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Dec 22 10 9:57 AM
Sorry to make light of a horrific situation. I'm serious.
If you really believe your gall bladder is going to burst, or if you're in severe pain (more severe than yesterday) then you ought to call 911 and let them decide what to do with you. Don't be shy. If they want to take you to the nearest ER, go for it.
If you're still reading this, you probably want more details:. I could never second-guess what your VA is going to say or do, so I'll just spell out exactly what I know for sure applies in this situation.
A P&T vet having an ACUTE gall bladder attack needs to call 911 and go to whichever ER they take you. If anyone at Fee Basis were ever to deny a P&T vet's bills when the vet believes he's having an emergency, I'd fight it publicly, and win.
But I think you're concerned because your pain has lasted for weeks, and so is not acute.
If I were you, I'd weigh these options.
a) Call 911. When they put you into their wagon, that is evidence that a medical professional has determined that you need to go to an ER. They will, by law, take you to the nearest facility that is most appropriate for your condition. Tell everyone you're a vet and tell them to bill the VAMC in OKC. Next day, call the VA and tell them where you are, why, and how you got there. (P&T vet with Tricare/Medicare A only/No insurance/MC A&B takes ambulance to Valley View Hospital for Abdominal Pain.) If you're admitted inpatient, tell the social worker/discharge planner on your ward to coordinate with the VA Care Management Team within 48 hours to see if VA wants to transfer you or not. Then relax and let them do their jobs.
b) Walk in to the nearest VA clinic first thing in the morning and don't leave without being seen by a VA doctor. If the doc thinks you're having an emergency, they'll call an ambulance for you. Don't offer to drive to save a few bucks--when the VA calls the ambulance to their clinic, that's called a CLINIC REFERRAL, and it is always paid for without question. If you can't get past the nurse, ask to see the Team Leader. Then call the Chief of Staff, Mark Huycke, MD at (405) 456-3306 or the Associate Director Anne Kreutzer, at (405) 456-3303.
c) Call the OKC VAMC at 405-456-1000 now and ask the telecare nurse to leave an urgent message for your doctor. Then call back at 0800 and get the first available appointment with any doctor at all.
Dec 22 10 10:39 PM
Dec 27 10 2:12 PM
Jan 10 11 1:34 PM
Stash42, when you're traveling away from your home VA's service area, you can access VA healthcare, and you can even have Fee Based Purchased Care in up to three different VA jurisdictions.
This is useful for long-haul truck drivers and vets with seasonal second homes. Many Florida/New Jersey snowbirds are registered at two VA's, and they call ahead to ensure they'll have authorizations for Fee Based dialysis when they arrive.
Here's a point to remember: Although your home VA can issue you authorizations for non-emergency care anywhere you go, it's different for emergencies. When you go to a non-VA ER, the nearest VA Facility of Jurisdiction runs that show. The hospital will send notification to the nearest VAMC for approval, and that's the VA that will pay the bills. (Since you're probably not in that VAMC's database, you will need to be registered so that VAMC can pay the bill.)
Although P&T vets aren't required to be enrolled in the VHA system prior to an emergency, it helps to smooth the process of paying the bills.
Just be sure it's really an emergency.
When you're P&T, or receiving Homebound/Aid & Allowance, or if you're 50% SC or more, you don't have to use your Medicare if you don't want to. But you must contact the nearest VA within 72 hours of arriving at the ER.
If you forget your meds, your home VAMC can still help out. Locate a big national chain pharmacy, and ask them to fax a request to your home VA. The bigger chains can take prescriptions from most states. Remember that your VA doc is probably only licensed in one state, so pick a chain that can accept scrips from that state.=============================Thanks VABA,I do travel and into another jurisdiction other than the one here in East Tn.. where 100% of all medical care is done being P&T , including outsourceing to private medical, dental, eye clinics etc.. While in the Carolinas, I would be closest to Charleston, SC VAMC and so I got this email from the civilian med. center in Myrtle Beach where I go alot.=========================== >If you are 100% total disabled from the VA they you can use this facility in an emergency. There is a VA clinic in Myrtle Beach on "the old Air Force base" which is now Market Commons. To verify the VA benefits we would contact the VA in Charleston. We would also need to know the office/clinic/hospital that you normally use.Jude A. DunnGrand Strand Reg Med Ctr843-692-1730 ------------------------- >As you explained, If I were in this area a couple times a year, would I need to "register" with the Charleston and/or Columbia, SC VAMCs? This is a very good thread, my bottom line is, if necessary, I will call e911 and as you say, tell them/show your va id and get care no matter where. worry about money later, life can be a one time thing.
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To qualify, you must meet all of
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Starliteman wrote:Man I do appreciate your guidance on this matter. The effective date on Atrial Tachyardia secondary to PTSD @ 30% is 2-11-2010
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