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?
152K
1.95K
849
510
510
0
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: 432
The VA can make its own rules. I was sent by the VA for a shoulder surgery after slip-and- fall at a B&B whose steps were out of city code. It required 3 surgeries in 18 months, so I effectively had no use of that arm for 18 months. Bathing, dressing, going to the bathroom, tying my shoes and cooking required help, sometimes from perfect strangers. After 2 years, we settled. The attorneys got their 40%, and after the payment for expert witnesses, travel costs and the cost of household help, almost half of my settlement money was gone. To add insult to injury, the VA billed me $70,000. THEY ONLY PAID $7,000 FOR ALL THEY WERE BILLED. So they paid 10% off what they were billed, then billed me 100% off what they were billed. The White House Veterans Hotline passed my concerns on, and I was told that the VA was allowed to do this. I also wrote my congressmen and got the same answers.
I don’t understand how the VA can bill for more than they paid, but apparently they can.
I don’t understand how the VA can bill for more than they paid, but apparently they can.
(0)
(0)
I AM deeply sorry to hear about your troubles. I had been dealing myself with the VA. I am also p&t 100 SC.
It is a shame that our representatives "suck" in their jobs!. I have lost dear friends while waiting for help! From
The WH, VA and our elected officials whom they say they care about "the troops", what a bunch on BS. If I was you I would call the TV news and let the people know about the disrespect from the VA, the WH and elected officials!. They are quick for a photo op with serviceman. I met Clinton myself down in Haiti on 2010. He refused to shake hands or talk to the troops. I met Bush, Obama, Trump and they all show disdain for all of us!
My men asked why they behave like that? and I have to lie to then by telling these men that they were to busy with running our country but not busy enough for photo Ops.
I deeply sad about what your going thru, I myself had tried for 7 years (and counting) to be help by the VA. However, do not give up!!!. We are soldiers and when the mountain is too steep, slippery, cold and hot ; we still conquer the summit. Get the news involved in your struggle because theirs no because there is no more "concerning " when the population learns about their immoral and disgraceful towards us and the disservice that they do to us!!!
We all love our country served with honor and pride. When giving a task a mission we took charge head-on and accomplish the mission. No burocratic red tape and no waiting for "cowards" to act!!!.
Keep the fight going. It's not easy and is sad, frustrating, demoralizing but is nothing compared to our resilience and commitments to accomplish the mission.
Get the
It is a shame that our representatives "suck" in their jobs!. I have lost dear friends while waiting for help! From
The WH, VA and our elected officials whom they say they care about "the troops", what a bunch on BS. If I was you I would call the TV news and let the people know about the disrespect from the VA, the WH and elected officials!. They are quick for a photo op with serviceman. I met Clinton myself down in Haiti on 2010. He refused to shake hands or talk to the troops. I met Bush, Obama, Trump and they all show disdain for all of us!
My men asked why they behave like that? and I have to lie to then by telling these men that they were to busy with running our country but not busy enough for photo Ops.
I deeply sad about what your going thru, I myself had tried for 7 years (and counting) to be help by the VA. However, do not give up!!!. We are soldiers and when the mountain is too steep, slippery, cold and hot ; we still conquer the summit. Get the news involved in your struggle because theirs no because there is no more "concerning " when the population learns about their immoral and disgraceful towards us and the disservice that they do to us!!!
We all love our country served with honor and pride. When giving a task a mission we took charge head-on and accomplish the mission. No burocratic red tape and no waiting for "cowards" to act!!!.
Keep the fight going. It's not easy and is sad, frustrating, demoralizing but is nothing compared to our resilience and commitments to accomplish the mission.
Get the
(0)
(0)
Lisa, I’m retired civil service and worked for the VA for many years. Seen it all. Best course of action… if you’re having problems getting needed care or referrals, make an appointment with your local Congressional delegate. You’ll probably talk to a staffer at first… that’s ok as they handle most inquiries anyway. Take all relevant medical records with you. Be specific as to what the problem is, how long it’s been going on, who you’ve seen and talked to, etc. The more information you have the better. Explain your frustrations. Once the VA gets the Congressional inquiry letter, they generally move swiftly to clear the matter up as they don’t like them hanging over their heads. They usually have a “suspense” date of 45 days to take some action. Follow up with your Congressional staff to stay on top of it, and also to say Thanks for their help!
(0)
(0)
I ran into a similar case with my father ,81 yrs, in Mobil Alabama where he was beaten and robbed. Had fractured ribs and a punctured lung and the VA Doctor was telling him the pain was in his mind. so I brought him to St. Louis, MO where V.A. here is fantastic and he was treated and recovered. Not all VA are the same. This is what I did you might have to to do something diffrent.
(0)
(0)
Did you get the surgery ? If not then consider not doing it and start with a inversion table. I will post a doctor mri and share notes of diagnosis and what my therapy has been like. It works
(0)
(0)
I am a 100% disabled Veteran as well.. You need to contact your local congressman or senator again and keep contacting them and get them involved now. Go public to the local TV stations and tell them straight up, the V/A is refusing to treat a service connected disabled Veteran in the Seattle location. Mark my words, that starts getting attention and heads will start spinning big time.. thus you also need to make sure you have all your ducks in a row and paperwork ready to be seen.
I had a situation but in my case, my local V/A stepped and I was referred to some of the nations top specialist for my surgery.. Not every V/A is bad and it sounds like you are stuck with one that still is.
You should also contact your V/A representative agency, (PVA, DAV or whomever you use)
I had a situation but in my case, my local V/A stepped and I was referred to some of the nations top specialist for my surgery.. Not every V/A is bad and it sounds like you are stuck with one that still is.
You should also contact your V/A representative agency, (PVA, DAV or whomever you use)
(0)
(0)
Call the VA White House hotline @ + [login to see] . The VA works on a system of triage and is dangerously underfunded. Basically, I feel like your situation falls outside of what they are willing to spend money on. It's basically on you to force them to give you the care you have earned.
(0)
(0)
Try looking into War Related Injury and Illness research venue. Most Primary care dr's have no clue as to where to send us veterans with complex health issues. I was in Texas a few years back in the same boat as you...came across an article WRIIS. Tere are 3 facilities.2 on the east cost and the third on the west coast.. all costs were covered( flight, taxi, lodging and meals). VA in Palo Alto California. Search "War related Illness and injury" for info.
Good luck, and don't give up. VA is good, they just don't know everything we have medically.
If the VA doesn't have meds prescribed by your non VA dr's, look for discounted assistance. I have a Pain Management Pharmacist that I speak with on a monthly basis.. he helped me get meds that the Primary Care couldn't. Again good luck
Good luck, and don't give up. VA is good, they just don't know everything we have medically.
If the VA doesn't have meds prescribed by your non VA dr's, look for discounted assistance. I have a Pain Management Pharmacist that I speak with on a monthly basis.. he helped me get meds that the Primary Care couldn't. Again good luck
(0)
(0)
It has been over a year, is there any updates or are you still getting the run around?
(0)
(0)
Read This Next

Department of Veterans Affairs (VA)
Washington
Veteran Benefits Advisor
Team Veteran Foundation
My Veteran Community
