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Health Net Federal Services and the Veterans Choice Program

Health Net Federal Services (HNFS) is proud to support the Veterans Choice Program (VCP) in 37 states as well as
the District of Columbia, Puerto Rico and the U.S. Virgin Islands.
HNFS has been supporting the U.S. Department of Veteran Affairs and the Department of Defense for almost 30 years,
providing healthcare to our countrys veterans, active duty military and their families.
The VCP provides primary care, inpatient and outpatient specialty care, and behavioral healthcare options, and is one of
six supplemental programs offered to eligible Veterans for healthcare outside of U.S. Department of Veterans Affairs (VA)
facilities.
HNFS was one of two providers selected as a program manager of the Veterans Choice Program, when the VA called for
proposals from federal service providers in 2014.
HNFS has worked with Veterans Affairs and Congressional leaders to ensure the contract terms and overall program
requirements better meet the needs identified at the community level.
Today, HNFS is scheduling more than 800,000 appointments for veterans each year with more than 384,000 healthcare
providers and processing about $3.8 million of providers claims annually.
HNFS works with an established network of healthcare providers to manage the VCP for Choice-eligible veterans.
VCP allows eligible veterans to receive care from community-based providers when their local VA healthcare facility
cannot provide the services due to the lack of available specialists, the extended wait time or the long distance from their
home. The program works as follows:

HNFS receives Veterans contact HNFS


VA determines the to request services or
eligibility information
veterans eligibility for the VA will instruct
and issues a VCP HNFS to contact the
the program
Card veteran directly

Health care provider HNFS confirms the


submits their claim to HNFS notifies the services for the veteran
HNFS after seeing the veteran of their and sets an appointment
veteran and the claim is appointment with a provider from their
paid network

Health Net Federal Services continues to work with the VA to increase access to the VCP across the country and
accelerate the speed of claims being invoiced and reimbursed.
HNFS has opened a new call center in 2016 with more than 500 full-time staff dedicated to taking calls directly from
veterans and connecting them to the medical care they need.
We have local teams dedicated to understanding local providers and services in an effort to connect our veterans with the
best possible care providers.
The process for scheduling appointments has been streamlined, removing a number of touch-points that were previously
required and reducing the amount of paperwork our members and providers have to file through in order to receive
services.
These improvements have increased the scheduling of appointments by 217% from 2015 to 2016.

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