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VHA Foreign Medical Program Philippines


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Just received this today. 

Quote

To All Veterans Enrolled In the VA Manila Outpatient Clinic 

Effective October 1, 2017, VHA Foreign Medical Program (FMP) will assume medical claims processing responsibilities in the Philippines for all care in the community to include inpatient and outpatient care, diagnostic and laboratory tests, medications, refills, prosthetics and durable medical equipment reimbursement.  

VA Manila will no longer be issuing LOAs, pre-authorize treatment or reimburse Veterans for care received outside the 
VA Manila Outpatient Clinic after September 30, 2017.

Under FMP, Veterans will pay for treatment and submit official paid receipts with admission and treatment records to the address provided on the attached fact sheet.  

Local community providers also have the option of billing FMP directly for reimbursement.  

This program requires no pre-authorization or letter of authorization (LOA) before visiting a community provider as long as the medical care received is for a VA-rated service-connected condition. Treatment for non-service connected medical care is at the expense of the Veteran and cannot be reimbursed by the FMP.

Veterans living in the Philippines who choose to receive outpatient care at the VA Manila Outpatient Clinic can do so for their VA service-connected conditions.  

The clinic will continue to provide primary and specialty care, vaccinations, medications and refills ordered by a VA physician and 
perform laboratory and other ancillary tests in the clinic at no cost to the Veteran.  

When a service, procedure, test or specialist is not available in the clinic, the Veteran will be advised to seek treatment in the community,  pay for treatment and submit official paid receipts with admission and treatment records to the FMP to be reimbursed.

The Veteran’s community provider may also choose to send a bill for reimbursement directly to FMP. A service connected Veteran may be treated for non-service connected disabilities within the limits of the outpatient clinic, as stated in 38 U.S.C. § 1724(e).  

Follow up services required for non-service connected conditions that are beyond the capabilities of the clinic,  will be the Veteran’s responsibility, including obtaining services and paying all related cost.

Veterans must register with the Foreign Medical Program on or before September 30, 2017 to ensure you can obtain and be reimbursed for medical care in the community beginning October 1, 2017.   

After a Veteran is registered in FMP, Veterans do not have to wait until October 1 to obtain and be reimbursed for medical care from FMP when living or traveling to other foreign countries. Simply mail or fax the enclosed registration form (VA Form No. 10-7959f-1), and include your full name, mailing address, address of residence (including country), U.S. social security number and your VA claim number to:

Foreign Medical Program (FMP)
P.O. Box 469061
Denver, CO 80246-9061
Fax: (303) 331-7803

For questions about the FMP, Veterans can contact the FMP customer service center Monday through Friday between the hours of 8:05 a.m. to 6:45 pm (EST) eastern standard time at (303) 331-7590 or visit their website for more information at:

https://www.va.gov/purchasedcare/programs/veterans/fmp/index.asp

This change standardizes coordination of community care among all Veterans living outside the continental United States and its territories.

Veterans may call the VA Manila Regional Office and Outpatient Clinic Monday through Friday from 8:00 a.m. to 4:00 p.m. at 02-550-3888 or callers outside metro Manila can call the toll free number at 1-800-1888-5252 for additional information or to schedule a medical appointment

Thank you for your service.

 

Edited by Paul
Removed formatting. Added quotes to emailed text.
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Headshot

That text truncated for me, so I couldn't read it. If anybody else had the same problem reading it, here it is in full.

Quote

To All Veterans Enrolled In the VA Manila Outpatient Clinic

Effective October 1, 2017, VHA Foreign Medical Program (FMP) will assume medical claims processing responsibilities in the Philippines for all care in the community to include inpatient and outpatient care, diagnostic and laboratory tests, medications, refills, prosthetics and durable medical equipment reimbursement.  VA Manila will no longer be issuing LOAs, pre-authorize treatment or reimburse Veterans for care received outside the VA Manila Outpatient Clinic after September 30, 2017.

Under FMP, Veterans will pay for treatment and submit official paid receipts with admission and treatment records to the address provided on the attached fact sheet.  Local community providers also have the option of billing FMP directly for reimbursement. 

This program requires no pre-authorization or letter of authorization (LOA) before visiting a community provider as long as the medical care received is for a VA-rated service-connected condition. Treatment for non-service connected medical care is at the expense of the Veteran and cannot be reimbursed by the FMP. 

