By law, VA provides care to the extent at which the system allows it to do so. Only under circumstances in which a service is not available through the VA, an official can authorize a veteran to receive treatment from a private facility at VA expense. Only under the following circumstances will the VA pay for primary medical services that were not authorized: The care was given due to a medical emergency The VA was unable to provide the services physically or you were unable to travel to one of the VA facilities due to ill health. Treatment was given for an adjudicated service-connected disability, or a non-service connected disability linked to a worsening service-connected disability, or for any situation for a permanently disabled service-connected veteran. Unless it is one of these three conditions, VA will not be responsible for the reimbursement of any private health care.