help our Vets with Medicare use private doctors at no additional cost and VA would only be on the hook for 20% and free up space at the VA for Vets not on Medicare. Just a thought. I know there’s a lot more to it. But let’s run with it.

    1. Aileen Dodge    

      you know you’re not alone with that thought plan. It sounds so SIMPLE and DO-ABLE. And that is the number one reason the MORONS in WASHINGTON DC our voted in GOVERNMENT LEADERS. (try saying that and keep a straight face) WILL NOT IMPLEMENT SUCH A HEALTH PLAN FOR VETERANS! See the VA problem could be fixed if the IDIOTS trying to fix it actually stopped for a moment, looked at the current system and then at the tried and tested, historically functional Medical plans provided in the private sector and then decided to seriously want to fix this problem for the veteran. But those Idiots would have to stop thinking in THE SELF-CENTERED FINANCIAL manner they have always thought in. AND I CERTAINLY DO NOT SEE THAT HAPPENING ANYTIME SOON!!!

      1. Jack martin    

        Mike depending on the area you live in. There may be plans that cost you nothing per month that will give you additional benefits. As long as you have Medicare A&B.

        1. Jack martin    

          Aileen, I appreciate the feedback. When will we have someone in place who truly cares for Vets. I believe in our current President, and if we just stopped the constant nonsense and put term limits people would make the changes needed.

  100. Charles Rains    

    I have had problems in the past with VA doctor here in Tyler Texas thank God he is gone but the past 2 years have been excellent no problems. Keep up the good work! I love my Doctor now .

  101. Robert Cornforth    

    Am a category 1 with the VA. Had an appointment 2 weeks ago, wanted a referral for my Cardiologist and one for a oncologist. I got neither from my LPN at the VA. She said I would see a Urologist in downtown Phoenix instead. And, she told me that under the Mission program we would be paying a copay regardless of what your category was

  102. Thomas F. O'Neill    

    Under Title 38 § 1729(i)(1)(B), CONGRESS EXCLUDED MEDICARE AND MEDICAID AS “HEALTH CARE CONTRACTS.” As a Veteran and Senior Citizen, this ‘EXCLUSION’ prevents me {AND MANY MANY OTHERS} from receiving ENTITLED MEDICARE (or MEDICAID) benefits for any medical services performed by Federally funded medical facilities; i.e., the VA. In fact, this EXCLUSION by Congress effectively DEPRIVES eligible Senior Veterans and qualified family members from receiving entitled benefits earned and paid for over their work lives.

    Would it be possible to have Congress revisit this issue and recind their decision to exclude Medicare and Medicaid as HEALTH CARE CONTRACTS under the provisions of Title 38 § 1729(i)(1)(B).

    Does this Congressional Exclusion violate Federal Law? {Title 18 § 241: Deprivation of Rights Under Color of Law}
    I welcome you reply. Thank you for your time and consideration.

  103. Gary asti    

    All of you people need to call the White House hot line and voice your concerns.
    It will make a big difference
    I have done so numerous times and have had good results.
    The hospitals don’t lie cause it brings done their ratings so jump on it

  104. Brian Morris    

    I made a call today about using the Mission Act for community care. The guy on the phone acted like he had never heard of it. Then he mentioned the closest VA clinic, according to my zip code, was half the distance it really is. After pressing him on why there was such a variation, he found a community care clinic in my area and told me just to make an appointment to see them. I asked if I needed an authorization number or if my request would be logged and he said no to both. I have a feeling if I use the community care facility, I’ll just get stuck with the bill. Less than impressed with the customer care.

  105. Michael Art    

    Total joke for urgent care. None of the local hospital ER’s listed. Nearest walk in care more than 30 miles away. I’m a 100% disabled combat Vet and the VA usually fights any emergency room visits even after I do every thing they say to do. Over the past 5 years I have paid for 2 of 4 visits to the ER.

  106. David Wayne Gregory    

    I was told by the urgent care facility that they called the VA and that I needed pre-authorization to use urgent care.
    This does not sense at all because the CBOC does not have such care. Besides, ALL veterans should be able to go to the urgent care in their community without any kind of pre-authorization or having to be referred by the VA.
    Veterans do not have prior knowledge when they will get sick or injured.
    Yuma CBOC isn’t all that great to begin with and I should be able to see any participating medical person in the community rather than drive all the way to Tucson for care.

  107. maria s    

    I’m not a veteran, but reading these comments is heartbreaking and maddening. I’m shaking my head wondering why on earth these heroes must wait or be treated as if they’re non-existent nobodies. Everything the government touches seems to be a total clusterf**k.

  108. Darrel Nelson    

    I was wondering about care for veterans that have dentures! Can we have our dentures redone or fixed (repaired)?

    I found out that sometimes after going through long stints in physical therapy that sometimes a problem can be solved or lessens the pain by going to chiropractor for adjustments and then a massage afterwards. Deep tissue massage in the area affected.

    Outpatients have medical concerns and since they are outpatients it is often difficult to understand whether a veteran can be seen for non-service injuries at Veteran facilities or do they have to go to an emergency care clinic?

    Since I am in the wellness program things have been great but often I need to be seen for other issues and since the issues concerns my overall wellness can I be seen for those issues?

  109. Fred Gordon    

    nothing has changed, the system is still screwed up:

  110. ron ferguson    

    It’s considerably more complicated now and any urgent care facilities are 42 miles from me and a 1/2 mile from my pcp.

    And this is supposed to be better?