Veterans living in the Philippines who choose to receive outpatient care at the VA Manila Outpatient Clinic can do so for their VA service-connected conditions.  The clinic will continue to provide primary and specialty care, vaccinations, medications and refills ordered by a VA physician and perform laboratory and other ancillary tests in the clinic at no cost to the Veteran.  When a service, procedure, test or specialist is not available in the clinic, the Veteran will be advised to seek treatment in the community, pay for treatment and submit official paid receipts with admission and treatment records to the FMP to be reimbursed. The Veteran’s community provider may also choose to send a bill for reimbursement directly to FMP. A service connected Veteran may be treated for non-service connected disabilities within the limits of the outpatient clinic, as stated in 38 U.S.C. § 1724(e).  Follow up services required for non-service connected conditions that are beyond the capabilities of the clinic, will be the Veteran’s responsibility, including obtaining services and paying all related cost.

Veterans must register with the Foreign Medical Program on or before September 30, 2017 to ensure you can obtain and be reimbursed for medical care in the community beginning October 1, 2017.   After a Veteran is registered in FMP, Veterans do not have to wait until October 1 to obtain and be reimbursed for medical care from FMP when living or traveling to other foreign countries. Simply mail or fax the enclosed registration form (VA Form No. 10-7959f-1), and include your full name, mailing address, address of residence (including country), U.S. social security number and your VA claim number to:

Foreign Medical Program (FMP)

P.O. Box 469061

Denver, CO 80246-9061

Fax: (303) 331-7803                     

For questions about the FMP, Veterans can contact the FMP customer service center Monday through Friday between the hours of 8:05 a.m. to 6:45 pm (EST) eastern standard time at (303) 331-7590 or visit their website for more information at:   

https://www.va.gov/purchasedcare/programs/veterans/fmp/index.asp

This change standardizes coordination of community care among all Veterans living outside the continental United States and its territories.  Veterans may call the VA Manila Regional Office and Outpatient Clinic Monday through Friday from 8:00 a.m. to 4:00 p.m. at 02-550-3888 or callers outside metro Manila can call the toll free number at 1-800-1888-5252 for additional information or to schedule a medical appointment.

Thank you for your service

 

Edited by Headshot
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1 hour ago, Headshot said:

That text truncated for me, so I couldn't read it. If anybody else had the same problem reading it, here it is in full.

 

Thank you Headshot I tried fixing the formatting a few times but it kept getting messed up.

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Finally!!! This is long overdue.  Now Vets can get their SC medical care anyplace they desire to include the best Hospitals in Country like St Lukes, Makati Medical, Medical City, etc etc etc. No more waiting for LOA's and fighting with VA Manila for approvals. Now a Vet is totally in charge of his care. No preapprovals required. No need to travel to Hospitals in Manila and fight that nasty dirty traffic. Just go to Hospital of choice, get your care, pay the bill before discharge and file a claim with FMP for reimbursement. 5-6 weeks later, you have been reimbursed.

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lamoe
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A service connected Veteran may be treated for non-service connected disabilities within the limits of the outpatient clinic, as stated in 38 U.S.C. § 1724(e)

https://www.law.cornell.edu/uscode/text/38/1724

38 U.S. Code § 1724 - Hospital care, medical services, and nursing home care abroad

 
(a)
Except as provided in subsections (b) and (c), the Secretary shall not furnish hospital or domiciliary care or medical services outside any State.
(b)
(1)
The Secretary may furnish hospital care and medical services outside a State to a veteran who is otherwise eligible to receive hospital care and medical services if the Secretary determines that such care and services are needed for the treatment of a service-connected disability of the veteran or as part of a rehabilitation program under chapter 31 of this title.
(2) Care and services for a service-connected disability of a veteran who is not a citizen of the United States may be furnished under this subsection only—
(A)
if the veteran is in the Republic of the Philippines or in Canada; or
(B)
if the Secretary determines, as a matter of discretion and pursuant to regulations which the Secretary shall prescribe, that it is appropriate and feasible to furnish such care and services.
(c)
Within the limits of those facilities of the Veterans Memorial Medical Center at Manila, Republic of the Philippines, for which the Secretary may contract, the Secretary may furnish necessary hospital care to a veteran for any non-service-connected disability if such veteran is unable to defray the expenses of necessary hospital care. The Secretary may enter into contracts to carry out this section.
(d)
The Secretary may furnish nursing home care, on the same terms and conditions set forth in section 1720(a) of this title, to any veteran who has been furnished hospital care in the Philippines pursuant to this section, but who requires a protracted period of nursing home care.
(e)
Within the limits of an outpatient clinic in the Republic of the Philippines that is under the direct jurisdiction of the Secretary, the Secretary may furnish a veteran who has a service-connected disability with such medical services as the Secretary determines to be needed.
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Paul
11 hours ago, lokias said:

Thank you Headshot I tried fixing the formatting a few times but it kept getting messed up.

