How does this work exactly? I have a feeling I'll need a second surgery on my shoulder (just isn't healing properly, pain is worse in some areas than pre-surgery). I'll be covered under BCBSNC as a civilian, however, this is 'in the line of duty' injury and I'd rather deal with the VA if it's free.

Will I just call and schedule an appointment? Is it a slow process? Any advice would be great

11/27/2011 1:09:27 AM

From when I looked at VA benefits about six years ago, I believe a lot of the VA stuff is means tested. I remember being disappointed.

It may be different if you have a documented service injury.

I suppose this isn't really a very helpful answer

11/27/2011 1:32:45 AM

Honestly dude, if bsbcnc will cover it, get it done by a really good civilian doc. You will probably be disappointed with VA docs.

11/27/2011 5:31:46 PM

how did you get hurt in the line of duty?

11/27/2011 6:28:02 PM

I fucked it up climbing on a rock wall for pt.

11/27/2011 7:46:03 PM

oh i thought you got shot or blown up or something

11/27/2011 7:52:53 PM

No, hence my use of the the quotes. It's the official term for my injury, but I can't help but to roll my eyes at it. When I use that term to describe the damage to my hearing though due to jet engines, I don't roll my eyes.

11/27/2011 7:56:36 PM

If your injury is rated by the Regional Office as being service connected, you won't have to pay for the surgery. If it is not rated as being service connected and you are not enrolled in the VAMC, you will have to fill out a 10-10EZ (which will include the means test).

If you got out within the last 5 years with service in theater of combat operations, you can use the VAMC without having to meet the means test requirements.

Before you can get orthopedic surgery, you are going to have to be assigned to a Primary Care Physician (PCP). Your PCP will make the referral to orthopedics. The orthopedist will make the decision on the surgery. If for some reason the VAMC can't do the surgery, they will allow you to see a private physician via Fee Basis. If you ever get anything done via Fee Basis, make sure you have the Fee Basis approval in writing. Also, make sure you note the dates the Fee Basis referral is valid. There will be a time limit and usually a visit limit on the approval.

Let me know if you have any questions about the VAMC.

11/27/2011 8:14:44 PM

I hope if I have to get surgery the doctor does it right the first time.

11/27/2011 9:26:22 PM

Yeah, doctors don't like doing multiple surgeries on the shoulder...so best of luck!

11/27/2011 9:29:36 PM