Treatment FAQ

who is eligibe for treatment at veteran's affairs cinics

by Zachariah Fay Published 2 years ago Updated 2 years ago

Current and former members of the Reserves or National Guard who were called to active duty (other than for training only) by a federal order and completed the full period for which they were called or ordered to active duty also may be eligible for VA health care. Minimum Duty Requirements

If you served in the active military, naval or air service and are separated under any condition other than dishonorable, you may qualify for VA health care benefits.

Full Answer

Can veterans with a service-connected disability rating use VA medical centers?

The common misconception is that veterans can only use VA medical care facilities if they have a service-connected disability rating. Veterans with a service-connected disability rating can use VA medical centers, but health care benefits aren’t only limited to those individuals.

How can I get help for a veteran with hearing loss?

Many of them are Veterans themselves. This service is private, free, and available 24/7. Call 800-273-8255, then select 1. Start a confidential chat. Text 838255. If you have hearing loss, call TTY: 800-799-4889. Call 911. Go to the nearest emergency room. Go directly to your nearest VA medical center.

Who is eligible to seek Vet Center services?

All Veterans are encouraged to seek Vet Center services. Any Veterans and current Service members, including members of the National Guard and Reserve components, are eligible if any of the following applies: Provided mortuary services or direct emergent medical care to treat the casualties of war while serving on active military duty

Do you provide free health care for veterans with catastrophic disabilities?

We're committed to providing free health care for conditions related to military service and for Veterans with catastrophic disabilities and disability ratings of at least 50%, as well as for those who can't afford to pay for care. Learn more about how we'll determine if you'll need to pay for any part of your care.

How do you get a VA treatment?

Go to your nearest VA medical center or clinic. Bring a signed Application for Health Benefits (VA Form 10-10EZ) with you. Or get help through your state's Department of Veterans Affairs.

Can all Veterans use the VA?

Who is eligible for Basic Medical Benefits Package for Veterans? Veterans generally must be enrolled to receive VA health care. Enrollment assures Veterans that comprehensive health care services are available when they are needed. VA's enrollment system designates Veterans by priority groups.

What qualifies you to be a veteran?

The term "veteran" means a person who served in the active military, naval, or air service, and who was discharged or released therefrom under conditions other than dishonorable. (E) authorized travel to or from such duty or service. 38 U.S.C.

What is the maximum income to qualify for VA benefits?

Annual Income Limits - Health BenefitsVeteran with:VA National Income ThresholdVA Pension with Aid and Attendance Threshold0 dependents$34,616 or less$23,2381 dependents$41,539 or less$27,5492 dependents$43,921 or less$29,9313 dependents$46,303 or less$32,3134 more rows•Feb 14, 2019

Do veterans get free healthcare for life?

If you are a 50% or greater disabled veteran or a former POW, all your medical care from the VA is free. There are other groups that may get some, or all VA medical care for free, see our VA Copay page for details.

Why don t veterans use the VA?

Of the veteran and active service members who reported to the annual Wounded Warrior Project Survey that they have never used VA health care services, the most common reasons given included preferring to use other health care coverage and too much trouble or red tape....CharacteristicPercentage of respondents--9 more rows•Mar 10, 2022

What are the 4 types of veterans?

What is the difference between a combat, war, or peacetime veteran?Combat Veteran. Every service member who meets the active duty requirement is a veteran, but combat veterans and war veterans are entitled to additional VA benefits other veterans do not receive. ... War Veteran. ... Peacetime Veteran.

What are the 5 types of veterans?

Under VEVRAA, a veteran may be classified as a ''disabled veteran,'' ''recently separated veteran,'' ''active duty wartime or campaign badge veteran,'' or ''Armed Forces service medal veteran. ''

How much time do you have to serve to be considered a veteran?

Time of Service To be considered a veteran, any military personnel must be on active-duty service for at least 180 days. The only exception is if the member sustained a service-related injury and was discharged under honorable conditions.

What disqualifies you from VA benefits?

If you're a current or former member of the Reserves or National Guard, you must have been called to active duty by a federal order and completed the full period for which you were called or ordered to active duty. If you had or have active-duty status for training purposes only, you don't qualify for VA health care.

Does Social Security count as income for VA health benefits?

Social Security benefits do count as income with respect to eligibility for VA health benefits. Survivor benefits and lump sum death benefits from Social Security also count.

Does Social Security count as income for aid and attendance?

Aid and Attendance has limits on Veterans' net worth, countable income, and maximum annual pension rate (MAPR). Your countable income is how much you and your spouse earn, including retirement and Social Security payments.

How to Establish Eligibility For VA Medical Benefits

VA health care eligibility is based upon active duty military service in the Air Force, Army, Marines, Navy, Coast Guard, or Merchant Marines (duri...

VA Health Care Eligibility Questionnaire

Let’s start by looking at some basic eligibility requirements, based on the VA health care eligibility questionnaire:1. Are any of these statements...

Applying For VA Health Care Benefits

Once you have established your eligibility for VA health care benefits, you will need to fill out Form 10-10EZ or Form 10-10EZR to apply for benefi...

