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
I say write or call your States Representative and Senators see if they can help!
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I hate to say this, but you might have to find another VA, But I will tell you that when I did not like something I contacted the patient advocate. He was very helpful. I called a different VA for my brother had he got help right away. Sometimes you really have to make certain you are heard.
I wish you the best of luck. You have earned the help you need.
I wish you the best of luck. You have earned the help you need.
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This is an easy issue. Get all your documentation make two copies [one for you and one for your Congressional Representative. Make an appointment with said Representative military liaison and go from there. PS: Do you vote? Also, the option you don't like--MOVE.
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SMSgt Bob W.
PS: I have known people who experienced medical issues whereby they were not anyone able to correct their issues locally; thus they has to travel approximately 200 miles and actually rent an apartment for six months. With testing, surgeries, post-surgery treatment it was five months, three weeks before they were released. Guess who the insurance, VA, and Medicare don't cover the apartment.
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My opinion is that the VA should Never refuse to treat any veteran no matter what your disability level. The VA is there to serve veterans and take care of us, as they like to say their motto is from Lincoln, to serve him who has served and his family.
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I am 100% plus for cervical, thoracic, and lumbar spine. VA in Houston said that surgery was not an option. I dismissed myself from their presence and vowed to never return because of incompetence. Please find yourself a private neurosurgeon to have any surgeries done. I have two back surgeries and one neck surgery. Still have pain and limited movement, but all is well with my soul!!
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I wish I could help you out and give you a straight answer but with this one I can not. I'm sure there is more to this than we know and I am not expert in this area. I'm sure someone out here will be able to help you.
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Contact your local congressional office and start an enquirer you will be amazed at how fast the become more attentive. But don’t stop. And then after contacting your congressperson take the same letter you sent them and take a copy to the patient advocates office letting them know what you sent out.
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Sounds like either a lawyer needs to get involved or a letter needs to be sent to your congressional representative/White House.
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I would contact the Disabled American Veterans (DAV for short) and tell them your problems. This organization has direct access to the VA and you can basically hire them to act on your behalf. Unlike a Senator’s office, the DAV has people knowledgeable and able to confront the VA from an area of experience. The DAV representatives can go fact for fact with the VA. Most Senator’s office have staff members that only touch the surface of the VA. The DAV is almost like a lawyer representing you to the VA. I have seen them cut through red tape faster than any veterans organization I know. Good luck with your problem. I hope the DAV gets to bottom of your situation and gets you the help you need.
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I am not sure how the V.A. even stays afloat.
I am NGB22, nothing but active duty...and that extra weeks/months stuff on top of that. 6yrs 5mos 21 days.
I humored the enrollment of V.A. as it was a correct thing to do (I am line of duty disabled, war time, decorated, blah blah blah)
By their own math, any one of my 3 subjects of death imminent are 100% disabled for each problem.
I am the "version" of disabled that got SSDI with no arguments... no questions. While still enlisted.
it has been 27 years of peace with SSDI. I even got some dental eventually (my events exploded my teeth- one of my "cute" disability extras.) A humana card with an extra little free budget. Free ride programs, low income housing, etc etc.
Real dieabled, and real complex, can get a real simple answer.
V.A. can go to hell.(it is there already)
I am NGB22, nothing but active duty...and that extra weeks/months stuff on top of that. 6yrs 5mos 21 days.
I humored the enrollment of V.A. as it was a correct thing to do (I am line of duty disabled, war time, decorated, blah blah blah)
By their own math, any one of my 3 subjects of death imminent are 100% disabled for each problem.
I am the "version" of disabled that got SSDI with no arguments... no questions. While still enlisted.
it has been 27 years of peace with SSDI. I even got some dental eventually (my events exploded my teeth- one of my "cute" disability extras.) A humana card with an extra little free budget. Free ride programs, low income housing, etc etc.
Real dieabled, and real complex, can get a real simple answer.
V.A. can go to hell.(it is there already)
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