we found that as long as you're in the same VA "region" you can go to different facilities with a doctor referral. The problem arises when you go outside the region. (see the VA website for how the regions are configured). We were told we would have to drive to the regional office to register before we could be treated at a community clinic. The regional office was 2 hours away from the clinic. The problem is that their computers are not all connected. We had an emergency in Missouri and the hospital said they called and preapproved treatment but the VA denied they approved it. Took 2 yrs for them to pay it. They told me that he should have driven 2 hours to Little Rock! The new Veterans Choice Program does not apply to travel. Please let us know if you find out anything different. It would be great if it were more flexible. Currently we go to our home base 2x a year for doctor appointments and to get 90 days of meds. Our daughter mails another 90 days of meds when they are refilled.