For more than a decade we've cared for hundreds of veterans through VA Community Care via TriWest — chiropractic and massage therapy, help getting your authorization in place, and Nexus reports when your case calls for one. There's a social contract here, and we take it seriously: a country that asks people to serve owes them excellent care when they come home.
The way we see it: a country that asks people to serve owes them excellent care when they come home — not adequate, not "as good as we can manage," but excellent. That's a contract, and providers are part of fulfilling it. So when a veteran walks in, we treat the visit as the deal coming due.
In practice, that looks ordinary: same exam, same evidence-based approach, same time-of-day attention everyone else gets. But it also looks like writing the Nexus letter when it's clinically warranted, working through authorization snags so you don't have to, and not making you feel like one more file in a stack.
VA Community Care typically works like this: your VA primary care or specialty provider determines that community care is appropriate, the local VA generates an authorization through TriWest, and we receive that auth before scheduling. The auth specifies what services are covered (chiropractic, massage, or both), the number of visits, and the timeframe.
If you're not sure where you are in that process, that's okay. Call us at 541·753·1287 — we'll help you figure it out and tell you what to ask for next.
A Nexus letter is a medical opinion connecting a current diagnosed condition to your military service. The VA uses it as part of the evidence package when deciding service-connection on a disability claim. The standard phrase you'll see in these letters is some version of "it is at least as likely as not that the patient's [condition] was caused by or aggravated by their military service."
How we approach Nexus letters:
For services authorized under VA Community Care, TriWest pays us directly. The vast majority of veterans we see have no copay and no balance bill. Edge cases exist (services outside the auth, family members on different plans, etc.) — we'll explain anything that's unusual before it happens. We're transparent about what we know, honest about what insurance might do, and clear that the patient is ultimately responsible for the cost of their care, the same as any patient.
If you're a veteran without Community Care eligibility (or if you're between authorizations and can't wait), our time-of-service rate is available, and HSAs/FSAs are eligible.
Yes — through TriWest. We've been a VA Community Care provider for more than a decade and have cared for hundreds of veterans during that time.
Yes. VA Community Care requires authorization for chiropractic and massage. The good news: we help with this. If your auth isn't in place yet, call us — we'll talk through what you need from your VA primary care or the local VA, and what we can do on our end to keep things moving.
Almost never, for authorized services. TriWest pays us directly under VA Community Care. As with any insurance, your benefits and authorization terms have the final word — but for the vast majority of veterans we see, there's no copay or balance bill.
When clinically appropriate, yes. A Nexus letter is a medical opinion connecting a current condition to your military service — required as part of many VA disability claims. We write them for our patients when the clinical picture supports it. We don't ghost-write opinions, and we don't promise an outcome — what we provide is an honest, evidence-based clinical assessment that can be submitted to the VA.
Most of what we treat in our general practice — back and neck pain, headaches, sports and overuse injuries, post-deployment musculoskeletal pain, joint pain, sciatica, post-surgical residuals. If you have something specific, ask. If we're not the right fit, we'll tell you and point you somewhere that is.
VA Community Care is for the veteran specifically. Family members typically have separate coverage (TRICARE or another plan). If they want to be seen here, we can verify their plan and bill it directly — call us and we'll sort it.
Yes. Many of our veteran patients receive both — chiropractic care and licensed therapeutic massage — under the same authorization. The two work well together, especially for chronic musculoskeletal pain.
Most new veteran patients are seen within 1–3 business days once authorization is in place. If your auth is the slow part, call us — we can help you understand where the process is.
