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Thread: VA care question for sci, catastrophic requires inability to eat dress?

  1. #1

    VA care question for sci, catastrophic requires inability to eat dress?

    i was able to get some care from the VA at no charge due to my caudal equine injury. Now i am being billed and the problem is i am not considered catastrophic, since i can eat on my own, dress on my own, is there any work around on this , My VA doctor said he has to check off three boxes that i dont qualify for.
    cauda equina

  2. #2
    You should be rated as Category 4, due to your SCI. Best bet is to work with your PVA National Service Officer (NSO) on getting you properly rated. Are you working with them?

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  3. #3
    Thanks KLD , i will follow up with them in the Am . in 2004 i was treated and received a lot of services including MRI and nuclear scans and wasn't billed. Now all of a sudden i am being billed for everything and today i was told i cannot be classified as catastrophic since i do not meet catastrophic classification. i was told for the last two years that my annual sci physicals were no charge and i may have been billed for them. I have had a problem keeping up with my mail , my apartment building , a coop i owned, burnt in march 2017 and i have not been able to return yet, i am moving around with a lease expiring next week. . I just looked up the info on the Bronx PVA and will call them in the AM, thanks. I had insurance pay for catheters since 2001 and now i am running into difficulty dealing with my insurance so trying to get a cheaper back up supply .
    cauda equina

  4. #4
    Here is the contact information for the NY PVA NSO:

    Office:
    James J. Peters VAMC
    130 West Kingsbridge Road, Room 1D-52A
    Bronx, NY, 10468

    Phone: 718-584-9000 Ext: 6272
    Toll Free: 866-297-1319
    Fax: 718-741-4237



    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  5. #5
    Call your Senator/Congressman. I had that crap too. They even had a form for it. Two days later the bill got dropped and I even got a letter of apology.

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