Dr. Jordan Loewenstein is an authorized VA Community Care Network provider in CCN Region 4 (TriWest). Veterans with an approved VA referral pay nothing out of pocket. We bill TriWest directly and guide you through the referral process from start to finish.
Getting VA chiropractic care through Community Care is straightforward once you know the steps. Here's exactly what to do — including what to say to your VA provider to make sure the referral comes to us.
You may qualify for VA Community Care chiropractic if any of the following apply. You must be enrolled in VA healthcare.
No on-site chiropractic at your local VA facility
Wait time exceeds 28 days from referral date for specialty care
Distance threshold — you live too far from the nearest VA chiropractic clinic
Best medical interest — your VA provider determines community care is appropriate
VA coordinators and referring providers — use the information below to route the referral directly to our office. Our fax line is monitored daily.
VA chiropractic authorization covers musculoskeletal conditions of the spine, neck, and joints. Common conditions we treat for veterans at our UTC San Diego office:
The most common questions veterans ask about using VA Community Care benefits for chiropractic in San Diego.
Yes. You must get a referral from your VA primary care provider before scheduling your first appointment. The VA reviews your eligibility, prepares the referral through the Community Care Network, and sends an authorization to TriWest. Without an approved authorization, the visit will not be covered. Call us at (858) 558-3111 and we can help you understand the process before you contact your VA provider.
No. With an approved VA Community Care authorization, chiropractic visits are fully covered — no copay and no out-of-pocket cost for eligible veterans in most cases. TriWest is billed directly by our office. You pay nothing at the time of service. If you are not eligible for community care or your authorization has lapsed, we'll let you know before your visit so there are no surprises.
You may qualify if your local VA facility doesn't offer chiropractic on-site, the wait time for VA specialty care exceeds 28 days from your referral date, you live beyond the distance threshold from the nearest VA chiropractic clinic, or your VA provider determines community care is in your best medical interest. You must be enrolled in VA healthcare. Your VA primary care provider determines eligibility when you request the referral.
You can choose any provider within the VA Community Care Network — you are not locked into the closest provider geographically. When requesting your referral, tell your VA PCP you'd like to be seen at Jordan Loewenstein, D.C. (Dr. Jordan Loewenstein, 5151 Shoreham Place Suite 175, San Diego CA 92122, NPI 1194563775). Providing our specific information helps ensure the referral is routed directly to our office.
Initial authorizations typically cover 6–12 visits, with 12 visits over 12 weeks being a common authorization period. If you need more care after your authorization runs out, we document your progress and submit an extension request to TriWest on your behalf. If the VA approves continued care, a new authorization is issued and treatment continues at no cost to you.
TriWest Healthcare Alliance is the third-party administrator (TPA) that manages the VA Community Care Network in CCN Region 4, which covers California. They process referrals, authorize care, and handle billing between the VA and community providers like our office. You don't interact with TriWest directly in most cases — they work behind the scenes. Your VA care team and our office handle the coordination.
The referral preparation process can take up to 14 days from the time your VA care team submits it. Once TriWest authorizes the care and you receive your authorization letter, you can schedule your appointment right away. To start the process, contact the VA San Diego Community Care Office at (858) 623-1879 (option 3 for patients) or ask your VA primary care provider at your next appointment.
Bring your VA authorization letter (which contains your authorization number and approved care details), a valid photo ID, and any imaging (X-rays, MRIs, CT scans) relevant to your condition. The VA will typically share your medical records with our office ahead of your first visit. If you have questions about what to bring, call us at (858) 558-3111 before your appointment.
Yes. Chiropractic is included in the VA Medical Benefits Package under Complementary and Integrative Health (CIH) services. VHA Directive 1210 mandates that every VA facility provide access to chiropractic care — either on-site or through community care. If your local VA cannot provide chiropractic within 28 days, you are entitled to receive care through a community provider like our office.
Call us before your VA appointment and we'll walk you through exactly what to request from your provider. No stress, no guesswork — just tell us where you are in the process and we'll help from there.