Thanks Rayne. This is the program I'm in now. I think they have done away with Choice Plus and replaced it with VA Direct Pay, there were a lot of issues with Choice Plus. Go figure...problems with a government program A lot of people think that these programs are there to let a vet use local, and providers of their choice. Not true. The providers have to apply for and be approved to participate in this Choice/Direct Pay program. Which most providers just don't have time for the government red tape, especially when they already have to deal with insurance companies. So the providers available, outside the VA , are very limited. There was one within a 20 mile radiance of me. With the social anxiety that was not an option for me. There's plenty of Mental Health providers around here, just none of them enrolled with the VA. Hope this makes sense. The VA still has a long way to go. Their medical side has gotten much better but the Mental Health side still sucketh. No wonder there are 22 veteran suicides a day. What's sad is they know there's an issue with the MH system but they do not fix it.