Jump to content

Ask Your VA Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
Search | View All Forums | Donate | Blogs | New Users | Rules 

  • tbirds-va-claims-struggle (1).png

  • 01-2024-stay-online-donate-banner.png

     

  • 0

Approved Fee Basis For Dental

Rate this question


#1Cavtrooper

Question

I called the Dental Clinic in Houston on Friday and spoke with a very nice lady and requested Fee Basis for my Dental. It was later in the day about 4 p.m. when I called. To my amazement this same lady called not only called my home telephone number, but also my cell today (before noon) to let me know that I was approved for this. She even apologized for not calling me back on Friday! I am very pleased with the outcome for it saves me driving 116 miles to spend 1 hour in the dentist's chair and then make the return trip home. The long trip aggravates three of my service connected disabilities... Back, Cervical Spine and especially my PTSD (with the traffic and people causing me a lot of anxiety). To sum it up, Houston (the Varo and the Hospital) has treated me really good. If your service connected disabilities are aggravated by a long commute such as this I would suggest requesting Fee Basis. Now I will be able to use my local Dentist and not have to commute a little over 5 hours round trip.

Edited by #1Cavtrooper

Why arrive at the grave relatively unscaithed, rather than to skid in sideways yelling "Holy Crap! What a Ride!"

Link to comment
Share on other sites

  • Answers 29
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

  • 0
  • HadIt.com Elder

How about vision care via Fee Base? My VA found only one eye doctor in my county that would accept VA Fee Base. What is wrong with this picture......Low reimbursement rate/paperwork? VA refuses to do cataract surgery for me and gives me glasses that don't fit and are an inch thick. I have to use Medicare. This is unacceptable.

Link to comment
Share on other sites

  • 0

justrluk,

Thanks for the info. I am pleasantly surprised at the number of dentists in my area. My private dentist is not on the list but another dentist in practice with him is on the list.

So far I have never used VA dental so I am not familiar with how to go about getting approval to use the dentists on the list. Should I just call the dental clinic at the VAMC and request approval?

Thanks again for the list.

Georgiapapa.

Link to comment
Share on other sites

  • 0
  • HadIt.com Elder

Just watch out that the dentist from the list does not want to do unnecessary work on your mouth. They look in your mouth and see a small gold mine if VA is going to pay. My new VA approved dentist proposed a crown, deep cleaning, and some other work. I agree with most of it. The VA never suggested any of that work. The actual VA dentist did a filing on a root canal instead of a crown. I still have private dentist of my own who did three implants for me. That is $15,000. VA would not do it.

Link to comment
Share on other sites

  • 0

John,

Since a dentist on the VA fee base list is in practice with my personal dentist, I am going to talk to the insurance lady at my dentist's office and find out why one dentist is on VA list and one is not. I currently have the GEHA high option federal dental plan which is good but as you know it will only pay 50% on crowns and bridges. I would like to use the VA fee base to cover my 50% copay I have to pay in the future. Hopefully, I will not need any more crowns and bridges. I have had 3 bridges about ten years ago and paid about $4000.00 out of pocket. I want to avoid future dental copays if possible.

Does the VA have to give advance approval for any dental work performed by the fee base dentists?

Link to comment
Share on other sites

  • 0

I had to go in but it was my first visit. I'll see what happens, but as I understand once the agreement/treatment plan is submitted, the VA takes it from there. The dentist can also recommend cleanings every six months (v. yearly).

Limbo is status quo for the VARO.

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • spazbototto earned a badge
      Week One Done
    • Paul Gretza earned a badge
      Week One Done
    • Troy Spurlock went up a rank
      Community Regular
    • KMac1181 earned a badge
      Week One Done
    • jERRYMCK earned a badge
      Week One Done
  • Our picks

    • These decisions have made a big impact on how VA disability claims are handled, giving veterans more chances to get benefits and clearing up important issues.

      Service Connection

      Frost v. Shulkin (2017)
      This case established that for secondary service connection claims, the primary service-connected disability does not need to be service-connected or diagnosed at the time the secondary condition is incurred 1. This allows veterans to potentially receive secondary service connection for conditions that developed before their primary condition was officially service-connected. 

      Saunders v. Wilkie (2018)
      The Federal Circuit ruled that pain alone, without an accompanying diagnosed condition, can constitute a disability for VA compensation purposes if it results in functional impairment 1. This overturned previous precedent that required an underlying pathology for pain to be considered a disability.

      Effective Dates

      Martinez v. McDonough (2023)
      This case dealt with the denial of an earlier effective date for a total disability rating based on individual unemployability (TDIU) 2. It addressed issues around the validity of appeal withdrawals and the consideration of cognitive impairment in such decisions.

      Rating Issues

      Continue Reading on HadIt.com
      • 0 replies
    • I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful.  We decided I should submit a few new claims which we did.  He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims.  He said that the VA now has entire military medical record on file and would find the record(s) in their own file.  It seemed odd to me as my service dates back to  1981 and spans 34 years through my retirement in 2015.  It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me.  He didn't want my copies.  Anyone have any information on this.  Much thanks in advance.  
      • 4 replies
    • Caluza Triangle defines what is necessary for service connection
      Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL

      This has to be MEDICALLY Documented in your records:

      Current Diagnosis.   (No diagnosis, no Service Connection.)

      In-Service Event or Aggravation.
      Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • VA has gotten away with (mis) interpreting their  ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.  

      They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.  

      This is not true, 

      Proof:  

          About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because  when they cant work, they can not keep their home.  I was one of those Veterans who they denied for a bogus reason:  "Its been too long since military service".  This is bogus because its not one of the criteria for service connection, but simply made up by VA.  And, I was a homeless Vet, albeit a short time,  mostly due to the kindness of strangers and friends. 

          Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly.  The VA is broken. 

          A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals.  I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision.  All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did. 

          I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt".   Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day?  Va likes to blame the Veterans, not their system.   
×
×
  • Create New...

Important Information

Guidelines and Terms of Use