tdiu Dental Iu Question

[cowgirl]

I am looking around for dental information on how IU p&t vets are provided for. For instance, can a vet tdiu p&t get non-va dental care? Also, will or would the VA reimburse for dental care copayments to the claim effective date? Getting copay (a few hundred) reimbursed would be good since my iu was backdated a few years.

Thanks anyone for feedback, and hope this helps someone else too,

Your Hadit Cowgirl

[Commander Bob]

I am looking around for dental information on how IU p&t vets are provided for. For instance, can a vet tdiu p&t get non-va dental care? Also, will or would the VA reimburse for dental care copayments to the claim effective date? Getting copay (a few hundred) reimbursed would be good since my iu was backdated a few years.

Thanks anyone for feedback, and hope this helps someone else too,

Your Hadit Cowgirl

Yes, as you know IU vets qualify for dental treatment.

How far away do you live from the nearest VAMC dental clinic? You need to make appointment to be seen at the clinic. I don't know about reimbursement??? Also check out this new program.

http://www4.va.gov/hac/hero/

Edited February 21, 2010 by Commander Bob

[JON]

I have used VA dental in Nevada and Washington state. First call your local eligibilty office at the nearest VAMC and get signed up. Then you can request an appointment at the VAMC dental. They wouldn't reimburse me for previous dental work. Ask about fee basis dental care. If they have the funds, they will examine you then refer you to a dentist in your area to do the work. Nevada VA dental even does implants!Arizona VA dental told me it would be 2 months to get in for a cracked tooth! Remember travel for your appointments. Good Luck.

[Jayg]

I have used VA dental in Nevada and Washington state. First call your local eligibilty office at the nearest VAMC and get signed up. Then you can request an appointment at the VAMC dental. They wouldn't reimburse me for previous dental work. Ask about fee basis dental care. If they have the funds, they will examine you then refer you to a dentist in your area to do the work. Nevada VA dental even does implants!Arizona VA dental told me it would be 2 months to get in for a cracked tooth! Remember travel for your appointments. Good Luck.

I just recently got IU but, I had no recent visits to try to file so I can't tell you about that part. But my teeth are shot. I was examined at VA where they determined I need total extraction and that it'll require surgery. They sent me close to home to a fee base surgeon who will do the extractions. I will report back to VAMC for fitting & manufacture of dentures. The dental surgeon said Dallas will go implants but not so much from Shreveport... where I go. I'll have to look into that...

This is my limited experience anyway.

[Pete53]

Implants are hard to get in Dallas

[Stretch]

The VA dental in Fayetteville Arkansas, is the greatest (Stonebridge clinic). I will go as far as to say that I have been to many dentist, but this dental care is by far the best I have ever seen.

I did have other dental work done over the years, but I didn't seek reimbursement.

I don't know if and doubt that there is fee-basis for SC dental care. The patients advocate can tell you, or at least give you direction.

[Wings]

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See attached Pdf (below). ~Wings

[Federal Register: February 18, 2010 (Volume 75, Number 32)]

[Proposed Rules]

[Page 7218-7227]

From the Federal Register Online via GPO Access [wais.access.gpo.gov]

[DOCID:fr18fe10-7]

=======================================================================

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DEPARTMENT OF VETERANS AFFAIRS

38 CFR Part 17

RIN 2900-AN37

Payment for Inpatient and Outpatient Health Care Professional

Services at Non-Departmental Facilities and Other Medical Charges

Associated With Non-VA Outpatient Care

AGENCY: Department of Veterans Affairs.

ACTION: Proposed rule.

-----------------------------------------------------------------------

SUMMARY: This document proposes to update the Department of Veterans

Affairs (VA) medical regulations concerning the payment methodology

used to calculate VA payments for inpatient and outpatient health care

professional services and other medical services associated with non-VA

outpatient care.

DATES: Comments must be received on or before April 19, 2010.

ADDRESSES: Written comments may be submitted by email through http://

www.regulations.gov; by mail or hand-delivery to Director, Regulations

Management (00REG1), Department of Veterans Affairs, 810 Vermont Ave.,

NW., Room 1068, Washington, DC 20420; or by fax to (202) 273-9026.

Comments should indicate that they are submitted in response to ``RIN

2900-AN37--Payment for Inpatient and Outpatient Health Care

Professional Services at Non-Departmental Facilities and Other Medical

Charges Associated with Non-VA Outpatient Care.'' Copies of comments

received will be available for public inspection in the Office of

Regulation Policy and Management, Room 1063B, between the hours of 8

a.m. and 4:30 p.m. Monday through Friday (except holidays). Please call

(202) 461-4902 for an appointment. In addition, during the comment

period, comments may be viewed online through the Federal Docket

Management System (FDMS) at http://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Joseph C. Enderle, Jr., National Fee

Program Manager, Department of Veterans Affairs, P.O. Box 469066,

Denver, CO 80246-9066, telephone (303) 370-5088. (This is not a toll-

free number.)

SUPPLEMENTARY INFORMATION: Under 38 U.S.C. 1703(a), ``[w]hen [VA]

facilities are not capable of furnishing economical hospital care or

medical services because of geographical inaccessibility or are not

capable of furnishing the care or services required, the Secretary, as

authorized in [38 U.S.C. 1710], may contract with non-[VA] facilities in order to

furnish'' certain hospital care and medical services to veterans who

qualify under 38 U.S.C. 1703. VA implemented this authority in 38 CFR

17.52.

Also, under 38 U.S.C. 1728, VA shall authorize payment for

emergency care in a non-VA facility in limited situations primarily

where the care is needed for the treatment of a service-connected

disability or related conditions aggravating a service connected

disability. Under that authority, as implemented in 38 CFR 17.120, VA

reimburses either the veteran who made payments for hospital care or

medical services, the person or organization making such expenditure on

behalf of such veteran, or the hospital or other health facility

furnishing the care or services if such care or services were provided

in a medical emergency and VA or other Federal facilities were not

feasibly available, and an attempt to use them beforehand would not be

reasonable.

Payment methodology for health care professional services

associated with outpatient and inpatient care that are payable under

either 38 U.S.C. 1703 or 1728 is currently set forth in 38 CFR 17.56.

payment_at_non_department_facilities.pdf