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Priority Medical Care

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SEJones

Question

I am s/c at 10% awaiting DRO decision for 100%. My question is how does the ratings affect medical care by specialist? I thought I was entitled to care at the VA for my s/c condition but when the Dr. I saw at the VA sent in the referral for Neurology it was sent back because they were busy and I was not a priority unless I was at least 50%. So I had to use my medicare to see the same doc at another hospital. My 10% condtions covers muitliple body parts/functions. Do I need to fight to have a code for each body part? There is no VA code for the condtion so my SO and VA doc requested that they use one for Lupus or Leukemia and rate is as 100%. It is currently at "the rating desk" where is has been for 1 year. I also contacted my Senator and Govenor all contacted the VARO.

Thanks for any and all help.

SE :rolleyes:

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  • HadIt.com Elder

You are better off going the other way you would have had to wait a long time and some of the VA Service is very limited.

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  • HadIt.com Elder

If you are service connected you are in a higher priority than all the NSC types. To say they would not treat you because you were not 50% is BS. They may make you wait longer than priority 1 or 2 but you still deserve treatment. I think you have a very legitimate complaint. Realistically, you were probably better off getting treatment through medicare since you can imagine what kind of treatment you would have gotten at the VA.

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As a Category 1, 170% P&T combat service related vet, I have YET to see where the Category you are in gives you ANY priority. My VAMC said it doesn't exist!! 6 months and still waiting to get into Cardiology Clinic and I am service-connected for a related condition! I've waited 4 months and finally got an appointment (1 month from now) to see a neuro-surgeon for a service related condition. By the time I see him, my MRI will be almost 6 months old, so I figure he will order another MRI and reschedule me to come back in 6 months....go figure. It was passed once that Cat 1 combat related vets had priority in scheduling, my VAMC told me personally they did not go by that regulation!!!!

Edited by jessejames
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Wife was in perry point for PTSD for about a month...upon release she was scheduled to see a psych 2 mnths out. When the 2 mnths came we got a phone call saying the doc needed to cancel and rescheduled for 2 more mnths out...when that 2 mnths came we got a phone call saying the doc needed to reschedule and they gave us an appointment for 3 mnths out. Needless to say, we shop'd around for a civilian psych and paid for it out of pocket.

P.S. - She is 100% SC

Edited by Jay Johnson
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  • Founder

that is totally screwed jay. i would start complaining to the patient affairs and work my way up the chain, including congressman and senator if needed.

this kind of stuff really ticks me off. have you tried your local veterans center, that's where i go, and it has worked out really well for me.

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  • HadIt.com Elder

VA suipporters keep saying the VAMC's are the best in the world. I guess they are good if you can afford to wait 6 months to see a doctor.

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