Posted on May 9, 2020
Can the VA refuse to treat a 100% service-connected veteran citing their case as "too complex," and also refuse to outsource them for care?
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I have a pretty 'complicated' medical case but the VA continues to refuse at times to even consult with me despite internal VA referrals for the consults. They also refuse to refer me to anyone who possibly CAN help-- or the Mission Act options don't have any providers for the care needed within hours of me. Then they refuse to cover many of the meds that outside specialists suggest, costing me >$3,000 per year out-of-pocket. Is this OK at any level and would anyone have any suggestions for how to get the needed care? This way preceeded COVID-19 issues but continues despite it. I've been told the doctors won't even agree to a telehealth or video health consult at the VA across a few departments and programs. I'd already involved a senator's office a few years back and have made almost no progress. Help, please?
Posted >1 y ago
Responses: 433
VA Office of inspection general.
My nephew had undergone two failed attempts to remove ivc filer by va doctors.
He was told unless he underwent open heart surgery he basically would have to leave with it. he was in constant pain as the filter was lodged pinching a nerve. He ran the risk of the filter dislodging and potentially dying.
After much research, we found a doctor at Stanford that specializes in removing ivc
filters with a great deal of success.
VA denied approval for treatment at Stanford until we sent a letter to Washington OIG, within a month approval was granted and filter was removed .
Do your own research and find a facility outside of va that may be able address your issues.
If you’re are able to prove to VA that there’s treatment available outside VA, even transportation and lodging should be covered.
If you do write a letter to VA OIG send cc: to your current treating doctor and the director of VA facility.
My nephew had undergone two failed attempts to remove ivc filer by va doctors.
He was told unless he underwent open heart surgery he basically would have to leave with it. he was in constant pain as the filter was lodged pinching a nerve. He ran the risk of the filter dislodging and potentially dying.
After much research, we found a doctor at Stanford that specializes in removing ivc
filters with a great deal of success.
VA denied approval for treatment at Stanford until we sent a letter to Washington OIG, within a month approval was granted and filter was removed .
Do your own research and find a facility outside of va that may be able address your issues.
If you’re are able to prove to VA that there’s treatment available outside VA, even transportation and lodging should be covered.
If you do write a letter to VA OIG send cc: to your current treating doctor and the director of VA facility.
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My case was very complex to and the process was very difficult. My condition is turret syndrome but with the help of God, professionals at VA Hospital and Airforce medical staff; I could receive all my benefits in accordance of DOD directives. Never loose faith keep appealing to God and true the system until something happens in your favor. Never forget the vision of God thru are President Abraham Lincoln; that are nation has to take care are veterans warriors. In God we trust. God Bless America.
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Having been enrolled in the VA for over 52 years I found out the VA can do anything they want. The VA system wthe the help of many "Veterans Organizations” are expert in babble de gook delays waiting for a veteran to get tired. For instance during the Vietnam war I was in a isolation ward with other combat veterans recovering from very severe wounds. Most are now passed on. Some because of combat wounds left untreated! TBI or Traumatic Brain Injuring is not a new combat injury. I know many veterans with head injuries and no service connection for TBI. Some others with wounds hampering them from fathering children. Only in the last few years has the VA took the challenged to help those combat veterans with combat injuries concerning reproduction. The only way in the end to help veterans is to give all Americans healthcare so the VA healthcare system can get back and focus on what they were mandated to do.
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My heart goes out to you...BIG TIME!
We fought for 50 + years for bennies from the results of the Viet Nam War & Agent Orange use. Know why...!?
It was deemed a Police Action" & NOT a "war", so in the VA's eyes, we didn't "deserve" medical bennies. With all our fighting the system...we got what we deserved & died for.
DON'T EVER give up or give in. You were taught to fight for your life, keep doing what you were trained to do. You'll get it. Yell Loud & Speak out!
Sure, it will be tiresome and sometimes seem lost. but YOU WILL OVERCOME.
Remember, "the squeeky wheel gets the grease".
We've come a long way upwards since Trump's been in office in getting our bennies.
Keep on praying & fighting...we know who really ends in the end...and it's NOT them.
