VA MEDICAL BENEFITS PACKAGE


The VA has created a standard enhanced health benefits plan for all enrolled veterans, called the Medical Benefits Package. Like other standard health care plans, the Medical Benefits Package emphasizes preventive and primary care, offering a full range of outpatient and inpatient services. To receive health care under this program, most veterans must first be enrolled in VA health care.


Enrollment: To receive health care under the new program, most veterans must first be enrolled. You can apply for enrollment at any VA health care facility or veterans benefit office at any time, in any year.


Services: Enrollment means you are eligible for a comprehensive Medical Benefits Package of outpatient and inpatient services. Enrollment gives you access to a uniform level of care anywhere in the VA health care system. Veterans get a comprehensive health care package that is completely portable across the entire VA system. These services include:

  • Preventive services, including immunizations, screening tests, and health education and training classes
  • Primary health care
  • Diagnosis and treatment
  • Surgery, including outpatient surgery
  • Mental health and substance abuse treatment
  • Home health care
  • Respite, hospice care and palliative care
  • Urgent and limited emergency care services in VA facilities
  • Drugs and pharmaceuticals (as long as they are prescribed by a physician employed by or under contract with VA. Some veterans will be required to make a co-payment for prescriptions).

Keep your current insurance coverage: VA encourages you to retain any current health care coverage you may already have. Veterans with private health insurance or with federally funded insurance (DOD, Medicare or Medicaid) may choose to use these sources of health care coverage as a supplement to their VA coverage. VA care depends primarily on congressional appropriations. Enrolled veterans do not pay premiums.


Selecting a VA Health Care Facility: A veteran may select a preferred facility for receiving primary care after they complete the enrollment process. A preferred facility is any VA location of care, for example, a VA Medical Center or Community-Based Outpatient Clinic, which you identify as the facility at which you wish your primary care to be delivered. If for any reason a selected facility is unable to provide the health care needed by an enrolled veteran, that facility will make arrangements for referral to another VA facility – or with one of VA’s private sector affiliates – to provide the required care.


Special Programs: Enrolled veterans may be eligible for services not included in the Medical Benefits Package. These services still require specific eligibility criteria and may not be available to all veterans. You must still qualify for them on a case-by-case basis. These services include:

  • Limited nursing home care
  • Limited domiciliary care
  • Limited non-VA hospitalization or health care services
  • Limited dental care
  • Readjustment counseling
  • Adult day health care
  • Homeless programs
  • Sexual trauma counseling

Veterans Choice Program: Beginning November 5, 2014 the VA implemented the new VA Choice Program for eligible veterans that desire to see a non-VA health care provider rather than wait for a VA appointment or traveling a significant distance to a VA facility.

For more information regarding this new program please check the following website: http://www.va.gov/opa/choiceact/ or call (866) 606-8198


Additional Information on VA Healthcare Benefits:

For more information on the Uniform Benefits Package, priority groups or the application for enrollment process, call the VA Health Benefits Service Center toll-free number:


1-877-222-VETS (1-877-222-8387)


Or access information on the Internet at:
http://www.va.gov/healthbenefits

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