Benefits

The Veterans Choice Program (VCP) and Patient-Centered Community Care (PCCC) program supplement U.S. Department of Veteran Affairs (VA) care and Veteran's Other Health Insurance plans, if applicable. These programs do not impact existing VA care or benefits.

The VCP and PCCC provides services for eligible Veterans when the local VA Medical Center (VAMC) cannot provide the services, such as when there is a need for specialty care, there are wait times in excess of 30 days or the VAMC is an extraordinary distance from the Veteran's home.

All services covered under these programs require prior authorization.

Covered Services

  • outpatient primary care
  • specialty care
  • behavioral health care
  • inpatient care
  • urgent or emergent durable medical equipment (DME), medical devices, orthotic and prosthetic items when provided by the treating physician/facility and/or a DME supplier at the time of treatment and prior to the veteran leaving the provider's care site for an authorized episode of care
  • assisted reproductive technology (ART) services, including in-vitro fertilization (IVF) (PCCC only)
  • opioid use disorder treatment under an opioid treatment program (OTP) or through office-based buprenorphine services (also see VA’s Opioid Safety Initiative)
  • pharmacy (VA is primarily responsible for supplying Veterans with all prescribed non-urgent/non-emergent medications and nutritional products. Prescriptions must be prescribed in accordance with the VA National Formulary Handbook.)
  • skilled home health care/home infusion therapy

Excluded Services

  • abortions and abortion counseling
  • cosmetic surgery, except where determined by VA to be medically necessary
  • gender alteration
  • health club or spa membership
  • in-vitro fertilization (exclusion applies to VCP only)
  • drugs, biological, and medical devices not approved by the Food and Drug Administration, unless part of formal clinical trial under an approved research program or when prescribed under a compassionate use exemption.
  • inpatient hospital or outpatient care for a Veteran who is either a patient or inmate in an institution of another government agency, if that agency has a legal obligation to provide the care or services.

Learn more about benefits on VA's Medical Benefits Package page.

Veterans Crisis Support

Support for your patients who are U.S. Veterans:

  • 1-800-273-8255 Press 1
  • Confidential chat at VeteransCrisisLine.net or text to 838255

Because one small act can make a difference.