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VA Health Care Eligibility


Overview

VA provides a Medical Benefits Package, a standard enhanced health benefits plan available to all enrolled veterans. This plan emphasizes preventive and primary care, and offers a full range of outpatient and inpatient services within VA health care system.

All Veterans are Potentially Eligible

  • Eligibility for most veterans' health care benefits is based solely on active military service in the Army, Navy, Air Force, Marines, or Coast Guard (or Merchant Marines during WW II), and discharged under other than dishonorable conditions.
  • Reservists and National Guard members who were called to active duty by a Federal Executive Order may qualify for VA health care benefits. Returning service members, including Reservists and National Guard members who served on active duty in a theater of combat operations have special eligibility for hospital care, medical services, and nursing home care for two years following discharge from active duty.
  • Health Care eligibility is not just for those who served in combat.
  • Other groups may be eligible for some health benefits.
  • Veteran's health care is not just for service-connected injuries or medical conditions.
  • Veteran's health care facilities are not just for men only. VA offers full-service health care to women veterans.

Enrollment Priority Groups

The number of veterans who can be enrolled in the health care program is determined by the amount of money Congress gives VA each year. Since funds are limited, VA set up priority groups to make sure that certain groups of veterans are able to be enrolled before others. A priority system ensures that veterans with service-connected disabilities and those below the low-income threshold are able to be enrolled in VA's health care system.

VA maintains an annual enrollment system to manage the provision of quality hospital and outpatient medical care and treatment to all enrolled veterans. Once you apply for enrollment, your eligibility will be verified. While many veterans qualify for cost-free health care services based on a compensable service-connected condition or other qualifying factor, most veterans are required to complete an annual financial assessment or Means test to determine if they qualify for cost-free services.

Based on your specific eligibility status, you will be assigned a priority group. The priority groups range from 1-8 with 1 being the highest priority for enrollment. Please note that veterans who are applying for enrollment who are assigned to Priority 8 are not eligible for enrollment or care of their nonservice-connected conditions.

For more information call 1 877-222-8387 or visit:

http://www.va.gov/healtheligibility/eligibility/

 

 

   
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