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Infographic icons customer care2/10/2024 Or we can’t schedule an appointment for you within the next 20 days. But we can’t schedule an appointment for you at a VA health facility that’s within a 30-minute average drive from your home. You need a primary care or mental health appointment. Example 4: Drive and wait time standards For primary care or mental health So, you’re eligible to get care from an in-network community provider. And you previously qualified under the Veterans Choice Program’s 40-mile distance requirement on June 6, 2018. You live in Alaska, Montana, North Dakota, South Dakota, or Wyoming. Example 3: Qualification under the 40-mile distance requirement We don’t have a full-service VA health facility in your state or territory. You live in Alaska, Hawaii, New Hampshire, Guam, American Samoa, the Northern Mariana Islands, or the U.S. Example 2: No full-service VA health facility So, you’re eligible to get dialysis from an in-network community provider. But we don’t provide dialysis at any of our facilities. Here are 6 examples of when you may be eligible for community care based on each requirement: Example 1: A service we don’t provide We can’t provide the service you need in a way that meets our quality standardsĮxamples of when you may be eligible for community care.You and your VA provider agree that getting care from an in-network community provider is in your best medical interest, or.We can’t provide the care you need within our standards for drive and wait times, or.You qualified under the 40-mile distance requirement on June 6, 2018, and live in a location that would still make you eligible under these requirements, or.You live in a state or territory that doesn’t have a full-service VA health facility, or.You need a service that we don’t provide at a VA health facility, or.You have approval from your VA health care team before you get care from a community provider (except for certain cases like urgent or emergency care)Īnd you must meet at least one of these requirements:. You’re enrolled in or eligible for VA health care, and.You must meet both of these requirements: To be eligible for community care, you must meet the requirements listed here.
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