V.A Healthcare...am I special or what?

@spalladino (17891)
United States
August 9, 2009 3:26pm CST
As many of you know I lost my job last year and, along with it, my insurance coverage. As the spouse of a disabled vet I'm entitled to coverage through CHAMPVA. I put it off for awhile but eventually I applied online and received follow up documents that required my signature about a week later. I returned them and soon afterwards received my card...along with a separate prescription card and a booklet explaining my coverage options and fees. I can go to any doctor's office, hospital or medical facility that accepts Medicaid/Medicare or Tricare but I will have to pay a small co-pay. Same with prescriptions. My other option was that I could enroll at any V.A. Medical Center that participates in the CHAMPVA program and receive both medical care and prescriptions for free...and the one in West Palm Beach where my husband receives his care was on the list. My husband had dental surgery on Friday, July 31st. so, while that was being done, I went down to the first floor and registered as a new CHAMPVA patient. I was asked a few questions about my general health and medical needs by the nice lady and told her that the only thing I wanted right now was a check up & blood work since I haven't been seen by a doctor for a while. Would you like to guess how long this large government run medical facility wanted me to wait for a simple check up?..... "Do you want to come in next week?" the nice lady asked me. That's actually less time than I had to wait the last time I scheduled a simple check up with my former doctor. Since this facility is about 2 hours away I asked her if I could come in on the 19th. when my husband has a couple of appointments scheduled. Because everyone's medical records are accessable across their computer network the nice lady pulled up his schedule for that date and she scheduled my appointment for around the same time as his first one. That way I'll be done by the time he has to see the opthamologist who has tests scheduled related to his glaucoma. I do realize that I'm just one person and that this is just one V.A. medical facility but, what's your guess? Is this a well run facility that is responsive to the needs of it's patients or am I special for some reason?
4 people like this
9 responses
@ParaTed2k (22940)
• Sheboygan, Wisconsin
10 Aug 09
First of all, let me say that I'm glad you had a good experience. Yes, the VA can work well at times. However, the VA has more than its share of horror stories also. The VA can be used as an example of government run healthcare, on both the pro and con sides. Why? Because all anyone has to do to make it work for their side is pick and choose what kind of examples they want. I know I use the VA as a negative example, even though I have had both possitive and negative experiences with the VA. The same goes when people use other nation's health care systems as examples. The fact is, all the cited systems have as many horror stories as our current system does. My biggest question in the whole debate in general is, why should we trade one horror filled system for another? It doesn't make sense. What we should be doing is looking at the system we have now. Identifying both what is and isn't working about it, and come up with solutions for the actual problems found. So far, no government officials seem to want to do this. They either want to defend the current system, or throw it out in favor of some system that can't claim to fix any of the real problems without replacing them with more, sometimes more destructive, problems. I have literally been sent on an over 200 mile round trip to get my wrists x-rayed. When I had kidney stones, I was sent to a hospital in another state, where I had to find my own housing, for the 2 weeks it took me to pass the stone. Mind you, I was an OUT patient, but they required me to stay within an hour of the VA hospital in Salt Lake City. I had to check in every other day, and "report" on the progress of passing the stone. That was after being admitted to the hospital for the first 48 hours for "observation" and IV fluids. In the entire 48 hours, the only time anyone came in to "observe" me was when the IV bag needed changing and meal times. I never once saw a doctor while I was there. I was a college student at the time, so I missed two weeks of school for something that shouldn't have interrupted my schooling in the least. On the other hand, I have also gone to VA facilities and been treated to exactly the same kind of professional care that you cite here. I have worked in a VA clinic where most of the people were great! On the other hand, I was also fired from that clinic because my disability got worse while I was working there. If it were a civilian company who did that, heads would have rolled. As it was, not only couldn't I do anything about it, I couldn't sue either.. even if I wanted to. I was simply fired. End of sentence.
1 person likes this
@ParaTed2k (22940)
• Sheboygan, Wisconsin
10 Aug 09
There, not people have both negative and positive examples of the VA as an example of government run health care. Hopefully they will use both in coming to their own conclusions.
• United States
10 Aug 09
Man hospital stay sounds like when I had my youngest daughter! The hospital is expanding at an alarming rate (to me at least) adding cancer center, heart center, and whatever else they can think up but while I was at the hospital to have my baby I only felt like I was in the way, I couldn't stand it! It was like they would only be in the room for 2 minutes so when I did have to ask them something they were out of the room by the time I thought to ask my question or when I needed help going to the bathroom or when I had a question about my newly born baby--geez, you would think even then they would be eager to help but it seemed like they were in over their head in work. It seemed like they just didn't have the adequate help and I just cannot understand why they wouldn't focus on improving what they HAVE instead of adding onto their hospital and being understaffed----funny, just like this new HealthCARE Reform bill. Having my first daughter Para, my exes father suffers from severe kidney stones and I remember when he had to be admitted to the hospital for it like three times in one month. But it comes and goes so a lot of the times he passes them at home and I remember when i was there in the late stages of my pregnancy staying with them I felt so bad for him that he had to go through that everyday. Then later on my ex found out he had them but thankfully not as severe and has only had one incident so far.