Required Supporting Documentation

You can reduce the application processing time by providing information about your service when you apply. This includes documentation such as your...

VA Health Care Enrollment

Applying with for 10-10EZ and providing all relevant information will generally enroll you into the VA medical care system. Most veterans will auto...

What is a VA health card?

The VHIC safeguards your personal information – the member ID and card number have eliminated the need for your Social Security number to be on the card. Similar to a typical health insurance card, the VHIC signifies your enrollment in VA health care.

What is the VA handbook?

The handbook will detail your VA health care benefit information, based on your specific eligibility factors, in an organized, easy-to-read format. It also includes information on your preferred facility, copayment responsibilities, how to schedule appointments, ways to communicate treatment needs and more.

What does a notification letter mean for a veteran?

If the information provided assists in determining that the Veteran is eligible for enrollment, the Veteran will receive a notification letter indicating continued eligibility status. If the Veteran is determined not eligible for enrollment, the Veteran will receive a notification letter indicating the:

What can veterans expect from their Pact?

Veterans can expect their PACT to help them use health care services, including eHealth technologies , which are necessary to optimize their health and well-being. For more information, visit www.patientcare.va.gov/primarycare/PACT.asp or contact the enrollment coordinator at your local VA medical facility.

What is a patient aligned care team?

Every patient is assigned a Patient Aligned Care Team (PACT) they can count on to help coordinate and personalize their care. Every PACT includes a primary care provider, clinical pharmacist, registered nurse care manager, licensed practical nurse or medical assistant and clerk. Veterans can expect their PACT to help them use health care services, including eHealth technologies, which are necessary to optimize their health and well-being. For more information, visit www.patientcare.va.gov/primarycare/PACT.asp or contact the enrollment coordinator at your local VA medical facility.

How long does it take for VA to make a final decision?

The reason for the decision (lack of proof of Veteran status, eligibility, etc.) At the end of the 60 days and after thoroughly reviewing any new evidence or information submitted, VA will make a final eligibility determination.

How long does it take for a VA to notify you of a disenrollment?

Enrolled Veterans who are receiving health care benefits and are later determined to not be eligible for enrollment will be notified via letter 60 days prior to disenrollment. This will give the Veteran adequate time to provide VA with the needed information to finalize the enrollment decision and, if necessary, transfer his or her medical care to the private sector or to seek other options for medical care.

How to update VA health insurance?

Once you have established your eligibility for VA health care benefits, you will need to fill out Form 10-10EZ or Form 10-10EZR to apply for benefits. These forms are also used to update your current information if anything has changed. There are several ways you can fill out or update the 10-10EZ: online, by phone, by mail, or in-person at a VA medical facility. Here is the info you need: 1 Online: Visit this link and fill out the form. 2 Phone: Call 1-877-222-VETS (8387), Mon-Fri, 8:00 am – 8:00 pm EST. A VA rep will send you a completed form via mail. You will need to verify and sign the form, then return it to the VA. 3 Mail: Complete Form 10-10EZ or Form 10-10EZR and mail it to Health Eligibility Center, 2957 Clairmont Road, Suite 200, Atlanta, GA 30329-1647. 4 In person: Visit any VA Medical Center or clinic. Here is the VA Directory.

What are the eligibility factors for VA health care?

VA health care eligibility factors: VA health care eligibility is based on many issues, including active duty military service, type of military discharge, service-connected disabilities, medical conditions incurred while in the service, location of service, and more. You can be eligible based on your service dates, deployments you served on, ...

Where to mail 10-10EZ?

Mail: Complete Form 10-10EZ or Form 10-10EZR and mail it to Health Eligibility Center, 2957 Clairmont Road, Suite 200, Atlanta, GA 30329-1647 . In person: Visit any VA Medical Center or clinic. Here is the VA Directory.

How to fill out a 10-10EZ?

There are several ways you can fill out or update the 10-10EZ: online, by phone, by mail, or in-person at a VA medical facility. Here is the info you need: Online: Visit this link and fill out the form. Phone: Call 1-877-222-VETS (8387), Mon-Fri, 8:00 am – 8:00 pm EST. A VA rep will send you a completed form via mail.

Do veterans have to establish eligibility each year?

However, some veterans will need to establish eligibility each year to maintain their enrollment priority. This is generally the case for veterans who qualify for VA medical care based on their income or other information that can change from year to year.

Can veterans use VA medical centers?

Veterans with a service-connected disability rating can use VA medical centers, but health care benefits aren’t only limited to those individuals. Let’s dispel some of the myths about VA health care eligibility, see who is eligible, and learn how you can apply for VA health care benefits.

Can you get VA health care if you are on active duty?

Members of the National Guard and Reserves may be eligible for VA health care benefits if they were called to active duty on a Federal Executive Order (this generally excludes active duty for training purposes). Other groups of servicemembers may also be eligible for VA medical care.

What is gender alteration?

Gender alteration (gender reassignment surgery) Health club or spa membership. Medicines and medical devices that aren’t approved by the Food and Drug Administration (FDA), except in 2 special cases: You’re in an approved clinical trial, or.

What is VA approved walk in clinic?

