Thursday, July 12, 2012

VA Provided Dental Services


The Department of Veterans Affairs (VA) dental services are very limited due to current laws. However, if you are recently discharged and your DoD discharge record, or (DD214), clearly indicates that either dental services were not provided within 90 days of discharge or that dental treatment was not completed during active duty may qualify you for VA dental care. You must apply for this limited dental care within 90 days of your separation from active duty.


SERVICES 101

Dental benefits are provided by the Department of Veterans Affairs according to current  laws. In some instances, VA is authorized to provide extensive dental care, while in other cases treatment may be limited. 
Note: The Chart in this blog post describes dental eligibility criteria levels and contains information to assist veterans in understanding their eligibility for VA dental care.


The VA Dental Corps program includes many current and former members of the U.S. Armed Forces, who because of their own military experience, understand your health concerns. VA dentists use the latest dental procedures and pain control techniques.  Most VA dentists have received advanced training in their specialties. Your dental care is provided in modern clinics that adhere to the highest standards of hygiene and infection control.

Types of Dental Services Offered by VA:
Dental benefits include a full range of services for eligible Veterans.  Below are some of the many services offered by VA Dentistry:


  • Regularly scheduled cleaning and x-rays.
  • Restorative procedures such as fillings, crowns and bridges.
  • Comfortable, well-fitting dentures.
  • Oral surgery such as tooth extractions.
  • Access to oral and facial reconstruction surgery resulting from trauma or serious illness.


Outpatient Dental Program: The eligibility for outpatient dental care is not the same as for most other VA medical benefits and is categorized into classes. If you are eligible for VA dental care under Class I, IIC, or IV you are eligible for any necessary dental care to maintain or restore oral health and masticatory function, including repeat care. Other classes have time and/or service limitations.

In-patient Dental Program: If you are receiving hospital, nursing home or domiciliary care will be provided dental services that are professionally determined by a VA dentist, in consultation with the referring physician, to be essential to the management of the patient’s medical condition under active treatment.  

For more information on your eligibility to receive VA medical and dental benefits, contact VA at 1-877-222-VETS (8387) or www.va.gov/healtheligibility


Eligibility     
VA services are provided to any veteran who:

For more information, and to apply for VA healthcare services, go to the Online 10-10EZ Application.


Dental service has very specific eligibility guidelines. For information on eligibility for dental care, visit the VA Health Eligibility Web siteFor more information on your eligibility to receive VA medical and dental benefits, contact VA at 1-877-222-VETS (8387) or www.va.gov/healtheligibility
·      
        Completed active military service in the Army, Navy, Air Force, Marines, or Coast Guard (or Merchant Marines during WW II)
·       
       Was discharged under other than dishonorable conditions
·     
        National Guard members and Reservists who have completed a federal deployment to a combat zone

If you are currently serving in the military, and need assistance with your transition from DoD healthcare to VA healthcare, you may get assistance from a military liaison. Military liaisons are present at Base Readiness Centers and are instrumental in providing a multitude of connections between the military and civilian communities. Liaisons are responsible for ensuring that military orders are in place and all service-related transitional needs are addressed in a timely manner.

For more information regarding services available to returning Active Duty, National Guard and Reserve service members of Operations Enduring Freedom and Iraqi Freedom visit: http://www.oefoif.va.gov/

Please note that only emergency services can be received through VA until your enrollment is processed.

SPECIFIC DENTAL PROGRAM ELIGIBILITY LEVELS:

If you:

You are eligible for:

Through

Have a service-connected compensated dental disability or condition.

Any needed dental care

Class I

Are a former prisoner of war.

Any needed dental care.

Class IIC

Have service-connected disabilities rated at 100%, or are unemployable and paid at the 100% rate due to service-connected conditions.



Any needed dental care. 


[Please note: Veterans paid at the 100% rate based on a
temporary rating, such as extended hospitalization for a service-connected disability, convalescence or pre-stabilization are not eligible for comprehensive outpatient dental services based on this temporary rating].

Class IV

Apply for dental care within 180 days of discharge or release (under conditions other than dishonorable) from a period of active duty of 90 days or more during the Persian Gulf War era.

One-time dental care if your DD214 certificate of discharge does not indicate that a complete dental examination and all appropriate dental treatment had been rendered prior to discharge.*

Class II

Have a service-connected non-compensable dental condition or disability resulting from combat wounds or service trauma.

Needed care for the service-connected condition(s).

A Dental Trauma Rating (VA Form 10-564-D) or VA Regional Office Rating Decision letter (VA Form 10-7131) identifies the tooth/teeth eligible for care.

Class IIA

Have a dental condition clinically determined by VA to be associated with and aggravating a service-connected medical condition.

Dental care to treat the oral conditions that are determined by a VA dental professional to have a direct and material detrimental effect to your service connected medical condition.

Class III

Are actively engaged in a 38 USC Chapter 31 vocational rehabilitation program.

