VA Health Care Enrollment Process
Veterans are now eligible for a comprehensive health care package that is completely portable across the entire VA health care system. To receive health care, most veterans must be enrolled first.
In
2009 federal regulations were changed to enable VA to enroll certain
Priority Group 8 veterans who applied for enrollment and who may have been
previously denied enrollment in the VA health care system because their income
exceeded VA's income thresholds. These Veterans may now qualify if
their household income does not exceed the current VA income thresholds by more
than 10%. To see if you are eligible and to access a calculator to see how you
stand against the income thresholds, visit www.va.gov/healtheligibility/Library/AnnualThresholds.asp.
If you have any enrollment or eligibility questions, you may call
1-877-222-VETS (8387).
Application Process
To
apply for VA health care benefits, including enrollment you must fill out an
application for enrollment, VA Form
10-10EZ. You may obtain this form by one of the following means:
- Online - Complete VA Form 10-10EZ, Application for Health Benefits.
- By Telephone - Call toll-free number at 877-222-VETS (8387)
- In Person - Complete the "Application for Health Benefits" at your local VA. Find a VA medical center.
The
VA uses the 10-10EZ application to determine if you have qualifying service as
a veteran and your status so you can be placed into one of the Enrollment
Priority Groups.
Once
enrolled you will remain enrolled without having to reapply for benefit
annually. However, some veterans will need to update their financial
information yearly to keep their enrollment priority current. VA will contact
you when or if it is necessary to update their financial information.
The VA has a quick two-question form
to help you determine your if you qualify for VA health care. Visit the VA Health Care Page to get started.
New Law Opens VA Health Care to Some Priority Group 8 Vets
A
recent change in the laws governing VA health care provides VA additional
funding to allow expanded enrollment opportunity for certain Priority 8
Veterans who may have been previously denied enrollment in VA's health care
system because their income exceeded VA's national and geographically-adjusted
means test thresholds.
The
new regulations took effect on June 15, 2009 and enable the Department of
Veterans Affairs (VA) to relax income restrictions on enrollment for health
benefits. While this new provision does not remove consideration of income, it
does increase income thresholds. You may be eligible for enrollment under this
new provision, even if you have been denied coverage in the past.
A Veteran applying for
enrollment on or after June 15, 2009, who does not qualify for a higher
priority group and whose income exceeds VA's national and
geographically-adjusted means test threshold by 10% of less will be placed in
Priority Group 8b (if the Veteran is non-compensable 0% service-connected) or
8d (if the Veteran is nonservice-connected) and enrolled in the VA health care
system. This new financial threshold is referred to as the "Enrollment
threshold."
Your Next Step:
If you applied after Jan. 1, 2009 simply wait for the VA to contact you after their re-evaluation period.
If you applied after Jan. 1, 2009 simply wait for the VA to contact you after their re-evaluation period.
If
you originally applied for VA health care prior to Jan. 1, 2009 you should
visit the VA Health
Care Calculator to determine if you are eligible under the new Priority
Group 8 guidelines.
Complete
and submit VA Form
10-10EZR, Health Benefits Renewal form to have your eligibility for health
care enrollment reassessed against the new "Enrollment threshold."
If
you need assistance contact VA's Health
Resource Center
at 1-877-222 VETS (8387); or visit the VA health eligibility website at www.va.gov/healtheligibility/.
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