Determining Your Eligibility

Do You Qualify? There are many ways that a Veteran may qualify to receive top-notch VA health care at over 1,400 medical centers and clinics across the nation. The VA has highly trained physicians and clinicians that allow the VA to address many specialties. You may also be able to receive assistance with prescription medication. VA health care is portable. Once enrolled, you may receive care at your home facility as well as the nearest VA facility while traveling. If you are a Veteran, and you want low-cost, high-quality health care, please take a moment to see if you qualify.

Eligibility for health care through VA is a two-step process:

1. VA must determine your eligibility status as a veteran by reviewing your
• Character of Discharge from active military service, and your
• Length of active military service

Active military service means full-time service, other than active duty for training, as a member of the Armed Services, or as a commissioned officer of the Public Health Service, Environmental Science Services Administration, National Oceanic and Atmospheric Administration, or its predecessor, the Coast and Geodetic Survey. Active duty for training for the National Guard and Reserve does not qualify as full-time service.

2. VA must determine whether you qualify for one of the eight enrollment Priority Groups.

* Enrollment Restriction:
In order to ensure the availability of quality and timely health care to veterans with service connected conditions, special authority based on military service, low income, and those with special health care needs, in January 2003 VA made the difficult decision to stop enrolling new Priority Group 8 (high income) veterans whose income exceeded VA Income Thresholds.

The new regulations went into 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.

Step 1. Determine your qualifying military service

The character of discharge you received from the military can be a factor. It is not an issue if you received:

• An honorable discharge
• A general discharge
• A discharge under honorable conditions

If you have a different character of discharge, you may still be eligible for care. Contact your Enrollment Coordinator at your local VA health care facility to see if you qualify.

The length of your service may also matter. It depends on when you served. There’s no length of service requirement for:

• Former enlisted persons who started active duty before September 8, 1980, or
• Former officers who first entered active duty before October 17, 1981
• All other veterans must have 24 months of continuous active duty military service or meet one of the exceptions described below.

Minimum Service Requirement

You do not have to meet the 24 continuous months of active duty service requirement if you:

• Were a reservist who was called to Active Duty and who completed the term for which you were called, and who was granted an other than dishonorable discharge, or
• Were a National Guard member who was called to Active Duty by federal executive order, and who completed the term for which you were called, and who was granted an other than dishonorable discharge, or
• Only request a benefit for or in connection with:
• a service-connected condition or disability; or
• treatment and/or counseling of sexual trauma that occurred while on active military service; or
• treatment of conditions related to ionizing radiation; or
• head or neck cancer related to nose or throat radium treatment while in the military.
• Were discharged or released from active duty for a hardship , or
• Were discharged with an “early out”; or
• Were discharged or released from active duty for a disability that began in the service or got worse because of the service; or
• Have been determined by VA to have compensable service-connected conditions; or
• Were discharged for a reason other than disability, but you had a medical condition at the time that
• Was disabling, and
• In the opinion of a doctor, would have justified a discharge for disability (in this last case, the disability must be documented in service records)

Step 2. Enrollment in VA Health Care System

Generally, you must be enrolled in VA health care system to receive benefits offered in the Medical Benefits Package.

Certain veterans do not need to be enrolled to receive medical care benefits.

You do not have to be enrolled if you:

• Have been determined by VA to be 50% or more disabled from service-connected (SC) conditions
• Are seeking care for a VA rated service-connected disability only
• It is less than one year since you were discharged for a disability that the military determined was incurred or aggravated by your service, but that VA has not yet rated

However, enrolling will assist VA in planning and budgeting resources.

For more information on enrollment click here.

Federal Benefits for Veterans and Dependents
VA National Income Thresholds | VA National Geographic Income Thresholds

For questions about Health Care Eligibility, please visit the VA inquiry website.