What’s Covered

Healthcare Plan Coverage

What’s Covered

Wondering what is covered under your Healthcare plan?

Much like standard private healthcare plans, your Medical Benefits Package will offer inpatient and outpatient services including, but not limited to the following:

  • Outpatient and inpatient mental, medical, or surgical care, including that for substance abuse
  • Prescription drugs, over the counter drugs, medical supplies, or surgical supplies as prescribed by a VA physician
  • Immunizations
  • Physical examinations
  • Screening tests
  • Healthcare assessments
  • Health education programs
  • Emergency care within VA facilities
  • Dental care for those eligible
  • Bereavement counseling
  • Rehabilitative services
  • Mental health services for immediate family or legal guardians of a veteran, as well as professional counseling, training, or consultation
  • Medical equipment, prosthetics, orthotic devices, including hearing aids and eyeglasses
  • Reconstructive surgery to repair the results of trauma or a disease, but excluding non-medical cosmetic surgery
  • Respite care, palliative care, hospice
  • Pregnancy services and delivery services within the confines of the law. The law stipulates that VA medical centers can provide up to and including delivery services but not free services after delivery. Therefore, veterans must pay for all services provided after birth.

What’s not covered:

  • Abortions and abortion counseling
  • Cosmetic surgery except where determined by the VA to be medically necessary for reconstructive or psychiatric care
  • Drugs, biological, and medical devices not approved by the FDA unless the treating medical facility is conducting formal clinical trials
  • Gender alteration
  • Health club or spa membership
  • In vitro fertilization
  • Services not ordered and provided by licensed or accredited professionals
  • Special private-duty nursing
  • Hospital and outpatient care for a veteran who is a patient or inmate in an institution of another government agency if that agency is required to provide care or services
  • Emergency care in non-VA facilities, except as explained in the section “Emergency care in non-VA facilities” later in this chapter
  • Military sexual trauma counseling

You can receive counseling or treatment to help you overcome psychological trauma which results from sexual events taking place while on active duty. Such counseling can be found at VA vet centers and medical facilities. You will not be charged for services rendered for treatment of conditions related to sexual trauma in the military.

Bereavement Counseling

Veterans who are part of the VA healthcare program are given bereavement counseling as are their family members. Parents, spouses, and children of armed forces personnel who passed away in action are also given bereavement counseling. Family members of National Guardsmen and Reservists who die on duty are also offered these services. You can obtain said counseling at vet centers around the United States.

Assistance for Blind Veterans

There are blind services available for veterans.  Aid and services for blind veterans include:

  • A total health and benefits review by a VA visual impairment services team
  • Adjustment-to-blindness training
  • Home improvements and structural alterations to homes
  • Specially adapted housing and adaptations
  • Low-vision aids and training in their use
  • Electronic and mechanical aids for the blind, including adaptive computers and computer-assisted devices such as reading machines and electronic travel aids
  • Guide dogs, including the expense of training the veteran to use the dog and the cost of the dog’s medical care
  • Talking books, tapes, and Braille literature
  • Prosthetics and adaptive automobiles

If you are an enrolled Veteran receiving medical care you may also qualify for:

  • Crutches and canes
  • Wheelchairs
  • Orthopedic braces and shoes
  • Prosthetic appliances
  • Prosthetic equipment
  • Artificial limbs
  • Durable medical equipment

If you are in need of prosthetics due to a service-related disability or you were rated at 50% disabled by the VA you can get such items whether or not you are enrolled in a VA healthcare program.

You may receive adaptive automobile assistance from the VA if you have any of the following:

  • A service-connected loss or permanent loss of use of one or both hands or feet
  • A permanent impairment of vision of both eyes to a certain degree
  • Entitlement to VA disability compensation for ankylosis (immobility) of one or both knees or one or both hips

The VA will give you a one-time payment of up to $11,000 to buy a vehicle. They will also pay for adaptive equipment and the repair, replacement, or re-installation of such equipment due to a disability.

Understanding Your VA Dental Care

VA dental care may or may not be something you want to smile about, depending on your situation. It’s not available to all veterans enrolled in the VA healthcare system.

Source: https://www.va.gov/healthbenefits/assets/documents/publications/FS164-3.pdf

The VA provides necessary dental treatment for veterans who were not able to receive a dental examination and treatment within 90 days of discharge or separation from military service. Different criteria apply to the treatment of veterans who have dental disabilities resulting from either combat wounds or service-related injuries.

18 Comments
  • SANDY STERLING
    Posted at 05:30h, 06 May Reply

    Yes
    VA will either need your results from the sleep study or enroll you in a sleep study. VA supplies the C-pap machine if a sleep study reveals you have sleep apnea.

  • jamelle
    Posted at 03:56h, 24 December Reply

    will va cover a tummy tuck for an over weight dependent?

    • Jeff Wagner
      Posted at 13:34h, 31 January Reply

      Will the VA perform laskisor pork eye surgery?

  • Heather Bryant
    Posted at 16:40h, 21 September Reply

    Does the va cover the zephyr valve surgery?

  • John
    Posted at 17:38h, 14 September Reply

    Go to the eligibility office and they can help you and yes the VA will give you a sleep study you must be enrolled and have a primary care doctor

    • Mark Dudley
      Posted at 16:19h, 23 November Reply

      This is a good question. I emailed the main VA customer service reps and they told me that they were not able to answer my question. They instructed me to contact my nearest VA clinic/medical center. 🙁

  • ramona.linam@us.af.mil
    Posted at 18:41h, 17 July Reply

    Will the VA cover Lasik eye surgery?

    • Blake Widner
      Posted at 20:29h, 03 February Reply

      any word on this ?

  • Roger W. Baker
    Posted at 03:08h, 16 July Reply

    How do I apply for health benefits?

  • Jason Rozell
    Posted at 15:44h, 11 April Reply

    Burn

  • Sherie Zucker
    Posted at 14:02h, 11 March Reply

    My father was put into a nursing home with the intent of going into hospice. I am his daughter, and am not sure what can be covered or what isn’t.

    He had a heart attack and had a hospital stay of one week. From there we put him into a rehabilitation facility with the intent of going into hospice in the next few days if he doesn’t show any progress. He can’t feed himself, is incontinent and is extremely confused.

    The doctors have said his heart was severely damaged. He also is a diabetic with very unstable numbers.

    I’m not sure what to do next. If you could guide me, it would be greatly appreciated. He served in WWII in the army.

    Thank you,
    Sherie Zucker (daughter)

    • Matt Terry
      Posted at 19:09h, 23 April Reply

      Sherie,

      Contact the Veterans Affairs office nearest you for the answers you seek.

      -Matt

      • Reggie
        Posted at 06:10h, 11 August Reply

        Great advice, Matt, given the superb level of care administered by the VA to veterans since its inception. – Said no one, ever.

  • John B. Giles
    Posted at 11:49h, 09 October Reply

    I was recently released from a civilian hospital after being taken there by a local e-squad. Upon my release I was given 2 prescriptions . I called my local VA and was told to take them to them and it would take 3 weeks to get them to just pay for them myself. The closest VA hospital is about 40 miles away.

  • Don Skelton
    Posted at 22:02h, 16 June Reply

    I have been told by a sleep study dorctor that I need a C-PAP to help me breath at night. Would VA be able to help me purchase this machine?

  • jeffrey bluto
    Posted at 19:17h, 12 December Reply

    can I keep using my primary care physician?

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