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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Go get it in someone's face and make sure you have the meeting on video, then go to the press. Good luck!
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Yes, the can refuse. Good news, you can appeal. Pity you left out so much detail though. Have you made any attempt at an appeal? You really need to do that first. Otherwise, trying to get the decision changed will be extensively more difficult.
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In addition to the White House, get your Congressman (not Senator) involved. They are more tuned in to help constituents. The VA does NOT want a CODEL (Congressional Delegation) visit.
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Go to DAV headquarters in Washington DC and their leagal team will contact you for more info to get you on track just did that for wife 100% and 48 hours we were getting first call from VA to start resolution. They are your best bet!
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WHAT ABOUT ALL THOSE RECORDS BURNT UP IN A FIRE IN ST LOUIS ALL I HAVE IS MY DD214 AND ON THAT IT JUST HAS FORIEGN SERVICE
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Are they telling you more than it’s too complex or have they given you alternatives. The purpose of the mission act is to provide the care that VA is not able to. Is there a treatment plan currently in place for the issue. I have seen veterans request treatment that the VA provider didn’t agree with due to the treatment possibly causing more harm than good. There is also treatment that VA may not cover. So are they just saying it’s too complex? I used to be a Patient Advocate at VA.
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