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Cincinnati VA Medical Center

 

Mission Act & NEW Urgent Care Benefits

As of June 6, 2019, VA offers eligible Veterans an urgent care benefit in the community. This new benefit provides another option for the treatment of injuries and illnesses that require immediate attention but are not life-threatening, such as influenza, minor burns and skin infections.

Under VA’s urgent care benefit, Veterans must seek care from VA’s contracted network of urgent care/retail locations and have been seen in the VA system or by a VA community care provider within the last 24 months to use this benefit.

There are two types of urgent care network locations: Retail and Urgent.

  • Retail locations include a walk-in health clinic, other than an office, urgent care facility, pharmacy, or independent clinic located within a retail operation. Reasons why you would seek care at a retail location include treatment of an uncomplicated illness such as a sore throat or earache.
  • Urgent locations include an office or a clinic, whose purpose is to diagnose and treat illness or injury for unscheduled, ambulatory patients seeking immediate medical attention (aside from emergency rooms). Reasons why you would seek care at an urgent location include treatment of more pressing illnesses or injuries that are not life-threatening, like splinting, casting, lacerations, or wound treatment.

This benefit is considered open access, allowing Veterans to access urgent care within VA’s community care network and receive care without prior authorization from VA. The benefit will be available in June 2019.

  • To check eligibility, call 1-833-4VETNOW (1-833-483-8669).
  • For a complete list of services that are covered, please visit https://missionact.va.gov. Please click on the following link for a listing of network pharmacies
  • VA will pay for or fill prescriptions resulting from your urgent care visit. The urgent care provider may write a medically necessary prescription for up to a 14-day supply. Veterans will be able to fill their prescription at any in-network pharmacy with ExpressScripts.
  • Visit Find a Network Urgent Care Location

Important: While urgent care is a convenient benefit for the treatment of non-emergent symptoms, Veterans should always consider talking with or seeing their primary care provider if they are concerned that the community provider will not understand the complexities of their medical history or medications.

In addition, if you believe your life or health is in danger, call 911 or go to the nearest emergency department right away.

Do NOT Pay a Copayment at Time of Visit
Eligible Veterans will be billed separately by VA for any copayment that is applicable.

Receive Prescription, If Needed
A network urgent care/retail location provider may write you a prescription for up to a 14-day supply. The medicine must be listed on VA’s Urgent Care Formulary: www.triwest.com/urgent-formulary.

If the medicine is needed urgently and is not listed on the Urgent Care Formulary, it must be listed on the VA National Formulary, available here: www.pbm.va.gov/nationalformulary.asp.

Urgent prescriptions may be filled at a VA or pharmacy in the ExpressScripts network (as “VAPC3”). Opiates will be limited to seven days or less consistent with state law.

For more information click here: VA MISSION Act Urgent Care Fact Sheet

Contact

To check eligibility for Urgent Care Benefits
call 1-833-4VETNOW
833-483-8669

Urgent Care Visit or Pharmacy
If you encounter challenges
866-620-2071

Community Care Call Center (C4)
Community Care Billing & Claims Questions
877-881-7618