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 in these groups: 
Department of Veterans Affairs (VA)
Washington
Veteran Benefits Advisor
Team Veteran Foundation
My Veteran Community
Department of Veterans Affairs (VA) Washington Veteran Benefits Advisor Team Veteran Foundation My Veteran Community
Posted >1 y ago
Responses: 433
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1. What is the primary and secondary medical conditions being denied treatment?
2. Do you have a state VSO expert assigned to your case?
3. Have you contacted the VISN Director?
4. Have you consulted a VA specialist/attorney?
2. Do you have a state VSO expert assigned to your case?
3. Have you contacted the VISN Director?
4. Have you consulted a VA specialist/attorney?
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Absolutely not, unless his/her is hindered by:
Felonious histories or dishonorable discharge or big chicken dinners or by individual choice, these factors may, often can preclude VA services to ex-military in the US;
Outside of this, any VA doctor, staffer, or provider refusing a 100% service-connected veteran healthcare or other eligible services, due to 'complexity' is derelict in duty, grossly misinformed, acting in bad faith, wrong person for VA employment, and just foul!
Felonious histories or dishonorable discharge or big chicken dinners or by individual choice, these factors may, often can preclude VA services to ex-military in the US;
Outside of this, any VA doctor, staffer, or provider refusing a 100% service-connected veteran healthcare or other eligible services, due to 'complexity' is derelict in duty, grossly misinformed, acting in bad faith, wrong person for VA employment, and just foul!
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Lisa, you need to find another senator or even several senators to help you out on this. I have never heard of the VA refusing to treat anyone because of cost and I have been dealing with them since 1974.
First, send an email to the hospital administrator, if you haven't already. CC the letter to the Secretary of Veterans Affairs, all of your state senators and representatives, and the Governor of your state. Include details of all of your attempts to get the care you need. Try to include dates and any written responses that you have had with the VA. Contact your Patient Advocate at the VA and tell them your story and give them a copy of your letter.
Be sure to keep the entire paper trail of all of your communications.
If none of this works, get back to me at [login to see] Good luck!
First, send an email to the hospital administrator, if you haven't already. CC the letter to the Secretary of Veterans Affairs, all of your state senators and representatives, and the Governor of your state. Include details of all of your attempts to get the care you need. Try to include dates and any written responses that you have had with the VA. Contact your Patient Advocate at the VA and tell them your story and give them a copy of your letter.
Be sure to keep the entire paper trail of all of your communications.
If none of this works, get back to me at [login to see] Good luck!
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Lisa, you need to find another senator or even several senators to help you out on this. I have never heard of the VA refusing to treat anyone because of cost and I have been dealing with them since 1974.
First, send an email to the hospital administrator, if you haven't already. CC the letter to the Secretary of Veterans Affairs, all of your state senators and representatives, and the Governor of your state. Include details of all of your attempts to get the care you need. Try to include dates and any written responses that you have had with the VA. Contact your Patient Advocate at the VA and tell them your story and give them a copy of your letter.
Be sure to keep the entire paper trail of all of your communications.
If none of this works, get back to me at [login to see] Good luck!
First, send an email to the hospital administrator, if you haven't already. CC the letter to the Secretary of Veterans Affairs, all of your state senators and representatives, and the Governor of your state. Include details of all of your attempts to get the care you need. Try to include dates and any written responses that you have had with the VA. Contact your Patient Advocate at the VA and tell them your story and give them a copy of your letter.
Be sure to keep the entire paper trail of all of your communications.
If none of this works, get back to me at [login to see] Good luck!
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I know how you feel! I was given 1 to 5 years about 4 years ago! The only thing that will save my life is an experimental surgery. That has over 98% success rate. But it cost over 1.6 million! So the VA has denied it!
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President Trump now has a hot line for vets to call about any complaints against the VA. The number is: [login to see] . I've had to call a few times concerning the VA and my complaint was taken care of within 30 days. Hope this helps ya'll.
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You can if need be sue the VA for malpractice, I would hire a Attny with VA experience. I have and excellent VA Attny he works Ga,Al and Tn I know for sure. If you are in one of these areas touch base and I’ll give you contact info
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Contact an attorney that specializes in VA cases, I bet things change then.
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I'm dealing with the V.A. denials myself.
Not for something as major as a back surgery, but it's still something guaranteed in the care provided by the V.A. on their own website.
I'm 100% P&T, and my wife and I decided we wanted to pop out a couple little ones.
I started the process of getting my Vasectomy Reversed back in February before COVID hit the states hard.
I've gotten denial and refusal after denial and refusal.
Surgeons in my area refuse to accept "Medicare Reimbursement Amounts" for the surgery, the V.A. Hospital doesn't have anyone who is trained or specializes in the procedure.
My local Senator is a Dem. and after my initial inquiry for help in June, began ignoring my requests. More worried about the campaign for reelection than helping out.
I called the W.H. Hotline, that got me some phone calls from the V.A. Hospital, but they never called me back.
I've had literal notes from providers inside the V.A. deny my requests saying "The V.A. and Tax payers shouldn't have to pay for this, Veteran should just go pay for the surgery out of pocket and deal with it. ". I found a V.A. Surgeon at a V.A. Hospital that is more than willing and capable of doing the surgery, found all the info on the Travelling Veteran Program, and I've continued to be denied for months now.
What is the point of signing the dotted line, being promised if you get broken they'd take care of you, getting blown up and when you turn to them for the help they advertise on their own public facing website and they tell you to fu*k off?
Not for something as major as a back surgery, but it's still something guaranteed in the care provided by the V.A. on their own website.
I'm 100% P&T, and my wife and I decided we wanted to pop out a couple little ones.
I started the process of getting my Vasectomy Reversed back in February before COVID hit the states hard.
I've gotten denial and refusal after denial and refusal.
Surgeons in my area refuse to accept "Medicare Reimbursement Amounts" for the surgery, the V.A. Hospital doesn't have anyone who is trained or specializes in the procedure.
My local Senator is a Dem. and after my initial inquiry for help in June, began ignoring my requests. More worried about the campaign for reelection than helping out.
I called the W.H. Hotline, that got me some phone calls from the V.A. Hospital, but they never called me back.
I've had literal notes from providers inside the V.A. deny my requests saying "The V.A. and Tax payers shouldn't have to pay for this, Veteran should just go pay for the surgery out of pocket and deal with it. ". I found a V.A. Surgeon at a V.A. Hospital that is more than willing and capable of doing the surgery, found all the info on the Travelling Veteran Program, and I've continued to be denied for months now.
What is the point of signing the dotted line, being promised if you get broken they'd take care of you, getting blown up and when you turn to them for the help they advertise on their own public facing website and they tell you to fu*k off?
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