Quick Facts for using Community Care for Emergency Needs
Veterans Health Administration sent this bulletin at 06/11/2021 11:00 AM EDT|
St. Cloud VA Healthcare System Update |
St. Cloud VA Health care
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News & Announcements |
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Quick Facts for using Community Care for Emergency Needs During a medical emergency, you should immediately seek care at the nearest emergency department (ED). A medical emergency is an injury, illness or symptom so severe that a delay in seeking immediate medical attention would be reasonably expected to be hazardous to life or health. If you believe your life or health is in danger, call 911 or go to the nearest emergency department right away. The St. Cloud VA does not have an emergency department, acute medical care services, or after-hours outpatient services at any of our locations. Veterans do not need to check with VA before calling for an ambulance or going to an emergency room. Notify VA Immediately Inform the emergency care provider to report your emergency treatment to VA’s Centralized Emergency Care Reporting Center as soon as possible after your treatment starts by:
Notification must be completed within 72 hours of the emergency room visit. VA payment authority for emergency care is normally limited to the point-of-stabilization only. VA authorization is required to engage in any additional treatment at community hospitals. Claims Claims for emergency medical care should be submitted to VA as soon as possible after care has been provided. The deadline for filing a claim depends on whether care was provided for a service-connected condition (2 years) or a nonservice-connected condition (90 days). For emergency care claims assistance Veterans can call the Community Care Call Center at: 877-881-7618. Billing and payment VA and VA’s third-party administrators make every effort to adjudicate claims quickly and accurately. If you are charged for emergency treatment received in the community and believe the charges should be covered by VA, VA’s Community Care Call Center is available to help: 877-881-7618. VA staff will explain your eligibility and determine whether the bill you received is appropriate. VA will also help resolve billing issues with the community provider. Eligibility To be eligible for the emergency care benefit, you must (1) be enrolled in the VA healthcare system, AND (2) have received care through VA, from either a VA or a community provider within the last 24 months. To check eligibility, call 844-MyVA311 (844) 698-2311 or contact your local medical facility. Print the Emergency Care Quick-Facts Card attached to this bulletin below for reference.
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