This may include care at a VA-approved: Walk-in retail health clinic for minor illnesses like a sore throat or earache. Urgent care facility for more pressing (but not life-threatening) illnesses or injuries that require treatment like splinting, casting, or wound care.

What are the benefits of being a veteran?

Treat illnesses and injuries. Prevent future health problems. Improve your ability to function. Enhance your quality of life. All Veterans receive coverage for most care and services, but only some will qualify for added benefits like dental care. The full list of your covered benefits depends on:

Do you have to pay a VA copay if you live in Alaska?

You don't need us to approve (or "preauthorize") your care before you get treated, and. You don't need to pay a VA copay. If you live in A laska. You may be able to receive care through an Indian Health Service facility or Tribal Health facility even if you're not an eligible American Indian or Alaska Native Veteran.

Do veterans need to complete a financial assessment?

This will depend on factors like your income level, disability rating, and military service history. Most Veterans need to complete a financial assessment when they enroll. This helps us determine if you qualify for free VA health care. Learn more about VA copays.

How to access VA mental health services?

To access free VA mental health services right away: Call or walk in to any VA medical center —anytime, day or night. Find your nearest VA health facility. Call or walk in to any Vet Center during clinic hours. Find your nearest Vet Center. Call us at 877-222-8387.

What is the National Alliance on Mental Illness?

The National Alliance on Mental Illness (NAMI) NAMI builds better lives for millions of Americans affected by mental illness by providing education programs for families and individuals living with mental health problems. The Jed Foundation.

How many hours a day does the VA provide mental health care?

This includes: Emergency mental health care 24 hours a day, 7 days a week, through VA medical centers and some local, non-VA hospitals. The Veterans Crisis Line, which offers support 24 hours a day, 7 days a week, for Veterans in crisis and their families and friends. Learn more about VA mental health services.

How to contact the VA about homelessness?

Contact the National Call Center for Homeless Veterans at 877-424-3838 for help 24 hours a day, 7 days a week. A trained VA counselor will offer information about VA homelessness programs, health care, and other services in your area. The call is free and confidential.

How to talk to a peer coach?

To talk with a peer coach, call Military OneSource’s free, confidential peer support services at 800-342-9647. This service is available 24 hours a day, 365 days a year.

What is the VA mental health number?

We’re here Monday through Friday, 8:00 a.m. to 8:00 p.m. ET. If you have hearing loss, call TTY: 800-877-8339. You don’t need to be enrolled in VA health care to get care. Learn more about accessing VA mental health services. To connect with other resources for Veterans and transitioning service members:

Can I get VA dental care benefits for some or all of my dental care?

It depends on a number of factors, like your military service history and your current health and living situation. Based on these factors, VA places you into a benefits class—and you get the specific benefits assigned to that class. See the section below for more information.

What VA dental care benefits do I qualify for?

Click on the statement below that describes you best to find out your benefits class and the dental benefits you may qualify for:

How do I apply for VA dental care benefits?

You can apply online by filling out the 10-10EZ health care application.

Where do I go for VA dental care?

We provide dental care to qualified Veterans at over 200 dental clinics across the country, including Alaska and Puerto Rico. Find a VA dental clinic near you

What happens if you don't qualify for enhanced eligibility?

If you don't qualify for enhanced eligibility status, but you agree to pay copays for your care, you don't have to provide your financial information. But if you don't, we may decline your enrollment. We also won't be able to consider your eligibility for free medications or beneficiary travel pay. If you served in combat after ...

What is gross household income?

Your gross household income means the total amount of money you—and anyone living with you in your home—earned within one calendar year, before taxes. This includes your income from work as well as any other sources, like money you may have taken from a retirement fund or income from the sale of a house.

Do you have to pay a VA copay?

You may need to pay a fixed amount for some types of care, tests, and medications you receive from a VA health care provider or an approved community health care provider to treat conditions not related to your service. This is called a copay (short for "copayment"). Whether or not you'll need to pay copays—and how much you'll pay—depends on your ...

Do you have to provide income information to qualify for free care related to your exposure?

If you were exposed to Agent Orange in or near Vietnam, ionizing radiation in certain service locations or jobs, or environmental contaminants in the Persian Gulf, you don't have to provide your income information to qualify for free care related to your exposure.

Basic Eligibility For VA Health Care

  • If you served in the active military, naval or air service and are separated under any condition other than dishonorable, you may qualify for VA health care benefits. Current and former members of the Reserves or National Guard who were called to active duty (other than for training only) by a federal order and completed the full period for which t...
See more on va.gov

Minimum Duty Requirements

  • Most Veterans who enlisted after September 7, 1980, or entered active duty after October 16, 1981, must have served 24 continuous months or the full period for which they were called to active duty to be eligible. This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty, were discharged for a hards…
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Enrolled, But Later Determined Ineligible

  • Enrolled Veterans who are receiving health care benefits and are later determined to not be eligible for enrollment will be notified via letter 60 days prior to disenrollment. This will give the Veteran adequate time to provide VA with the needed information to finalize the enrollment decision and, if necessary, transfer his or her medical care to the private sector or to seek other …
See more on va.gov

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