Hey guys, what's up? So, this video is for veterans and veterans using the Veterans Choice Program. You might have received this little card in the mail, and basically, it allows you to see civilian doctors instead of going to the VA if you have a service-connected disability. There are certain eligibility requirements, and I'll put all these links in the description. However, it can be really confusing, and I kind of want to explain how I use it and make it easy to understand. I also want to give you some heads up on what to do so you're prepared when things don't go as planned. Basically, if you have to wait more than 30 days to see a doctor at the VA, you can use this program. Additionally, if you live more than 40 miles away from the VA medical care facility or face travel burdens, you can also qualify. You can read more about that if you want. The 30-day requirement is super common for almost everybody, at least where I live. So, for my example, I'll show you how I did it the last time. This is how it works: I call the VA and tell them I need an appointment for my yearly physical or whatever. So, I call the VA and they tell me that the first available physical is on September 1st, and it's currently April 15th. Right off the bat, I realize that's way more than 30 days. So, instead of calling the lady back at the VA, I can just say that I'd like to use the Veterans Choice Program. I re-sign up for it, and she says okay and puts an authorization through to the Veterans Choice Program. She also cancels my appointment with the VA. It usually takes about four or...
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Va authorization Form: What You Should Know
Authorization Requested Va community Care Provider You are requesting approval to disclose your protected health information (PHI) for the services you provide for free or at cost to the facility you are providing free or at a reduced cost to other patients in the community-based residential setting to provide health care. The service is for services such as: health education; personal care, domestic help, or nursing care, including prescription medication, dental care, and oral hygiene, among others; transportation; medical check-ups; and case management. You may provide the requested information in either of the following ways: A) Form VA-10-5345 or VA Form 10-5345, Authorization to Disclose Health Information, to authorize (see instructions) the disclosure of specific details of your health information to the facility you are providing free or at cost to other patients in the community-based residential setting to provide health care. In this way, you cannot be asked to provide PHI concerning any individual except the patient for whom you are providing the service. B) To request a copy of a Certificate, Form 22.2 or Form 22.20.21 or a copy of a Consent Decree or any other administrative process from the Secretary of the VA, Veterans Health Administration; the Regional Medical Director; or one of the medical personnel designated as part of the Veterans Health Administration (VIA), VA Health Care Network. C) To request the disclosure of other information about you as provided under applicable regulations or pursuant to this privacy statement as a result of your request. D) To request a summary of all information disclosed under this permission request. E) For certain services, you may also select the option to receive a notice when your request to disclose protected health information is completed regarding information disclosed to your provider or health plan. F) You may also select other contact information to contact the designated individual who is responsible for reviewing this consent request. Authorization Requested Please take a moment to review the following information: Do you have questions? What if I am requesting privacy disclosure for a patient? Q: Do I have to be covered by one of these agreements? A: Yes. Q: Do I have to use these services as part of my job? A: NO. Q: I don't think I have been provided with all this information in the form I requested.
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