Vet Affairs Revises Regulations on Reimbursement for Emergency Treatment of Veteran
January 10, 2018, 03:43:00 PM
USA — This day the U.S. Department of Veteran Affairs (VA.Gov) announced that it has, through a Federal Register notice, revised its regulations concerning payment or reimbursement for emergency treatment for non-service connected conditions at non-VA facilities.
Government Veterans Affairs will begin processing claims for reimbursement of reasonable costs that were only partially paid by the Veteran’s other health insurance (OHI). Those costs may include hospital charges, professional fees and emergency transportation, such as ambulances.
Effective Jan. 9, Veterans Affairs updated a portion of its regulations in response to an April 2016 U.S. Court of Appeals for Veteran Claims decision that stated US Vets Affairs could no longer deny reimbursement when OHI pays a portion of the treatment expenses.
VA will apply the updated regulations to claims pending with Veteran Affairs on or after April 8, 2016, and to new claims. By law, US Veterans Affairs still may not reimburse US Vets for the costs of copayments, cost shares and deductibles required by their OHI.
VA will work directly with community providers to get additional information needed to review and process these claims. Previous claims do not have to be resubmitted unless requested by Veterans Affairs.
- ^ Printable Version (www.va.gov)
- ^ link to viewer software Web site (www.va.gov)
- ^ notice (www.gpo.gov)
- ^ found here (www.va.gov)
- ^ decision (www.nvlsp.org)
- ^ here (www.va.gov)
- ^ US Vets Affairs Office of Public Affairs Distribution List (www.va.gov)
- ^ Return to Vets Affairs News Releases Home Page (www.va.gov)
News Source: https://www.va.gov/opa/pressrel/PressArtInternet.cfm?id=3996