@lokias & @Headshot

Sorry about that, fellers. I didn't scroll down to view Bill's, prior to doing the same thing he did. It took a bit to remove all the formatting. Odd. It usually only takes copying / pasting to something like notepad. But, I still had to sort broken sentences and such. 

Edited by Paul
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RogerDat

OK, Lamoe, what is your point man? i do not see what you are getting at?

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Salty Dog
2 hours ago, RogerDat said:

OK, Lamoe, what is your point man? i do not see what you are getting at?

Seems he's trying to point out:

"the Secretary may furnish necessary hospital care to a veteran for any non-service-connected disability if such veteran is unable to defray the expenses of necessary hospital care."

As most have found out in the Philippines, anything after the word "may" has little chance of happening...

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RogerDat

Well, I got a reply from the VA in Manila about the registration form fill in problems, they said to print it, fill in by hand and send thru secure message to them, and they will send it to US for you, so no need to mail, or fax.

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I was curious about the "fill in problems" comment.  It looks like the way the form is designed is that you can type your information in it, but then you are not able to save the data. No idea why the VA would use this style/type of pdf form, but given that they have I would instead of filling it in by hand, type in the data from your computer keyboard....that way there will be no mistake sin transcribing someone's hard-to-read writing.  I am not that crazy about the idea of scanning in the documents and sending to VA Manila as a secure message. VA Manila is terrible about managing paper correspondence, why take a chance of them loosing it?  Instead, I would either mail it or the by far preferred method is to fax it. Recognize that not many will have their own fax machine and taking it to a business center for faxing is a pain.  However, while I have not yet learned to use it, I understand most PC's have an application that allows you to take pdf files and send them to a fax machine number.  I have heard there is a cost for this application, but that it is very, very inexpensive, like less than $10.00 a year. Everyone needs to figure out how to do this, because why add 2-3 weeks on the reimbursement process for FMP claims because of international mail, skip all those steps and send a fax directly from your PC. Those that do not have a printer with scanning ability will need to get one, but they are usually less than $100. Another thing I noticed is that reimbursement is in US Dollars by check. Not always easy to cash a US Dollar check in Phils these days.

 

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shadow
9 minutes ago, urbanrrc said:

I was curious about the "fill in problems" comment.  It looks like the way the form is designed is that you can type your information in it, but then you are not able to save the data.

 

Some of the new immigration forms out this year are that way too. Instead of being able to just click save, we have to print them and scan them. A real PITA, when it could be so easy...

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USMC-Retired

All sounds good on paper.  So does Tricare for retirees.  Then you have denied claims, things deemed excessive oh did I forget fraud.  Yes there will be Filipinos that will help vets and fraud the US VA system.  It in large part is the problem with Tricare.  

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RogerDat

You need to have your SSN on the form, so it should not be saved to your computer because of identity theft. The problem with the form is it does not have but one line for physical address, and mine requires 3 or 4 due to details to find me.

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USMC-Retired

I would fill the form in and send it to the address/number provided.  I would use an online fax service to accomplish.  There are several of them that are free if you send a single page.   If you have android use a program called MD_SCAN.  It takes a picture converts it to PDF.  Then upload that to the free fax online service.  Here is a link to just one.  https://faxzero.com.  I would not trust Manila to accomplish this.  

 

Here is the form you need.  VA Form 10-7959f-1and address to get it:  https://www.va.gov/vaforms/form_detail.asp?FormNo=7959f-1

Edited by USMC-Retired
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Concur with USMC Retired....do not trust Manila VA to do this, they are terrible at managing the flow of paper....I should know, I worked there from May 2011 to July 2015. Generally, I have a high opinion of VA Manila, some pretty good people....but I have a very low opinion of VA HQ, who often pass stuff to VA Manila that may work great in US, but not so great in a foreign country. Although I respect the employes of VA Manila, one weakness the entire organization has is managing paper documents and files. They have no file plan, no way to organize and maintain files. Think it is more a big VA problem who does not manage paper well either.  Secure messaging fixed a lot of VA Manila's files management and not returning telephone calls problems. However, if you send you info to VA Manila and ask them to forward it to FMP office in Denver, no telling what will happen....they print of what you sent them as a secure message, and then "endorse" it to someone else to get it to Denver....and that is where process slows down or fails. Keep VA Manila out of FMP and the program will work much smoother.

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