Urgent Care Transition - Harry S. Truman Memorial Veterans’ Hospital
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Harry S. Truman Memorial Veterans’ Hospital

 

Urgent Care Transition

Image: Urgent Care Update

VA’s urgent care benefit will change from TriWest to Optum

Thursday, August 27, 2020

Effective September 1, 2020, VA’s urgent care benefit under the Mission Act will transition from TriWest to Optum. Here’s what you need to know:

  • The actual urgent care benefit remains the same (i.e., care must be provided through a contracted provider, no limit on visits (although copay may be applicable depending on priority group), no preauthorization required for the contracted provider), and Veteran must be enrolled in the VA health care system AND have received care through the VA from either a VA or community provider (authorized by the VA) within the past 24 months.
  • The network for Urgent Care locations will change. If the current urgent care location does not sign an agreement with Optum, that location will not be available after 8/31/2020.
  • The Urgent Care PHARMACY NETWORK will also change on 9/1/2020 to CVS/Caremark.
  • Contact information will change to search for a provider effective 9/1/2020:
    • Call the Community Care Contact Center (C4) at 877-881-7618
    • May still use the VA.gov provider locator, but please note, the updated network will not be available until Tuesday 9/1/2020. https://www.va.gov/find-locations/
  • Veterans MUST fill any prescriptions received during an urgent care visit IN THE SAME STATE as their urgent care visit through the new Pharmacy Network.
  • An updated Veteran urgent care webpage will be published on 9/1/2020 that will emphasize critical information for Veterans to take with them to their urgent care visit and allow Veterans to view or download “Urgent Care Assistance Cards” to take with them to their visit. This website will be https://www.va.gov/COMMUNITYCARE/programs/veterans/Urgent_Care.asp

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