Veterans Benefits

The following overview is for eligible veterans who elect to receive care from a Veterans Administration (VA) facility for a non-service related condition. This information explains how this plan’s benefits are affected in these circumstances.

Non-Medicare Eligible Veterans

If an individual chooses to use veterans benefits for a non-service related condition that requires inpatient hospitalization, this plan will review the inpatient stay for medical necessity and appropriate length of stay, since it is obligated to reimburse the Veterans Administration for non-service related treatment at a VA facility. The individual should contact this plan’s medical review agency for preadmission certification of the inpatient hospitalization to a VA hospital (please see Preadmission Certification). Preadmission certification verifies the medical necessity of an inpatient admission and the appropriate length of that admission before the individual is admitted.