@Barbietre (1438)
• United States
10 Aug 09
The same goes for private insurance, have you ever deal with HMO's? It might open your eyes, they look at the bootm line when it comes to every procedure. Your doctor has to be real persuavive to get some procedures. What everyone fails to see is the the system is broken and not at all equal.
@grammasnook (1871)
• United States
9 Aug 09
Spalladino, I do not understand where people come up with the idea that everything takes forever, Now if you see specialist that might be an issue but it is not because of the insurance but because of the lack of specialist in that certain field. My husband is also a vet, they have always made appointments for him in a timely fashion and they have gone up and beyond to make sure he gets screenings for his age group. They send his meds on time and they get delivered right to the front door. Our VA here in Mass is very organized! There is this thing in life and that is you get back what you give. Be nasty to the person behind the desk and you will wait forever, respect and smile and waalaa you are in like flynn. I do have a question for you though, hubby just put in a claim because the VA diagnosed him with PTSD. The question I have does he have to be 100 percent for us to be able to get CHAMPVA?
1 person likes this
• United States
9 Aug 09
That is what I had thought thanks for that info. He has an advocate from the vet center (counselor) which is doing all the paper work for him. She knows exactly what to do. Thanks for that offer though very kind of you.
• United States
9 Aug 09
Spalladino I happen to be from Mass where Mitt Romney started the mandatory health care. I received mine through my employer which I paid 300 a month for which I thought was excellent coverage. Well my sister a single mom of 3 working fulltime and going to school gets part of what Romney put together. Please can I just pay the 300 I am paying bcbs and pay it to the statehealth care? Her and her children do not have to wait for a damn thing. She has a payment of 120 a month for a family plan, copays for meds are 1-3 dollars, with no copays. I believe most of the health care reform is mimmicking romneys plan. People scream about one payer health insurance, why cant they see that the more people in an insurance plan gives them a better price and does not mean the quality of care decreases. Healthcare has what they call a retail and wholesale. Spinal mri would cost someone with no health insurance 1600 dollars yet the price for the insurance company is half that amount. Now really does this make sense? Now ask why the poor or even middleclass of our country is not going to the doctor or why they are losing homes to soring medical bills. Or perhaps why they cant feed their children a healthy balanced meal.
@spalladino (17891)
• United States
9 Aug 09
Unfortunately, your husband will have to be rated totally and permanently disabled before you can qualify for CHAMPVA. If he doesn't already have a veteran's advocate helping him with his claim, he should get one. They can help speed up the process and ensure that he doesn't get the runaround. While the V.A. has reduced the wait time for claims to be decided, there still is some. Usually the American Legion or the VFW has one but, if they don't, they can normally give you the name and phone number of one. If you need help finding one in your area PM me and I'll see if I can locate someone. It's good to read some support of the V.A. by the way. They just amaze me at West Palm Beach because this facility is so large...nine stories...yet we have never been disappointed in the care my husband has received there. My only complaint is the lack of parking but they do have shuttle buses if you have to park far from the building.
1 person likes this
• United States
9 Aug 09
My father was retired Airforce, so we had TRICARE. OMG, it was the worst thing as a child finding out you had to be seen by a doctor because we ONLY went on base for appointments and it was a GUARANTEED hour wait just to SEE your doctor regardless of your appointment and an hour if you were lucky!! Can you imagine waiting this long AND THEN getting prescription from the doctor and having to go to another wing to the pharmacy and waiting another 1/2 hour for your medicine, it was just always in slow motion to me as a child. I'm amazed how patient my parents were over and over with these visits (i have two brothers, two sisters) and THANK GOD I never knew the difference and just accepted that this is how things were. Keep in mind I lived in a very small rural town that you had to drive 40 minutes back and forth to the airforce base. I experienced headaches with TRICARE when I moved out on my own and I could never stand the long wait times just to get a representative on the phone about my insurance--you'd be waiting for 3 hours! I had so much hospital debt as a teen from going to emergency rooms because I had no clue about Medicaid and it just seemed impossible to get a hold of TRICARE (my parents just said call them). I eventually got a roommate who schooled me in how to get insurance through the state but by that time my bill was 5,000 (age 17-19). Is that going me convince me of supporting this HealthCARE Reform bill, no.
