Enrollment
What is VA
Health Care Enrollment?
VA health care enrollment is a
system providing you access to a comprehensive package of VA health
care services. You just answer a few questions and are assigned by VA to
one of the established priority groups. VA will send you a letter
concerning your enrollment status.
Am I
required to be enrolled?
You are required to be enrolled
unless you are in one of the following categories:
- VA rates you as having a
service-connected disability of 50% or more
- It has been less than one
year since you were discharged from military service for a disability
that the military determined was incurred or aggravated in the line of
duty, and have not yet been rated by VA
- You are seeking care from VA
for a service-connected disability only
Why should
I enroll?
You should enroll to ensure that
you will receive the comprehensive benefits package offered through VA’s
national health care system.
How long
will I remain enrolled?
You will normally remain
enrolled for one year. Enrollment will be reviewed and renewed each year
depending upon your priority group and available resources.
If I move,
how do I change my enrollment information?
You simply report any changes in
enrollment information to your preferred facility or the VA health care facility nearest
your home. You may also call the VA Health Benefits Service Center at
1-877-222-VETS (1-877-222-8387).
Is there a
specific form I need to fill out to enroll?
Yes, you can apply for VA health
care enrollment by completing VA Form 10-10EZ. The 10-10EZ may be obtained
by visiting, calling or writing any VA health care facility or veterans'
benefits office. You can also call toll-free 1-877-222-VETS
(1-877-222-8387) or access the form on the Internet at www.10-10EZ.med.va.gov.
You can submit a completed form
in person or by mail. Please be sure to sign your application form,
otherwise it cannot be processed for enrollment. VA Form 10-10EZ is a
one-page application form, front and back. Most veterans are able to
complete the form in less than 15 minutes.
However, veterans needing
treatment for a VA-rated service-connected disability, a VA-rated
service-connected disability rated 50% or more, or released from active
duty within the previous 12 months for a disability incurred or aggravated
in the line of duty do not need to apply.
Do I need
a new VIC (Veteran Identification Card) card now because of
enrollment?
No, you do not need to change
your VIC card.
How/where
do I apply for health care?
You can apply for VA health care
enrollment by completing VA Form 10-10EZ. The 10-10EZ may be obtained by
visiting, calling, or writing any VA health care facility or veterans'
benefits office. You can also call toll-free 1-877-222-VETS
(1-877-222-8387) or access the form on the Internet at www.10-10EZ.med.va.gov.
You can submit a completed form
in person or by mail. Please be sure to sign your application form,
otherwise it cannot be processed for enrollment. VA Form 10-10EZ is a
one-page application form, front and back. Most veterans are able to
complete the form in less than 15 minutes.
What does
preferred facility mean?
Your preferred facility
designates where you prefer to receive your primary care and is normally
the facility closest to your home. However, acceptance in the VA health
care system means that you may receive the comprehensive benefits package
through VA’s national health care system at any VA health care facility
you choose or are nearest to when you require care.
How does
enrollment affect my fee-basis care?
Enrollment does not affect your
eligibility for fee-basis care.
Should I give
up my existing health care coverage if I enroll with VA?
No. You are allowed to keep your
current health care coverage and are encouraged to do so, but you should
provide that insurance information to VA. Veterans with private insurance
or other coverage such as DoD, Medicare, or Medicaid may find that these
coverages provide them with more options and flexibility in the future.
The use of other available health care coverage does not affect your
enrollment status.
Will VA
provide hearing aids and eyeglasses?
Generally, hearing aids and
eyeglasses are not provided when the hearing and vision loss is the result
of aging. However, if you are service-connected with a disability rating
of 10% or greater they will be provided. Hearing aids and eyeglasses may
also be provided in special circumstances.
What benefits
are not included?
The following services are not
included:
- Abortions and abortion
counseling.
- In vitro
fertilization.
- Drugs, biologicals, and
medical devices not approved by the Food and Drug Administration unless
the treating medical facility is conducting formal clinical trials under
an Investigational Device Exemption (IDE) or an Investigational New Drug
(IND) application, or the drugs, biologicals, or medical devices are
prescribed under a compassionate use exemption.
- Gender
alterations.
- Hospital and outpatient care
for a veteran who is either a patient or inmate in an institution of
another government agency if that agency has a duty to give the care or
services.
- Membership in spas and health
clubs.
Can I get
a prescription by a non-VA physician filled at a VA health care
facility?
Only veterans with special
eligibility, such as veterans in receipt of a VA pension with aid and
attendance benefits, are eligible to obtain prescriptions at VA
expense.
What is
the coverage for emergency services?
Urgent and limited emergency
care services are available to enrolled veterans at VA health care
facilities or non-VA health care facilities at which VA has a sharing
agreement or contract. Veterans with special eligibility may obtain
emergency care, at VA expense, in a non-VA facility where VA does not have
a sharing agreement or contract.
Under certain conditions, other
veterans who have no health insurance coverage may be eligible for payment
or reimbursement of emergency medical services provided outside VA.
Contact the VA Health Benefits Service Center at 1-877-222-VETS
(1-877-222-8387) for more information.
Are there
any limits on days of care or outpatient visits VA will
provide?
No. The veteran’s primary care
provider will determine what is appropriate and necessary hospital care or
outpatient services and will provide such care consistent with current
medical care practices.
Back to
Health FAQ Page
|