Idaho Public Health Plan for Veterans - VA Health Care

VA Health Care

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Zip Code83709
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Program Details

What is VA Health Care?

VA provides world-class health care to eligible Veterans. The Veterans Health Administration is America's largest integrated health care system, with more than 1,700 sites of care, and it is consistently ranked among the nation's top health care providers.

Who is it for?

Veterans

Who is Eligible?

  • Veterans must have served in the active military, naval, or air service and separated under any conditions other than dishonorable.
  • Most Veterans who enlisted after Sept. 7, 1980, or who entered active duty after Oct. 16, 1981, must have served 24 continuous months or the full period for which they were called to active duty. This includes current and former members of the Reserve or National Guard called to active duty by a federal order.
Reserves or National Guard members with active duty for training purposes only do not meet the basic eligibility requirement.

What is Covered?

Your comprehensive VA Health Benefits includes all the necessary inpatient hospital care and outpatient services to promote, preserve, or restore your health. VHA medical facilities provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy.
In addition, most of our medical facilities offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

How much is it?

$0 and share of cost and co-pays depending on income level.

How to Apply?

  • Online: When applying online at www.1010ez.med.VA.gov/, Veterans simply fill out the application andelectronically submit it to VA for processing. There is no need to submit additional documents with yourapplication to verify your military service. VA will search for your supporting military information throughits electronic information systems and will contact you if it is unable to locate your information. For helpfilling out the application, call 1-877-222-VETS (8387) Monday - Friday between 8 a.m. and 8 p.m. ET.
  • By Mail: The application form can be downloaded from www.va.gov/healthbenefits/enroll. Mail the completed form to: Health Eligibility Center, Enrollment Eligibility Division, 2957 Clairmont Road Suite 200Atlanta, GA 30329-1647
  • By Phone: If you prefer to complete the application over the phone or have a paper copy mailed to you, call 1-877-222-VETS (8387) Monday - Friday between 8 a.m. and 8 p.m. ET.
  • In Person: You can apply at any VA health care facility.

Where can I find more information?

Call VA Health Benefits toll-free help line at 1-877-222-VETS (8387) Monday through Friday between 8 a.m. and 8 p.m. ET. Information is also available at www.va.gov/healthbenefits.

How can I verify my enrollment?

Once your enrollment is confirmed, you will receive a Veterans Health Benefits Handbook from us notifying you of the status of your enrollment. You may also call us toll free to verify your enrollment at 1-877-222- VETS (8387) Monday – Friday between 8 a.m. and 8 p.m. ET.

If enrolled, must I use VA as my exclusive health care provider?

There is no requirement that VA become your exclusive provider of care. If you are a Veteran who is receiving care from both VA and a local provider, it is important for your health and safety that your care is coordinated, resulting in one treatment plan (co-managed care).

I am moving to another state. How do I transfer my care to a new VA health care facility

If you want to transfer your care from one VA health care facility to another, contact your PACT. Your PACT will work with the Traveling Veteran Coordinator for assistance in transferring your care and establishing an appointment at the new facility.

How do I choose a preferred facility? How do I change my preferred facility?

When you apply for enrollment, you will be asked to choose a preferred VA facility. This will be the VA facility where you will receive your primary care. You may select any VA facility that is convenient for you.
If the facility you choose cannot provide the health care that you need, VA will make other arrangements for your care based on administrative eligibility and medical necessity. If you do not choose a preferred facility, VA will choose the facility that is closest to your home. You may change your preferred facility at any time.

Can I cancel my VA health care coverage?

You may request to dis-enroll from VA health care, commonly referred to as cancel/decline, at any time. To request to be dis-enrolled, you must submit a signed and dated document requesting to be dis-enrolled from VA health care to a VA Medical Center or you may mail the request to:
Health Eligibility Center
Enrollment & Eligibility Division
2957 Clairmont Road, Suite 200
Atlanta, GA 30329-1647},

Where can I find the new income limits?

Because VA income limits may change each year, they are not published in this booklet; however, the income limit tables can be viewed online at www.va.gov/healthbenefits/cost.

What is a geographic income limit?

Recognizing the cost of living can vary significantly from one geographic area to another, Congress added income limits based on geographic locations to the existing VA income limits for financial assessment purposes. Veterans whose income falls between the VA income limit and the geographic income limit for the Veteran’s locale will have their inpatient medical care copayments reduced by 80%.
Geographic income limits can be found at http://nationalincomelimits.vaftl.us.

