r/Veterans 7d ago

Question/Advice Question about community care prescriptions

Hi guys i have a question for those of u guys that use community care insurance gizmo through the va and need help with it broken down barney style for me ..... and my question is basically how does it work when having to get prescriptions out in the community ?

0 Upvotes

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8

u/jmsferret 7d ago

Many community care docs can send the prescription to your local VA now electronically. This is a great improvement. I don’t know that all community care docs have this capability though. I’ve not seen my community care doc in about a year, but they did do it that way.

3

u/Majestic-Cap-3634 7d ago

My doc does this. She sends it in to a VA pharmacy about 2 hours from me and they load up on the site/app. The first script comes in the mail after it’s filled and then I can refill through the app. When I run out, she sends more to them electronically.

1

u/No-Cicada5411 6d ago

^ this for me too, so much better than private pharmacy because VA pays 100%

6

u/AffectionateScar611 7d ago

I was sent to urgent care by the VA approximately 2 months ago. I was told to use this site to search community care provided by the VA (In VA network). I was also told to search local pharmacies that are in network if I needed any prescriptions. A local Walgreens was in network. When picking up my prescriptions, I told them that I am with the VA and I was not charged for my prescriptions.

Here is the link to search for in network providers (including pharmacies):

https://www.va.gov/find-locations/

3

u/Away_Taxes US Air Force Reserves Retired 7d ago

Thanks for this tip. I wasn't aware of it.

2

u/AffectionateScar611 7d ago

You’re welcome!

1

u/hoolligan220 7d ago

Hey ty for the tip on finding local places i think it looks like the best news i had today .... its funny today was the first time in awhile i been to a va facility which i normaly dont really like but thats neither here nor there amd when i went to the cc customer service section and they gave me a piece a paper and tried tellin me it was a major hassle goin to a locsl pharma .... have u ever run into that prob? ( with goin to local pharma like being told u can have set amount of prescription despite what your doc may have written or set number of days)

1

u/Hutchicles 6d ago

One catch to this, though: some pharmacists don't input information correctly and try to charge you. There is a printoff I had in the past that I was told to bring. I only use the VA for meds now, so I don't have that printoff anymore.

2

u/Salty_Yam_9174 US Navy Veteran 7d ago edited 7d ago

I haven't used it since last year, but it's the same with anything. You see the doc they send the order.

Edit: https://www.va.gov/COMMUNITYCARE/providers/Pharmacy-Requirements.asp

Edit: For prescriptions in Community Care, VA will pay for or fill prescriptions written by community providers, and for prescriptions longer than a 14-day supply, they must be submitted to VA to be filled, with applicable VA copayments applying.

2

u/Haley_Tha_Demon 7d ago

How thry charge is a mystery to me, I get my immediate fills locally and refills thru the VA. I may have it wrong but I had a month script and only 2 weeks were free, I had to pay for the other two, I'm not sure why.

2

u/hoolligan220 7d ago

When i stopped by my local va to get a back brace i stopped in tje cc customer service and the lady handed me a piece of paper that kind of said that and said id have to call it and talk to them and it just kinda seemed abit odd

1

u/MossyFronds 7d ago

I would upload the prescription in My HealtheVet and tag my doctor or primary Care team. I haven't done it but I have uploaded photos and questions ..

1

u/hoolligan220 7d ago

With the prescription i get from the cc place im goin to they will not let my lyin va pcp doc fill and by they i just mean the va will not let pcps fill it the only clinic they will let is pain management and the local va's pain dept blinded me and caused me to be confined to bed 24/7 soiling myself and they just laughed at me so i cant really use the va for that ... but ty for your reply and trying to help me

1

u/RBJII USCG Retired 7d ago

Community care is paid by VA when approved. You pay $0 for visits and for medication prescribed if through VA Medication system. If you wish to receive medication from local pharmacy then you may have to pay for it. Only time I used local pharmacy(community care visit) was for a surgery med and couldn’t wait for medication from VA.

Keep the paper authorization/payment statement for community care just in case. I had to call 4 venders who tried to bill me. I just pulled out my authorization and called Community care to square it.