Jump to content
Using an Ad Blocker? Consider adding HadIt.com as an exception. Hadit.com is funded through advertising, ad free memberships, contributions and out of pocket. ×
  • 0

Dental Emergency


Cavman
This thread is over 365 days old and has been closed.

Please post your question as a New Topic by clicking this link and choosing which forum to post in.

For almost everything you are going to want to post in VA Claims Research.

If this is your first time posting. Take a moment and read our Guidelines. It will inform you of what is and isn't acceptable and tips on getting your questions answered. 

 

Remember, everyone who comes here is a volunteer. At one point, they went to the forums looking for information. They liked it here and decided to stay and help other veterans. They share their personal experience, providing links to the law and reference materials and support because working on your claim can be exhausting and beyond frustrating. 

 

This thread may still provide value to you and is worth at least skimming through the responses to see if any of them answer your question. Knowledge Is Power, and there is a lot of knowledge in older threads.

 

spacer.png

Question

I had to recently pay $1000.00 for a root canal at the U of Mi Hospital. I still owe $300.00. Can I get reimbursed for any of that cost? I go to the VA now for my dental.

Cavman

Edited by Cavman
Link to comment
Share on other sites

  • Answers 7
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

Recommended Posts

  • Moderator

Write a letter to request it.

If you were within the donut hole between the effective date and the decision, Maybe you can do it.

J

Link to comment
Share on other sites

  • HadIt.com Elder

x

x

x

VA Payment for Emergency Care Provided by a Community Hospital http://www.visn2.va.gov/vet/vsc/emergcare.asp

We encourage you to call your VA medical center first for care.

However, if you should need emergency care for a medical or mental health condition and there is no VA medical center close to you - call 911 or go to the nearest community hospital that has an emergency room.

When you are admitted to a community hospital for emergency care a family, friend or hospital staff needs to contact VA within 72 hours of your admission to provide VA information about your emergency care.

In limited circumstances, VA may authorize payment for care provided in a non-VA facility.

VA policy states that payment for outpatient and inpatient emergency care services provided by a community hospital may be paid if the following criteria are met:

The emergency treatment was for a Service-Connected (SC) disability or

The emergency treatment was for a Non- Service Connected (NSC) disability and you have no other health care insurance coverage (Millennium Health Care and Benefits Act) and

Treatment was for an emergent condition and

A VA facility was not available to you and

The claim is filed timely and

All VA forms are completed, signed and returned to VA upon request

*VA's Millennium Health Care and Benefi ts Act provides a safety net to veterans enrolled in VA health care for emergency care for a non Service Connected condition and who have no other means of health insurance coverage for the emergency services provided.

Emergency care provided outside the United States may be paid by VA if the emergency care is related to a service-connected condition.

For more information on care provided by a community emergency room call the Network 2 Fee Processing Center at 1-800-396-7929 or visit www.va.gov/hac/hacmain.asp

For more information on care outside the United States contact VA Health Administration Center at (877) 345-8179 or go to www.va.gov/hac/hacmain/.asp

Link to comment
Share on other sites

I think that outside of any emergency situation this is the hill you will have to climb as it is a requirement of Title 38 (not CFR 38):

(<_< In a medical emergency. Care and services not previously authorized were rendered in a medical emergency of such nature that delay would have been hazardous to life or health, and

Check out Title 38 section 17:120 and see if it helps you.

Link to comment
Share on other sites

  • HadIt.com Elder

The chance is slim but you should try.

Link to comment
Share on other sites

  • HadIt.com Elder

John

If you were in the dounut hole you can get the VA to pay for dental care. I did it. It took 6 months for them to pay but they paid most of it. If you had a severe toothacke on a day when no VA dentist was available and you had to use your own doctor to fix a tooth you should be able to get reimbursement. You would have to try to get VA care first if you are eligible. You would need to get a statement from the dentist saying your care was an emergency. The VA will try not to pay and may insist on records from the dentist to prove emergency or to even show you had care if you are in the dougnut hole.

The situation I am in now is that the VA refused to do an implant and I got my own dentist to do it. Can I get these jerks to pay since the VA claims it was not a medical necessity.

Link to comment
Share on other sites

  • In Memoriam

I was not service connected and went to VA dental, in Los Angeles, about 5 years ago. I told VA dental that I had pain; then the VA dental found the problem doing a root-canal.

I have never been turned down by VA dental in a dental emergency.

Even after I moved to Arkansas, before my service connection about 2 years ago, the VA dental fixed a tooth that had cracked down the middle causing pain. While I was there they fixed 3 other teeth in the same sitting.

This could make it hard to recomp expenses.

There seems to be a world of difference between VAMC and VA dental department, every where that I have gone to.

Link to comment
Share on other sites

  • veterans-crisis-line.jpg
    The Veterans Crisis Line can help even if you’re not enrolled in VA benefits or health care.

    CHAT NOW

  • Advertisemnt

  • question-001.jpegLooking for Answers? Here are tips for finding the answers you seek.

     

    All VA Claims questions should be posted on our forums. To post, you must register. Registration is free. You can register for a free account here.

     

    You can read the forums without registering.

     

    Tips on posting on the forums.
     

    1. Post a clear title like ‘Need help preparing PTSD claim’ or “VA med center won’t schedule my surgery” instead of ‘I have a question.
    2. Knowledgeable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title. I don’t read all posts every login and will gravitate towards those I have more info on.
    3. Use paragraphs instead of one massive, rambling introduction or story. Again – You want to make it easy for others to help. If your question is buried in a monster paragraph, there are fewer who will investigate to dig it out.

     

    Leading to:

     

    Post straightforward questions and then post background information.

     

    Examples:
     
    • A. I was previously denied for apnea – Should I refile a claim?
      • Adding Background information in your post will help members understand what information you are looking for so they can assist you in finding it.
    • I was diagnosed with apnea in service and received a CPAP machine, but the claim was denied in 2008. Should I refile?
       
    • B. I may have PTSD- how can I be sure?
      • See how the details below give us a better understanding of what you’re claiming.
        • I was involved in a traumatic incident on base in 1974 and have had nightmares ever since, but I did not go to mental health while enlisted. How can I get help?

     

    This gives members a starting point to ask clarifying questions like “Can you post the Reasons for Denial from your claim?” etc.

     

    Note:

     

    • Your first posts on the board may be delayed before they appear as they are reviewed.
    • This process does not take long.
    • Your first posts on the board may be delayed before they appear as they are reviewed. The review requirement will usually be removed by the 6th post. However, we reserve the right to keep anyone on moderator preview.
    • This process allows us to remove spam and other junk posts before hitting the board. We want to keep the focus on VA Claims, and this helps us do that.
  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • VA Watchdog

  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

×
×
  • Create New...

Important Information

{terms] and Guidelines

<——>