VA Community Care Guide

Everything you need to know about using your VA Community Care benefits

What is VA Community Care?

The VA Community Care program allows eligible Veterans to receive health care services from approved community providers when VA facilities cannot provide the care needed. This program ensures you have access to timely, high-quality health care closer to home.

Community Care is part of your VA health care benefits. There are no additional enrollment requirements if you're already enrolled in VA health care.

Am I Eligible?

You may be eligible for Community Care if you meet any of these criteria:

Learn about the specific eligibility criteria for VA Community Care

1

VA cannot provide the care you need.

The specific care you need is not available at your VA facility

2

You live too far from a VA facility

You live more than 40 miles from the nearest VA medical facility, or face other geographic challenges

3

You can't get an appointment within 20 days

VA can't schedule an appointment within 20 days of the clinically indicated date

4

It's in your best medical interest

VA determines that it's in your best medical interest to receive care from a community provider

5

You qualify under specific circumstances

You're eligible under the "grandfather" provision or other special circumstances

How Community Care Works

1

Talk to Your VA Provider

Discuss your health care needs with your VA provider. They will determine if you're eligible for Community Care and initiate the referral process.

2

Get Authorization

VA will review your referral and send you an authorization letter if approved. This usually takes 5-7 business days.

3

Choose a Provider

Select a community provider from the VA's network. You can search for providers on this site or call for assistance.

4

Schedule Your Appointment

Contact the community provider to schedule your appointment. Make sure to mention you're a VA Community Care patient.

5

Receive Care

Attend your appointment. The provider will bill VA directly for covered services.

Common Myths About Community Care

Don't let rumors steer you wrong - learn the facts about VA Community Care

How to Request Community Care

Follow these steps to request community care and avoid unexpected bills

Scheduling Your Appointment

Learn how VA schedules community care appointments and how to speed up the process

Understanding Your Bills

If VA referred you to community care, VA pays the bill - here's what to do if you get a bill

If You're Denied Community Care

A denial isn't the final word - learn how to appeal and fight for your benefits

Special Coverage: Urgent Care, Prescriptions & Travel

Urgent Care Coverage

Learn which urgent care clinics are VA-approved and what services are covered

Prescription Coverage

Understand how to fill prescriptions through VA and avoid out-of-pocket costs

Travel Reimbursement

You may qualify for mileage reimbursement - learn how to claim it

Important Things to Know

Authorization Required

Always get authorization before seeking Community Care, except in emergencies.

No Out-of-Pocket Costs

VA pays for authorized Community Care. You may have copays based on your priority group.

Emergency Care

In emergencies, go to the nearest ER. Notify VA within 72 hours.

Time Limits

Authorizations have expiration dates. Schedule appointments promptly.

Need Help?