General Practitioner information

Last updated: 
15 July 2020

Find all the key information you need when treating Veteran Card holders.

COVID-19 temporary arrangements

We have COVID-19 information for all healthcare providers. This includes information on telehealth fee arrangements and support for vulnerable veterans.

Patients who may be eligible for our services

Our clients use their Veteran Cards to pay for medical appointments at the DVA rate. You cannot charge gap fees with Veteran Card payments.

Veteran Cards provide different coverage for card holders. You need prior approval from us for treatments not listed on the Medicare Benefits Schedule (MBS).

Not all card holders are veterans. Civilians including war widowed partners and dependants may also hold Veteran Cards.

What a Veteran Gold Card covers

Veteran Gold Card holders can access services for all medical conditions where it is clinically required. These are:

What a Veteran White Card covers

Veteran White Card holders can access services for accepted conditions where it is clinically required. These are:

  • MBS listed treatment and allied health
  • non-MBS treatments if we give prior approval
  • pharmaceutical items on the PBS or RPBS
  • mental health care for a diagnosed mental health condition
  • non-listed pharmaceutical items if our pharmacists give prior approval

What a Veteran Orange Card covers

Veteran Orange Card holders can access clinically required pharmaceutical items for all medical conditions if these items are:

Referrals to other providers and services

When you treat our clients you may refer them to other providers or services. In some cases you may need to check with us before you refer a client.

Referrals to allied health providers

Referrals to allied health providers now last either 12 sessions or 1 year, whichever ends first. This is in accordance with the allied health treatment cycle

Referrals can be repeated, and the cycle can be renewed if ongoing treatment is required. 

Veteran health checks

All veterans are entitled to a single comprehensive Veteran Health Check.

For veterans who left the Australian Defence Force (ADF) after 30 June 2019 you can provide an annual veteran health check every year for 5 years

Information to help you understand the veteran experience

Open Arms - Veterans & Families Counselling provides information about understanding the veteran experience. This can help you understand the impacts of this experience on your patient's health and wellbeing. 

Veterans in transition from the ADF may be new to Medicare and the public health system.

Mental health programs and services 

Funded mental health care

Under our non-liability mental health program, eligible veterans receive funded mental health treatment. The treatment must be for a mental health condition and must be provided by a mental health practitioner.

Funded counselling is available for veterans and their families through Open Arms - Veterans & Families Counselling.

As well as counselling Open Arms also offers:

Drug and alcohol rehabilitation programs

We fund drug and alcohol programs at approved rehabilitation facilities.

Other programs and services for veterans 

Coordinated Veterans’ Care Program (CVC)

The Coordinated Veterans' Care Program funds GPs and practice nurses to manage coordinated care for Veteran Gold Card holders with chronic conditions. The program is designed to better manage veterans with chronic conditions who may be at risk of unplanned hospital admissions.

Rehabilitation

Rehabilitation services for eligible veterans are managed by contracted providers.

Independent living equipment

The Rehabilitation Appliances Program helps eligible card holders access a wide range of medical aids, equipment and home modifications to assist with independent living. This may include items such as electric scooters or compression garments.

Cancer and tuberculosis treatment

We fund cancer and tuberculosis treatment for eligible veterans.

Hearing services

Our Hearing Services Program provides assistive listening devices to eligible clients.

Eligible Veteran Card holders access hearing aids through the Australian Health Department Hearing Services Program.

We may provide extra hearing support if clinically required. This may include assisted listening devices and tinnitus management through the hearing program.

We have a brochure for veterans to help them understand hearing services.

Help at home

Veterans' Home Care can assist with household tasks for eligible veterans and dependants.

Our Community Nursing Program provides nursing visits for eligible Veteran Card holders in their home.

Hospitals and day procedure centres

Eligible Veteran Card holders can be admitted to private hospitals and day procedure centres (including Mental Health facilities) if the hospital is contracted with us.

Transport

Get transport for a Veteran Card holder when they travel to a medical appointment.

Health provider information and forms  

Our forms are available online. As a GP you may commonly need to use:

You need to request prior approval from us before providing non-schedule treatments. Use our form or your own stationery to refer a Veteran Card holder to other practitioners.

Fees

Our Schedule of Fees lists funded medical services and item numbers.

You cannot charge gap fees with Veteran Card payments.

Incentives are available for GPs to treat Veteran Card holders.

Health arrangements

Our Notes for General Practitioners describe health arrangements between us and GPs. Check DVA Provider News for updates to health arrangements.

Pharmacy and veterans 

The Repatriation Pharmaceutical Benefits Scheme (RPBS) provides access to a larger range of medicines and wound care items than are on the PBS Schedule. For quick pharmacy advice or to get a prescription approved you can ring our 24-hour advice line on 1800 552 580.

Veterans' MATES provides tailored information to GPs about appropriate medication use for your patient.

Training resources

We offer a range of training online. Continuing professional development courses are available, as well as a wound care module and PTSD information.

Contact us

We have provider specific contact numbers to help you. For general enquiries contact the Health Provider Line on 1800 550 457. We will help you with your enquiry or connect you to the right area.

You can also contact us for: