Veterans Choice Program

by  Wyn Staheli
August 4th, 2017

New Law

On April 19, 2017, President Donald Trump extended the Veterans Choice Act which allows veterans to more easily access private care. The Veterans Choice Improvement Act addresses some of the shortcomings of the previous law to further assist the veterans seeking medical care. Some of the key elements of the new law are:

Eligibility

Providers wishing to treat veterans must be a contracted provider with either Health Net Federal or TriWest Healthcare Alliance (depending on your location). You do NOT need to join PC3 to be a contracted provider for the Veterans Choice Program (VCP), but you will need to meet all Medicare conditions of participation. Reimbursement is at Medicare rates. The Choice Program is NOT a replacement for TRICARE, CHAMPUS/CHAMPVA or Patient-Centered Community Care (PC3). Rather, it is a supplement to the PC3 program. In fact, all PC3 providers are automatically eligible to participate in the Choice Program which requires pre-authorization prior to care.

Even if the provider is a contracted provider, to be eligible, at least one of the following additional criteria must be met:

Additional Information

CLICK HERE to use the VA's health benefits checker tool. Veterans may also call the Choice Program Call Center at 866-606-8198 for more information, to verify eligibility.

CLICK HERE to review the VA's information sheet. Note that this page was created before the new law was signed into effect. Check back for updates.

Note: All Veterans have been mailed a Veterans Choice Program card. Use the information on that card (not the card for any other VA program) for benefit verification and claims submission.

 

References:

Veterans Choice Program. (2017, August 4). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/veterans-choice-program-31228.html

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