Dental care – restorative care shall not exceed $500 in any consecutive 12-month period except when an upper and lower denture is required and each denture shall not exceed $1,875 in any consecutive 48-month period.
Vision care – means a vision exam by a licensed vision care provider and a prescription for lens and frame. Vision care shall not exceed $400.00 for both a vision exam and the purchase of lens and frame in any consecutive 12-month period.
Hearing care – is limited to $200 in any consecutive 12-month period except when a left or right hearing aid is required, each hearing aid shall not exceed $1,875 in any consecutive 48-month period.
Grant awards for health care and subsistence aid combined cannot exceed the Assistance to Needy Veterans Grant Program $7,500 lifetime limit.
Approved applicants will receive a Description of Benefits (DOB) that will list approved care and the time period during which the care must be obtained. The DOB should be given to the health care provider you chose who will return it to WDVA with billing information. Payments will be sent directly from WDVA to the health care provider. If an outstanding DOB exists, binding quotes from a provider are necessary in order to have an additional DOB issued. Invoices for health care services that are received more than 30 days after the expiration of the DOB or any applicable extension will be denied.
Note: The department may not provide health care aid under this program unless the aid recipient's health care provider agrees to accept, as full payment for the health care provided, the amount of the payment, the amount of the recipient's health insurance or other third-party payments, if any, and the amount that the department determines the applicant is capable of paying.
