Understanding the DVA Gold Card

9 Nov 2017

GPs with patients who hold Department of Veterans’ Affairs (DVA) Gold Cards would know that the card entitles the holder to DVA funding for services for all clinically necessary health care needs, and all health conditions, whether they are related to war service or not. However, there are some limitations consistent with the limits imposed under the Medicare Benefits Scheme (MBS), which health providers need to be aware of when treating DVA clients.

At a time when they are experiencing health problems or need additional support, it is important for the wellbeing of veterans and DVA clients that they are given the correct advice about their treatments and what will be funded by DVA to avoid frustration and misguided expectations.

Services that are covered with a valid referral and/or prescription include pharmaceuticals, medical and surgical care, dental and allied health, rehabilitation aids and appliances, home and respite care, community nursing and a range of other support services.

The card also entitles the holder to transport related to treatment of their accepted condition and access to the Repatriation Pharmaceutical Benefits Scheme.

The card holder may be a veteran or the widow(er) or dependent of a veteran. Only the person named on the card is covered.

The limitations for treatment by a medical practitioner include:

  • Generally, those medical services listed on the MBS are available to Gold Card holders and any limits that apply are consistent with limits imposed under the MBS.
  • Medical services not listed in the MBS may be considered in exceptional circumstances. Prior financial authorisation must be obtained from DVA.
  • DVA will not pay for treatment of a disease or injury where the patient has received compensation or damages.

For more on Gold Card eligibility criteria and the full list of services covered under a DVA Gold Card please check the full article in DVA Provider News.

Further information is available on the DVA website.