A medical emergency is generally defined as a condition of such a nature that a prudent layperson would reasonably expect that delay in seeking immediate medical attention would be hazardous to life or health.
You may receive emergency care at a non-VA health care facility at VA expense when a VA facility (or other Federal health care facility with which VA has an agreement):Cannot furnish economical care due to your distance from the facility; or when VA is unable to furnish the needed emergency services.
VA Payment for Emergency Care of your Service-connected conditions without prior authorization
Since payment may be limited to the point when your condition is stable enough for you to travel to a VA facility, you need to contact the nearest VA medical facility as soon as possible. An emergency is deemed to have ended at the point when a VA provider has determined that, based on sound medical judgment, you should be transferred from the non-VA facility to a VA medical center.
VA may pay for your non-VA emergency care:
|If you are:||Then:|
|Service-connected||VA may pay for your non-VA emergency care for a rated Service-connected disability, or for your Nonservice-connected condition associated with and held to be aggravating your Service-connected condition, or any condition, if you are an active participant in the VA Chapter 31 Vocational Rehabilitation program, and you need treatment to make possible your entrance into a course of training or to prevent interruption of a course of training or other approved reason or any condition, if you are rated as having a total disability permanent in nature resulting from your Service-connected disability|
VA Payment for Emergency Care of your NonService-connected conditions without prior authorization
VA may pay for emergency care provided in a non-VA facility for treatment of a Nonservice-connected condition only if all of the following conditions are met:
|If you are:||Then:|
|Service-connected, not Permanently and Totally Disabled, or Nonservice-connected||VA may pay for your non-VA emergency care for treatment of a Nonservice-connected condition if all of the following conditions are met: