VA won't refer us to Mayo, even if we requested

Posted by awworrell @awworrell, Aug 19, 2023

I have been fighting for my husband, 100% disabled veteran, to be seen at Mayo for unknown GI issues. I've called Mayo and know they accept VA Community Care, but I keep getting told by the VA that Mayo doesn't take it. They currently have him being seen at Shands hospital, but I need a team to look at the whole parts instead of hyper focusing on one. Everybody seems to keep missing the issue and he has been dealing with this for almost 3 years. It doesn't make sense to us that his bloodwork shows he's fighting an infection, yet they can't figure out what. Also, bloodwork will show that liver and kidneys are going bad at times then other times they are fine. His Shands doctor told him that he doesn't have Pancreatitis, however we've had multiple GI doctors confirm that he does including a different Shands doctor (who performed his scopes). Gallbladder has been removed and that didn't fix anything. Now we are back to him barely eating. He can't eat red meat or anything red (strawberries, watermelon, tomatoes, Fruit Punch, etc). For about a year all he could stomach was soup. I just want answers. Our kids want their dad back. Anybody have any tips that I can try to get him into Mayo Florida?

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@colleenyoung

@nd120, Mayo Clinic has long been committed to care for veterans, with various agreements in place for coverage.

If you haven't already, I recommend calling Patient Account Services, Mayo Clinic's customer contact center, to inquire about insurance types accepted and guidance on denied claims. Here's the contact information: https://www.mayoclinic.org/patient-visitor-guide/billing-insurance/contact-us

Which Mayo Clinic location are you hoping to attend? Is it an issue with coverage or appointment availabiity?

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I have been going to Rochester on other insurance. This issue is the VA is responsible for this issue and need to take responsibility. It should not be another insurance paying for their responsibility. Does Mayo actually accept VA and if not why?

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@nd120

I have been going to Rochester on other insurance. This issue is the VA is responsible for this issue and need to take responsibility. It should not be another insurance paying for their responsibility. Does Mayo actually accept VA and if not why?

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@nd120, you’re right, another insurance should not have to pay. Mayo does accept VA.

- Mayo Clinic Expands Commitment To Serving Veterans By Participating In VA Community Care Network https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-expands-commitment-to-serving-veterans-by-participating-in-va-community-care-network-beginning-august-1-2020/

Were you able to talk to someone at Mayo Account Services?

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@colleenyoung

@nd120, you’re right, another insurance should not have to pay. Mayo does accept VA.

- Mayo Clinic Expands Commitment To Serving Veterans By Participating In VA Community Care Network https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-expands-commitment-to-serving-veterans-by-participating-in-va-community-care-network-beginning-august-1-2020/

Were you able to talk to someone at Mayo Account Services?

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Yes, I spoke with someone at accounting and they told me they accepted VA. VA says the opposite, that Mayo doesn’t accept VA . My provider at the VA said they have never seen anyone get a referral to Mayo.

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