Wilmington VA Medical Center
Eligibility for Services
- Any Veteran who enrolls with the VA and uses the VA as their Primary Healthcare Provider.
- Any Veteran requiring a prosthetic device for a service-connected disability.
- Any Veteran rated 10% or more for a service-connected disability.
- Any Veteran of World War I.
- Any Veteran who is a former Prisoner of War.
- Any Veteran in receipt of Aid and Attendance or Housebound benefits.
- Any Veteran hospitalized in a VA Medical Center may be provided prosthetic service to correct or treat any non-service-connected disability.
- Any Veteran who has been hospitalized at a VA Medical Center may receive follow-up outpatient care for up to one year.
- Any Veteran undergoing Vocational Rehabilitation under the authority of the Code of Federal Regulations 38 Chapter 3.
Patient Denial Process
You have the right to appeal an administrative decision. If you do not agree with the action we have taken, you have three choices:
- You may reopen your claim by sending us new and material evidence which we have not considered.
- You may ask to fax all pertinent information to the Prosthetic Office at VA Headquarters.
- You may appeal to the Board of Veterans Appeals (BVA).**
** You do not have the right to appeal a medical decision by your doctor. To appeal, send this office a Notice of Disagreement within one year of the denial. A Notice of Disagreement is a letter from you telling this office you wish to appeal. After you have sent the Notice of Disagreement, we will send you a Statement of the Case containing the facts, the applicable laws and regulations, and the reasons for our determination. This information will help you make your appeal. You will receive additional instructions as your appeal progresses.
Patient Rights and Responsibilities
Each eligible Veteran who receives appliances or services from the Prosthetic Treatment Center has certain rights. Those rights are:
- The right to quality and service.
- The right to privacy and confidentiality.
- The right, when appropriated, to participate in the prescription development.
- The right to participate in clinic discussion.
- The right to receive information about the type of appliances available.
- The right to an explanation of the actions and possible side effects of using or not using a prosthetic/orthotic appliance.
- The right to express grievances/dissatisfaction to the Chief, Prosthetic Department or higher authorities.
Each eligible Veteran also has certain responsibilities that are as important as your rights. Unless you accept these responsibilities as part of your treatment, you cannot expect much benefit to be gained by the appliance and/or services provided. These responsibilities are:
- To participate in treatment, therapy, and/or manufacturers instruction for equipment, appliances or services rendered.
- To develop with your physician, therapist or care provider defined goals.
- To keep scheduled appointment or notify the various departments when you are unable to do so and request rescheduling.
- To inspect your appliance/equipment for safety hazards and to follow maintenance instructions for the appliance/equipment.
- To treat your prosthetic device(s) with respect and to safeguard it from damage and theft.
- To notify the Prosthetic Treatment Center of any changes that would affect the appliance/equipment.
Prosthetic Department Mission Statement
The Mission of the Prosthetic Treatment Center is to provide quality prosthetic, orthotic, and sensory aid appliances to eligible beneficiaries through technical and administrative expertise within the catchment area of this Medical Center.
Our Vision is to continue to expand effective relationships with professional, technical, and management units within this Medical Center. The Prosthetic Treatment Center will develop and implement with Fiscal guidance, and plan to improve budget management and administrative methodology to the extent that services to veterans are expedited with minimal lag times in allocation and receipt. Develop effective communication networks and maintain effective working relationships with concerned private interest groups, contractors, service organizations and other federal, state, and community organizations.
Desirable qualities, characteristics, and behaviors that employees of the Prosthetic Treatment Center believe to be of importance are expertise, honesty, and respect for individuals, fairness, loyalty, sincerity, dedication and openness.