We fought for 50 + years for bennies from the results of the Viet Nam War & Agent Orange use. Know why...!?
It was deemed a Police Action" & NOT a "war", so in the VA's eyes, we didn't "deserve" medical bennies. With all our fighting the system...we got what we deserved & died for.
DON'T EVER give up or give in. You were taught to fight for your life, keep doing what you were trained to do. You'll get it. Yell Loud & Speak out!
Sure, it will be tiresome and sometimes seem lost. but YOU WILL OVERCOME.
Remember, "the squeeky wheel gets the grease".
We've come a long way upwards since Trump's been in office in getting our bennies.
Keep on praying & fighting...we know who really ends in the end...and it's NOT them.
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Okay. Start at the lowest point and climb up. So patient advocacy is the first step. Don’t expect much from them. This I think for you would be a check the box kinda thing. Then contact your states VA. They may be able to do something. Then contact your states district representatives either your state district senator or state house representative. After that go to federal. I would state with my district House of Representatives Congress person. Then I would contact my state senators and the White House. You may also contact the committees that watch over the VA. Do them all simultaneously so as no one can get blind sided.
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I work for the VA and I'm also a disabled Vet. I've never heard of this happening any where and it definitely not right. Have you tried working with any of the service organizations like the DAV, American Legion, or the PAV?? I would try all of those.
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I’m not sure of VA refusing to take care 100% service-connected veterans. However, heard about dealing case-by-case issues when it comes taking care of veterans. I, for one contacted a Senator in my State of supporting and personally handling mine case. However, every Congress as well as, a Senator do not have the specialty to take care of Military Active Duty, Retirees, and Veterans. Unless, they have walked a mile in your shoes. My advice keep pursuing the issue, don’t give up. Furthermore, this information came the Department of Veterans Affair this week on Resume C&P Exams and Disability Compensation 9-23-20, and VA.gov, blog. July 29, 2020. Good luck!
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Keep bothering your Senators from your state as well as your local congressman/woman. Write the Prez. You only contact them once, you may be ignored. Be a thorn in their sides. Contact your local TV station about how the VA is screwing you. The TV station can put a bad light on the VA. If it bleeds, it leads. Remember be a pest, the squeaky wheel gets the oil.
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Whenever I have a a severe problem with my local VA (where nothing has been done) I send a letter and/or email to the Secretary of Veteran Affairs at the White House. It has always worked.
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What is the White House VA Hotline?
The hotline’s pilot began under direction of the Veterans Experience Office on June 1, 2017, and entered phase two on October 15, 2017.
White House VA Hotline: [login to see] .
Calls are answered by a live agent 24 hours a day, seven days a week, 365 days a year. The hotline is staffed by more than 60 agents who have had extensive training on VA programs and services. Most of these agents are a Veteran, military family member, caregiver or a survivor.
The White House VA Hotline conducts immediate warm hand offs for at-crisis risk Veterans needing the services of the Veterans Crisis Line.
Trends identified by the hotline will be used to rapidly respond to systemic inefficiencies and empower VA employees to resolve Veteran concerns quickly.
Veterans should continue to use existing VA customer service hotlines:
* Health Care: [login to see]
* Benefits: [login to see]
* Veterans Crisis Line: [login to see]
* MyVA311 (other): [login to see]
The hotline’s pilot began under direction of the Veterans Experience Office on June 1, 2017, and entered phase two on October 15, 2017.
White House VA Hotline: [login to see] .
Calls are answered by a live agent 24 hours a day, seven days a week, 365 days a year. The hotline is staffed by more than 60 agents who have had extensive training on VA programs and services. Most of these agents are a Veteran, military family member, caregiver or a survivor.
The White House VA Hotline conducts immediate warm hand offs for at-crisis risk Veterans needing the services of the Veterans Crisis Line.
Trends identified by the hotline will be used to rapidly respond to systemic inefficiencies and empower VA employees to resolve Veteran concerns quickly.
Veterans should continue to use existing VA customer service hotlines:
* Health Care: [login to see]
* Benefits: [login to see]
* Veterans Crisis Line: [login to see]
* MyVA311 (other): [login to see]
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