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VA provides care to Veterans through community providers when VA cannot provide the care needed. Community care is based on specific eligibility requirements, availability of VA care, and the needs and circumstances of individual Veterans. Learn about Veteran community care.
Veteran Community Care Eligibility. Under the VA MISSION Act of 2018, Veterans have better access and greater choice in health care either at VA or a community provider through improved eligibility criteria. The new eligibility criteria were effective June 6, 2019. Key aspects of community care eligibility are noted below: 1.
As a Veteran, you may be eligible to get care outside VA. This means we’ll pay for the cost of your care from a health care provider in our community care network. Keep reading on this page to find out if you’re eligible for community care. Note: You can still always choose to get care at a VA health facility.
Veterans may be eligible for community care based on their health care needs and circumstances. We explain eligibility and how to schedule an appointment.
You may be eligible for community care if you meet any of the following six criteria: You require a specific service your VA health facility does not provide. You live in a state or territory that doesn’t have a full-service VA health care facility.
A veteran must have enrolled in or be eligible for VA healthcare to receive authorization for community care. The exception is if a veteran needs urgent or emergency care. You’ll need to notify...
The VA provides health care for Veterans from providers in your local community outside of the VA. Veterans may be eligible to receive care from a community provider when the VA cannot provide the care needed. This care is provided on behalf of and paid for by the VA.
Veterans eligible for community care can choose to receive care from a VA medical facility or a community provider in VA’s network. This article answers some common questions about making community care appointments.
• You must be enrolled in VA healthcare and have received care from a VA or VA-authorized community provider in the last 24 months. • You must tell clinic staff that you would like to use your VA urgent care benefit and confirm that they are part of VA’s network.
VA Community Care is available to help Vets receive healthcare in places where the VA is unable to provide proper care by utilizing providers that can. While the healthcare services are provided on behalf of the VA, eligibility varies within the Veteran community.