@spalladino (17891)
• United States
9 Aug 09
Sounds like things were rough back then, revellanotvanella, but that was then and this is now. In every department at the V.A., at every check in counter, there is a sign to let them know if your name hasn't been called after 15 minutes. My husband has been in the system for over 6 years. He was treated at the facility in Baltimore before we moved to Florida. The wait times have been so short at both facilities that I never get to finish reading an article in one of the magazines in the waiting area. The prescription system is better now, too, because the order is sent to the pharmacy through the computer network so the normal wait time is around half an hour, which is sometimes shorter than the wait time at a Pharmacy. My husband also has many of his medications sent to him through the mail and that system is extremely good. When a medication arrives I call an 800 number and order the refill at that time, as the V.A. suggests. His meds will automatically be sent, scheduled to arrive at our home 10 to 15 days before he runs out.
@spalladino (17891)
• United States
9 Aug 09
Rose, since you brought up the salaries of doctors and nurses, have you ever heard of the Cleveland Clinic? It's only one of America's top 4 hospitals, located in Ohio. The medical staff who work there are salaried employees so there's no rush to see as many patients as possible in one day in order to earn more. Do you know what the poor doctors who work there earn per year? A quick check of their website shows salaries ranging from $80k to $300k...I would imagine the lower salary is for new doctors and the higher one is for specialists. Anesthesiologist earn from $170k to $275k. When more Americans have access to health care they will use the ERs less and actually go to the doctor's offices. Most doctors already take medicaid/medicare and private insurance assignments so tell me, Rose, how will gaining new patients be a bad thing for them?
@Hatley (163781)
• Garden Grove, California
9 Aug 09
my best friend Nelda has that same insurance through her husband 'and she swears by it.it has paid where other insurances wou ldnt and she said its so dependable and she feels special too. I now think it must be a very good reliable insurance.she said its the best she has ever had and the waiting time is really great.so she is also a satisfied user.
@spalladino (17891)
• United States
9 Aug 09
Hi Hatley! Since my husband is a bit unstable due to the PTSD, I'm always thankful that we don't have to wait long once we check in because there's usually someone in the waiting room who irritates him. The staff is always great which is something I really appreciate because that puts us both in good moods.
1 person likes this
@ZephyrSun (7381)
• United States
9 Aug 09
Well I think you're pretty special, you have the ability to think for yourself and you were or are a conservative LOL Just kidding, you are much more conservative than I, how's that? That's great about your appointment! When I had to see a rheumatologist for my RA I had to wait 9 months. There were 2 practices in my city one that took my insurance and one that didn't, mine has since gone out of business. I couldn't believe that they were booked for that long, I mean my son goes to an asthma doctor and he is normally booked for about 4 months out but, he has 3 practices that are pretty far apart.
1 person likes this
@jb78000 (15139)
9 Aug 09
sounds like that one is well-organised
1 person likes this
@AmbiePam (85584)
• United States
12 Aug 09
I'm so glad you found a wonderful facility where you can get good health care. Of course you're special, but you're a special person in general too. I'm just so glad you got healthcare. My mom was on COBRA for two years after she lost her job, but that ran out several months ago. My dad works in non profit, so he doesn't have health insurance at all. He just got it through wherever my mom happened to work. They really weren't sure what they were going to do. They could get by with my dad because he rarely goes to the doctor, even when he needs to, the silly, stubborn boy! But my mom on the other hand needs health insurance. Her health problems are why she had to resign from her last job (six months later a whole bunch of people got laid off from her work, and she would have been laid off too if she were still there). So anyway, they checked into Insure Oklahoma. It's insurance they can get through the state, even though it won't be as good as the health insurance they had when my mom was working. They can't keep their same doctor, but they are thankful they are poor enough to qualify! LOL It kicks in on Septemeber 1st, and they are so grateful. My dad had to put off getting tubes in his ears, and my mom can't pay for one of her prescriptions until it kicks in next month. The co-pay is manageable for them, and I'm so thankful for Insure Oklahoma. God certainly answers prayers.
@dragon54u (31636)
• United States
13 Aug 09
I'm glad you got such considerate people making your appointments and giving you such consideration! I hope all Vet's hospitals are like that but I've heard horrible stories about vets that don't get decent care. I think the hospital that you're going to thinks you're special because you're married to a vet and they think veterans are special. And they are. That's why we speak English instead of German, why we don't have to worry about our doors being kicked in at night while we're asleep. I think all veterans should be treated with reverence and dignity.
@Barbietre (1438)
• United States
10 Aug 09
My dad had great service at his VA in Brooklyn, it is the management of any business that gives a good outcome. Look at all the long lasting franchises, some people buy one and mishandle it and it closes, yet the larger corporation thrives.