How do I choose a preferred facility? How do I change my preferred facility?

When you apply for enrollment, you will be asked to choose a preferred VA facility. This will be the VA facility where you will receive your primary care. You may select any VA facility that is convenient for you. If the facility you choose cannot provide the health care that you need, VA will make other arrangements for your care, based on administrative eligibility and medical necessity. If you do not choose a preferred facility, VA will choose the facility that is closest to your home. You may change your preferred facility at anytime.

Can I cancel my VA health care coverage?

You may request to disenroll from VA health care, commonly referred to as cancel/decline, at any time. To request to be disenrolled, you must submit a signed and dated document requesting to be disenrolled from VA health care to a VA Medical Center or you may mail the request to: Health Eligibility Center, Enrollment & Eligibility Division, 2957 Clairmont Road, Suite 200, Atlanta, GA 30329-1647
If you decide to cancel your VA health care coverage, please note this may impact your health care coverage requirements under the Affordable Care Act if you do not have other qualifying health care.
You may reapply for enrollment at any time by completing a new VA Form 10-10EZ, Application for Health Benefits online at www.va.gov/healthbenefits/enroll, by calling toll free 1-877-222-VETS (8387) or by visiting your local VA health care facility. Please note that you will be considered a new applicant and eligibility for enrollment will be based upon eligibility requirements in place at that time.

What happens if, at the end of the process, my income is verified to be higher than the income limits?

Your copay status will be changed from copay exempt to copay required, which may result in disenrollment due to enrollment restrictions for Veterans whose income exceeds the income limits. VA facilities involved in your care will be notified of your change in status and to initiate billing for services provided during that income year. Your enrollment priority status may be changed if your financial status is adjusted by the income verification (IV) process. If your enrollment status is changed, you will be notified by mail.

Does VA have access to my income tax return?

No, VA does not have access to your tax return. The IRS and the SSA share earned and unearned income data reported by employers and financial institutions.

I am a recently discharged combat Veteran. Must I pay VA copayments?

Veterans who qualify under this special eligibility are not subject to copayments for conditions potentially related to their combat service; however, unless otherwise exempted, Combat Veterans must either disclose their prior year gross household income OR decline to provide their financial information and agree to make applicable copayments for care or services VA determines are clearly unrelated to their military service.
If the services are provided for the treatment of a condition that may be potentially related to your military service in a theater of combat operations, you will not be charged any copayments.

What is a VA service-connected rating and how do I establish one?

A service-connected rating is an official ruling by VA that your illness or condition is directly related to your active military service. To obtain more information or to apply for any of these benefits, contact your nearest VA Regional Office at 1-800-827-1000, or visit us online at www.ebenefits.va.gov or www.va.gov.

If I am enrolled in VA health care, do I meet the requirements for health care coverage?

Yes. If you are enrolled in any of VA's programs below, you have coverage under the standards of the health care law:

  • Veteran's health care program
  • CHAMPVA
  • Spina Bifida Health Care Benefits Program

When do I begin declaring health care coverage to IRS?

Starting in 2015, U.S. taxpayers will need to declare that they have health coverage on their federal tax forms. IRS does not require any specific forms to report health coverage in 2015.

When will VA begin notifying the IRS of a Veteran's enrollment in the VA health care system?

Starting in 2016, VA will send the IRS, Veterans and eligible beneficiaries forms that provide details of the health coverage provided by VA. These forms are to be used for the income tax process. In 2015, no forms are needed to complete the income tax process.

What is a PACT?

A Patient Aligned Care Team (PACT) is each Veteran working together with health care professionals to plan for the whole-person care and life-long health and wellness. They focus on:

  • Partnerships with Veterans
  • Access to care using diverse methods
  • Coordinated care among team members
  • Team-based care with Veterans as the center of their PACT

How does a PACT function?

A PACT uses a team-based approach. You are the center of the care team that also includes your family members, caregivers and your health care professionals ?C primary care provider, nurse care manager, clinical associate and administrative clerk. When other services are needed to meet your goals and needs, another care team may be called in. For more information, visit www.va.gov/health/services/primarycare/pact/.

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  • Phone Number
    (208) 322-7061
  • Office Locations
    12400 W OVERLAND RD
    BOISE, ID 83709
12400 W OVERLAND RD BOISE ID, 83709

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