Dental care to the extent necessary as determined by a VA dental professional to:

·         Make possible your entrance into a rehabilitation program

·         Achieve the goals of your vocational rehabilitation program

·         Prevent interruption of your rehabilitation program

·         Hasten the return to a rehabilitation program if you are in interrupted or leave status

·         Hasten the return to a rehabilitation program of a Veteran placed in discontinued status because of illness, injury or a dental condition, or

·         Secure and adjust to employment during the period of employment assistance, or enable you to achieve maximum independence in daily living.

Class V

Are receiving VA care or are scheduled for inpatient care and require dental care for a condition complicating a medical condition currently under treatment.

Dental care to treat the oral conditions that are determined by a VA dental professional to complicate your medical condition currently under treatment.

Class VI

Are an enrolled veteran who may be homeless and receiving care under VHA Directive 2007-039.

A one-time course of dental care that is determined medically necessary to relieve pain, assist you to gain employment, or treat moderate, severe, or complicated and severe gingival and periodontal conditions.

Class IIB




VA dental services are located throughout the U.S., Puerto Rico, and the Philippines.  You can find a dental clinic in your area by using the interactive map on the following VA linked page:

You may also be eligible for dental care through VA’s Project HERO. Project HERO is a pilot program in four regions of the country that helps veterans get the care they need when it is not readily available at their local Veterans Affairs Medical Centers or clinics. While veterans can still find and visit non-VA doctors with a Fee care authorization, Project HERO provides veterans access to a pre-screened network of medical and dental providers who meet VA standards for quality care. The care is offered through contracts with Humana Veterans Healthcare Services (HVHS) and Delta Dental Federal Government Programs (Delta Dental).


  • Project HERO provides access to the following types of care when the care is not readily available within the VA Medical Center:
  • Medical/surgical specialty care
  • Mental health
  • Diagnostics
  • Dialysis
  • Dental care

Homeless Veterans Dental Care

The mission of the Homeless Veterans Dental Program is to increase the accessibility of quality dental care to homeless Veteran patients and to help assure success in VA-sponsored and VA partnership homeless rehabilitation programs throughout the United States.

VA’s  Homeless Veterans Dental Program was established by the Veterans Administration in 1992. The dental needs of homeless Veterans are well documented. In surveys listing and ranking the 10 highest unmet needs for homeless Veterans, dental care was consistently ranked by homeless Veterans as one of their top 3 unmet needs, along with long-term permanent housing and childcare. Dental problems, such as pain and/or missing teeth can be tremendous barriers in seeking and obtaining employment. Studies have shown that after dental care, Veterans report significant improvement in perceived oral health, general health and overall self-esteem, thus, supporting the notion that dental care is an important aspect of the overall concept of homeless rehabilitation.

There is some limited dental eligibility for homeless Veterans who are in certain VA-sponsored rehabilitation programs. Persons wishing to obtain information regarding the homeless dental program in their area should contact their nearest VA’s homeless coordinator by visiting: http://www2.va.gov/directory/guide/home.asp?isflash=1 or by simply visiting your closest VAMC, CBOC or Vet Center (walk-ins will be seen).

Common Q & A's


Is it true that newly-separated veterans can receive free dental care from VA? What is the eligibility for this service?
Yes, recently discharged veterans whose discharge record (DD214) clearly indicates either that dental services were not provided within 90 days of discharge or that dental treatment was not completed who served on active duty 90 days or more and who apply for VA dental care within 90 days of separation from active duty, may receive a onetime treatment for dental conditions and follow up treatment for that specific dental condition.

Is every veteran entitled to VA dental care?
No, current laws limit eligibility.You only have 90 days from your date of separation to apply for any dental care or benefits you may need.

 If you have dental concerns please ask your doctor about the services available to you.

I am still on active duty, so can VA provide dental care to OIF/OEF active duty service members being treated at VHA facilities?
Recently discharged veterans whose discharge record (DD214) clearly indicates either that dental services were not provided within 90 days of discharge or that dental treatment was not completed who served on active duty 90 days or more and who apply for VA dental care within 90 days of separation from active duty, may receive a onetime treatment for dental conditions and follow up treatment for that specific dental condition. 

For more information regarding services available to returning Active Duty, National Guard and Reserve service members of Operations Enduring Freedom, Iraqi Freedom and Operation New Dawn  visit: http://www.oefoif.va.gov/

What Next?

In order to receive the benefits you have earned the first step is getting enrolled in the VA healthcare system. You can enroll by calling toll-free 1-877-222-VETS (1-877-222-8387), visiting, or writing any VA healthcare facility, benefits office, or by using the online VA Form 10-10EZ.

If you are already enrolled in the VA health care system please speak to your VA physician about what dental services are available to you. VA dental services are located throughout the U.S., Puerto Rico, and the Philippines.  You can find a dental clinic in your area by using the interactive map on the following VA linked page: Locate a VA Dental Clinic




Sources:
http://www.va.gov/DENTAL/ptdentlinks.asp




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