Veterans Affairs (VA) Covered Services and Rules

VA insurance covered services:

• VA insurance covers services received at the VA facility/Hospital.
• VA insurance also covers the services received at non-VA facilities if it is authorized by VA insurance.

VA patients must visit the VA facility once every 24 months:

• VA does not pay emergency medical bills if veteran patients have not visited a VA doctor or facility for the last 24 months.
• It is necessary for a veteran to visit a VA doctor or facility at least once every 24 months.
• Claims that are denied for this reason can be billed to the patient.

VA vs Medicare:

• A veteran patient can have both VA and Medicare benefits at the same time but both insurances do not work together.
• VA insurance does not cover Medicare cost-sharing (Deductible, Coinsurance & Co-payment) and Medicare does not cover services that are received at a VA facility/Hospital.
• If VA does not pay for services received at non-VA facilities that are authorized by VA then such claims can be billed to Medicare since Medicare may pay for these services. 
• In short, If any one of them pays for any service as primary then the remaining balance (Patient responsibility) cannot be billed to another insurance as secondary. The remaining balance should be billed to secondary or supplemental insurance if the patient has or else it is the patient's responsibility.