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Aug 1 12 12:28 AM
pvas1976 wrote:I recently got my SSDI and am wondering if i will need to get medicare since the VA covers my needs?
Medicare and Veterans’ Benefits
I have Medicare and Veterans’ benefits. Who pays first?
If you have or can get both Medicare and Veterans’ benefits, you can get treatment under either program. When you get health care, you must choose which benefits you are going to use. You must make this choice each time you see a doctor or get health care. Medicare can’t pay for the same service that was covered by Veterans’ benefits, and your Veterans’benefits can’t pay for the same service that was covered by Medicare.You don’t always have to go to a Department of Veterans Affairs (VA)hospital or to a doctor who works with the VA for the VA to pay for the service. To get the VA to pay for services you must go to a VA facility or have the VA authorize services in a non-VA facility.
Bob, a veteran, goes to a non-VA hospital for a service that is authorized by the VA. While at the non-VA hospital, Bob gets other non-VA authorized services that the VA refuses to pay for. Some of these services are Medicare-covered services. Medicare may pay for some of the non-VA authorized services that Bob got. Bob will have to pay for services not covered by Medicare or the VA.
Can Medicare help pay my VA co payment?
Sometimes. The VA charges a co payment to some veterans. The co payment is your share of the cost of your treatment and is based-on income. Medicare may be able to pay all or part of your co payment if you are billed for VA-authorized care by a doctor or hospital who isn’t part of the VA.
Aug 1 12 8:57 PM
Aug 1 12 9:26 PM
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Aug 2 12 11:11 AM
Aug 5 12 12:01 AM
I recently got my SSDI and am wondering if i will need to get medicare since the VA covers my needs?
Aug 5 12 9:38 AM
Aug 5 12 2:13 PM
The Old Medic wrote:
Unless you can guarantee that you will be taken to a VA Medical facility if you are in an accident; or that you will be taken to a VAMC if you have a heart attack or a stroke, then you would be VERY foolish to turn down Medicare Part B. You could easily be left with many thousands of dollars of debt, if something like that happened.Since you will have Medicare, VA won't pay a penny toward any hospital bill. The fact that you didn't have Part B would be YOUR fault, and the VA would not pay anything.It is a VERY cheap form of insurance, to take Part B.
In the case of medical emergencies, VA may reimburse or pay for emergency non-VA medical care not previously authorized that is provided to certain eligible Veterans when VA or other federal facilities are not feasibly available. This benefit may be dependent upon other conditions, such as notification to VA, the nature of treatment sought, the status of the Veteran, the presence of other health care insurance, and third party liability.
Because there are different regulatory requirements that may affect VA payment and Veteran liability for the cost of care, it is very important that the nearest VA medical facility to where emergency services are furnished be notified as soon as possible after emergency treatment is sought. If emergency inpatient services are required, VA will assist in transferring the Veteran to a Department facility, if available. Claim timely filing limitations apply.
For additional information, contact the nearest VA medical facility. Please note that reimbursement criteria for Veterans living or traveling outside the United States fall under VA’s Foreign Medical Program (FMP), and differ from the criteria for payment of emergency treatment received in the United States. Please refer to the section below VA’s Foreign Medical Program.
Aug 5 12 7:23 PM
USAF 1987-2007, 100% CRSC
VA Singular 100% P&T (with SMC-L 1/2 & K)
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Aug 16 12 8:38 PM
andyxoxo wrote:Also to chime in here, if you live overseas (as I do) and intend to stay overseas for the rest of your life then paying for Part B would be foolish since you can't use it overseas.
Aug 16 12 9:38 PM
Aug 17 12 2:54 AM
Even if you have a legitimate emergency and use a non-VA facility, then admitted to that hospital even though you contacted the VA within the prescribed time, the VA will not pay for the ER emergency. As stated, "may reimburse" with "MAY" being key prerequisite for an emergency only. A local veteran also 100% P and T was admitted for a heart issue. The ER doctor admiited him to the hospital indicating for medical purposes it was necessary. The veteran had no insurance and had 3 stens put in place. The bill was over 30K. The VA would not pay a dime. Now this veteran is about to lose everything he has because the hospital is suing him. Don't always assume the VA will pay for an emergency in a non-VA facility. Just because the rule states they "May reimburse" it is still up to the local VAMC Fee Base Unit to decide "yes or no."
Aug 17 12 8:20 AM
I have VA Healthcare and Medicare and I am luckily able to have a supplemental health insurance.Since October of 2011 I have been hospitalized four times. Twice in private hospitals and twice had surgery at the VA. This pluse numerous visits to both VA and Private doctors.I have not seen the first bill for either.....and I dare say the cost would have been way much more than the 99 bucks for Medicare per month plus the amount I pay for supplemental each month.Regretably had to have a semi-emergency trip to a private gastroenterologist yesterday (my first time seeing him) and I doubt that I will see any bill from that either. The cost of the Medicare Part B and the supplemental is well worth it to me.
Aug 17 12 12:41 PM
Aug 17 12 10:14 PM
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