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VA Healthcare Basics: Benefits, Eligibility, and How to Apply

This overview provides information on VA healthcare, including who qualifies, the priority groups, co-pays, and available services. Learn how to apply and find resources from the Oregon Department of Veterans Affairs (ODVA) and VA.

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VA Healthcare Basics: Benefits, Eligibility, and How to Apply

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  1. The VA April 14, 2014

  2. Overview: • Who is VA…..VBA, VHA, VCA • Who is not VA…..ODVA, VSO • Healthcare Basics • How to Apply • Resources

  3. Oregon Department of Veterans Affairs (ODVA) • -Ran by the State of Oregon • -Offers Benefits to Oregon Resident Veterans • -Helps File Claims • -Trains the County Veterans Service Officers • County Veteran Service Officers (VSO) • -Helps Veterans apply for Benefits/File Claims • -Ran by each County Not The Feds Not The VA

  4. VA HEALTHCARE BASICS • Not Insurance…It’s a Benefit • Not everyone qualifies • Honorable Discharge (Some cases of “Other Than Honorable”) • 8 Priority Groups • Co-pays • Work within a VISN • Travel Pay for those who qualify

  5. VA HEALTHCARE BASICS Standard Benefits Preventive Care Services Immunizations Physical Examinations (including eye and hearing examinations) Health Care Assessments Screening Tests Health Education Programs Ambulatory (Outpatient) Diagnostic and Treatment Services Medical Surgical (including reconstructive/plastic surgery as a result of disease or trauma) Mental Health Substance Abuse Hospital (Inpatient) Diagnostic and Treatment Services Medical Surgical (including reconstructive/plastic surgery as a result of disease or trauma) Mental Health Substance Abuse

  6. VA HEALTHCARE BASICS Prescription Drugs (when prescribed by a VA physician) Limited Benefits The following care services (partial listing) have limitations and may have special eligibility criteria: Ambulance Services Dental Care Eyeglasses Hearing Aids Home Health Care Maternity and Parturition (Childbirth) Services—usually provided in non-VA contracted hospitals at VA expense; care is limited to the mother and newborn. VA may furnish health care services to a newborn child of a woman Veteran who is receiving maternity care furnished by VA beginning with the date of birth plus the first seven calendar days after birth. Non-VA Health Care Services

  7. VA HEALTHCARE BASICS • Specialty Programs • Homeless Programs • OEF/OIF/OND • Caregiver Support • Women’s Health • Suicide Prevention • Rehabilitation Centers • Voluntary • Community Living Centers • Inpatient PTSD • Military Sexual Trauma (MST) • Adaptive Sports

  8. HOW TO APPLY FOR VA HEALTHCARE… • Where to Apply… • You can apply online • You can go to the Eligibility office at your local VA • Demob process • Fill out the VA FORM 10-10EZ • DD214 member 4 copy (shows discharge type)

  9. REFERENCES…. • http://www.va.gov/ • http://www.va.gov/healthbenefits/resources/publications.asp • https://www.myhealth.va.gov • https://www.ebenefits.va.gov • http://www.oregon.gov/ODVA • http://www.returningveterans.org/ • https://www.nrd.gov/

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