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 5 y ago
Responses: 430
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Keep track of all refused or declined treatment , call washington dc or the white house to file a complaint . File suite with a attorney if need be to get heard . Mike pences office gets answers and so does most other congress offices
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It seems us Females that serve have harder time getting benefits....
I was not rape or sexually harassed but did have medical issue proven & have 1 I can not prove...
I refuse to lie or make up a story for monetary benefits...
Good luck & keep trying...
I would start with your city officials before Washington head honchos...
I was not rape or sexually harassed but did have medical issue proven & have 1 I can not prove...
I refuse to lie or make up a story for monetary benefits...
Good luck & keep trying...
I would start with your city officials before Washington head honchos...
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Ha...as much as the VA toots their hone. They are self centered and petty. I think some of the denials have nothing to do with complexity or money. They have the power to decide who gets what. Moral of the story: don't rub any body the wrong way. I did, went up chain to oig and my senator. Good luck, save your info in detail and you can get comped
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Anytime, a v.a. Dr touches your spine it's a gamble. They outsourcd mine,and I still ended up paralyzed. Be careful
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Since you are dealing with the VA, you are not on AD. Are you going to or close to a big regional facility? I have had several different types of medical procedures over the years. I am 100%, also retired from the USAF. As a retiree, I am enrolled with Tri-West (Tri Care), and am 65 on Medicare. OK, I'm covered all ways from Sunday. Do you have access to a patient advocate? Why won't "they" outsource you? With the VA everything begins with your primary care provider, then to either a VA specialist provider, or you are outsourced to a civilian specialist. Have you obtained a copy of your medical history, stating that VA care is refused, or denied due to cost? Armed with that you can send a copy to your congressman/woman. Election time, they won't want to lose your vote.
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I have no help to offer, my case is on the docket for the Board of Appeals since Sept. 2019.still waiting to hear from them. Good Luck with your case.
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Some good suggestions here. Go to DAV first. They are awesome. (If you aren't a member, you need to be!!. Not expensive. ) If that doesn't work. go the White House route like someone suggested. Then. if there is nothing, you go to the media. As others said, an ELECTION YEAR!! They are paying attention. GOOD LUCK!.
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Wow this is old but I just got an email with this in it. Maybe this info will help someone else with the same question:
First you need to contact your representative in Congress. Their staff will guide you through the process and once a congressional inquiry hits their office, they have a short amount of time to respond or face consequences. This process will take some time about a month.
Also contact your local VFW, American Legion and DAV offices. They have volunteers that will help you out in navigating the local VA.
First you need to contact your representative in Congress. Their staff will guide you through the process and once a congressional inquiry hits their office, they have a short amount of time to respond or face consequences. This process will take some time about a month.
Also contact your local VFW, American Legion and DAV offices. They have volunteers that will help you out in navigating the local VA.
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SSgt Lisa J. Markland I just saw your post. I hope by this time you wetre able to get help from the VAMC system
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No , if the VA cannot handle it, they must out source it to an appropriate care provider on the economy
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