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Factsheet HSV60 - Using the DVA Health Card - All Conditions (Gold) or DVA Health Card Totally & Permanently Incapacitated (Gold)

Purpose

This Factsheet provides information about the health care you can access with your Department of Veterans' Affairs (DVA) Health Card - All Conditions (Gold) or DVA Health Card Totally & Permanently Incapacitated (Gold). It also provides information on how and when to use your Gold Card and using it when travelling overseas.

Sample photo of the DVA Health Card — For All Conditions (Gold Card)   Sample photo of the DVA Health Card — For All Conditions (Gold Card) TPI

Am I eligible for the Gold Card?

For information on eligibility for the Gold Card please see Factsheet HSV59 - Eligibility for the DVA Health Card – All Conditions (Gold) or Totally & Permanently Incapacitated (Gold).

When do I use my Gold Card?

Your Gold Card identifies you as being eligible for treatment and care for all clinically required health care treatment at DVA expense.

You should present your Gold Card whenever you visit either of the following:

  • a medical specialist, dentist, pharmacist, dental prosthetist, optometrist or other health care professional who provides services under DVA arrangements
  • a hospital or day procedure facility

Most healthcare providers in Australia accept DVA Health Cards. If you have not used a provider before (for example, when your General Practitioner (GP) refers you to another provider), it is worth confirming they accept the DVA Health Card as full payment for treatment. This will ensure you will not have any unexpected out-of-pocket expenses.

What health care services can I access?

For a full list of services you can access using your Gold Card please see Factsheet HSV01 - Health Services Available to the Veteran Community available from your local Veterans’ Access Network (VAN) Office, any DVA office in your State or on the DVA website.

Can I use my Gold Card anywhere in Australia?

Yes, you can use your Gold Card anywhere in Australia. If you need treatment while travelling within Australia, you may check with the local health provider if they accept the Gold Card.

Can I use my Gold Card overseas?

No, you can only use your Gold Card within Australia. You must contact DVA before you travel overseas for information about arrangements for treatment overseas. For more information, please see Factsheet HSV65 - Medical Treatment while Overseas.

Are there any limits or restrictions?

Yes, there are limits that apply to some services. For example, medical services are subject to the requirements of the Medicare Benefits Schedule (MBS).

DVA does not fund alternative therapies, please see HSV131 Alternative Therapies for the Veteran Community.

Some treatments require prior approval from DVA. Your doctor or health care provider will arrange this for you.

A referral from your doctor is also required for some services, such as services provided by a specialist or allied health provider.

DVA will not pay for treatment of a disease or injury if you are entitled to compensation or damages, from another party, for that disease or injury.

Do I need to pay for treatment?

Generally no, you should not pay for any treatment received under DVA arrangements, but there are a few exceptions, such as for Veterans’ Home Care, certain partially subsidised hearing devices, and some dental treatment. If you are billed by your health care provider do not pay the account and advise DVA immediately. Prior to making an appointment you should confirm that the provider accepts your Gold Card as full payment as DVA may not be able to reimburse the cost of the treatment in some instances.

Do I need to pay for my prescriptions?

Yes. You have to pay a patient contribution charge (co-payment) for each prescription. For detailed information on the amounts payable, please refer to Factsheet HSV92 - Repatriation Pharmaceutical Benefits Scheme.

Can I choose to be treated as a Medicare or private patient?

Yes, you can choose to be treated as a Medicare or private patient. However if you take one of these options, DVA will not pay for any services that have been paid in part or full by Medicare, private health insurance or a third party compensation benefit.

If you do choose to be treated under Medicare, you may still receive, at DVA's expense, additional health care services that are not covered by Medicare.

When does my Gold Card expire?

The expiry date is shown on the front of your Gold Card. You will receive a replacement card about one month before the expiry date. If you don't receive your replacement card, please contact DVA.

If you are no longer eligible for a Gold Card, DVA will notify you and ask you to return the card.

If you change your address, please contact DVA to ensure your replacement card is sent to the correct address.

What do I do if my Gold Card is lost, stolen or damaged?

If your Gold Card is lost, stolen or damaged, you must contact DVA immediately so your card can be cancelled and a new Gold Card issued.

You should receive your replacement card within two weeks. DVA will provide a letter of authority for this period if you need one, or your health provider may phone DVA for information about your eligibility and entitlements.

More information

DVA general enquiries

* Calls from mobile phones and pay phones may incur additional charges.

Related factsheets

Disclaimer

The information contained in this Factsheet is general in nature and does not take into account individual circumstances. You should not make important decisions, such as those that affect your financial or lifestyle position on the basis of information contained in this Factsheet. Where you are required to lodge a written claim for a benefit, you must take full responsibility for your decisions prior to the written claim being determined. You should seek confirmation in writing of any oral advice you receive from DVA.

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17 July 2019