  111. Steve Smith    

    I live well over 40 miles from a VA provider and also well over an average 30 minute drive. I have been on Veterans choice for months and now according to the VA Mission Act I am also qualified for that program. I looked on line to see where the nearest local urgent care provider is. It is well over an hour away and in the middle of a city. Why is this? It makes absolutely no sense to qualify urgent care providers in the middle of a big city and not first qualify those in real outlying area’s like the one I live in. That is what this program is for. To help those vets who are in outlying area’s. Come on VA, this is a no brainer, Approve those urgent care providers in rural and distant area’s before you even approve them in big cities. You have it backwards and it irritates me to read all the hype and see something as poorly planned as this occur.

  112. Peter Zander    

    Please do not publish further pictures of the blowhard lying draft dodger who happens now to be corrupting the White House.

    Thank you.

    Peter Zander

    1. et    

      You mean the commander in chief that is trying to get things fixed. Provide him with good congress people and maybe things can get better . The house would rather provide free health care and housing to illegal invaders then Vets!!!

  113. Johnnie Martin    

    Just got this in my email a few minutes ago. Thought the VA was going to answer the question about Dental Care under the Mission Act. How stupid of me to think they were finally going to answer that question. The only answer that keeps coming out of their mouths-is talk with your community or primary care provider. My PCP does not do dental work. So, I’m back to the basic question again. I’m 100% P&T. And, no one in the VA system will answer that damm question.

    1. Robert Edward Deakins    

      If you are 100% SC you do qualify for dental care. In fact everyone who is 100% SC qualified. The old rules for dental care are still enforced. There is a standalone legislative bill that basically gives all veterans the right to use dental care. However it’s not been passed and is buried in some committee. The only other group of veterans eligible to get dental care are those who are in a VRE approved training or education program.

  114. John holladay    

    Why after bing authorized care did it take a month for TriWest to try and get me an appointment?

    Same goes for reaurhorized Chyropratic care

  115. Myron Timmons    

    Denver VA is a total disaster with the new health care plan it was ok with the Choice plan.
    Trying to get my Dental work done with my local dentist was no problem when it was with the Choice plan. Hell, now with the new plan can’t seem to get the Denver VA dental office to respond half the time and when they do they think I should go to them for a second opinion, my Dentist if far superior to their dental practice. Oh well it’s only been over a year since I started to get my dental work done and the Denver VA dental office is still dragging their feet. I have a 100% rating. When I lived in Spokane, WA they ok’ed everything with my first call and helped me set up everything without asking me what services I wanted near to me. And, I only lived 30 miles away, set me up with Doctor, Optometrist, Dentist, Chiropractor that was within 15min. of my house. Of course you have to realize they do have a top rated VA Health Care rating unlike the Denver, VA.

  116. Philip Chester Rolffs    

    I searched VA authorized urgent medical care providers in my immediate area, just out of curiosity. Several individuals, doctors I assume, showed up. However, none of the established local ER clinics, those belonging to local hospitals, showed up on the list. ???

    Some of the identified providers ranged in distant from 45 to 50 miles from me. I don’t want to drive 50 miles for emergency care! I live in Michigan. But some of the providers are in Indiana! I don’t want to drive to Indiana in case of a medical emergency!

    Also, every listing carried the notation “If you don’t have a referral, contact your local VA medical center.” Really? I need a referral before I can go to an urgent care facility? Really?

    Obviously the MISSION Act program needs some work – maybe a lot of work as ER care is just one small part of it. Who knows what glitches exist in the rest of the program? I don’t understand these problems. It’s not rocket science. I don’t believe that it’s all that complicated. I’m very disappointed in what I see so far.

    1. Don Prihoda    

      I agree there aren’t VA certified hospitals any where near me for Urgent or Emergency care. I was told by the VA ‘on call’ nurse to go to the local hospital’s emergency department but coverage was later denied by the VA because it wasn’t a pre-existing military injury. Of course the local hospital isn’t a certified approved hospital by the VA. My bill was paid for by Medicare and my own pocket.

  117. Robert Edward Deakins    

    How can you get primary care in the community once approved if the va does not have currently any primary care doctors in the network?

  118. Carol D Cox    

    I have only been waiting 8 months for my chiropractor referral to go through, after my last chiropractor stopped participating in VA because the payments were too slow. I have been assigned to two chiropractors that are no longer practicing in the area, and each time I have to be referred to a new one, it seems I get shoved to the back of the line again. I hope the new system speeds up referrals and pays the participants in a timely manner.

  119. terry LEE SAWYER    

    Why can I not have a portable 02 generated Because I can not go to SFVA Hospital with 02 tanks It would take 6 tanks for the trip and 12 tanks to stay overnight Plus the rooms were u stay don,t allow them in the building With the generated it would be easier for me to shop ect ect I live alone

  120. Thomas Zink    

    What department within either the local or regional VA do I contact to switch health care to a local community provider? I live more then 60 miles and drive over an hour to my appointments.

    1. Brian Morris    

      According to the call I made today they can authorize it over the phone to the VA MISSION Act number. I’m skeptical of this, but that’s what the operator told me.

  121. David Grimm    

    Wrote a long comment. Gone because of some 21/3=. Didn’t know what that ment. In short. Mission Act is a cure. Reinventing the wheel only means disaster.
    2 week for appointment with Choice 2 months with Mission Act community care. I was told via email to wait my turn as they have 95000 veterans in the system. Can’t talk to a live person like we could with TriWest. STVAMC.

    1. Brian Morris    

      The 21/3 is 21 divided by 3, which the answer is 7. They do a poor job explaining that. It is a security feature to help prevent hackers.

      / is divide
      * is multiply
      – is subtract
      + is add

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