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Eligibility PDF Print E-mail

Under the VA Medical Benefits Package, VA offers veterans a comprehensive health care plan that provides needed care. Once you apply for enrollment, your eligibility will be verified. Based on your specific eligibility status, you will be assigned a priority group.

 

The priority groups are as follows, ranging from 1-7 with 1 being the highest priority for enrollment. Under the Medical Benefits Package, the same services are generally available to all enrolled veterans.

Priority Group 1

  • Veterans with service-connected disabilities rated 50% or more

Priority Group 2

  • Veterans with service-connected disabilities rated 30% or 40%

Priority Group 3

  • Veterans who are former POWs
  • Veterans with service-connected disabilities rated 10% or 20%
  • Veterans discharged from active duty for a disability incurred or aggravated in the line of duty
  • Veterans who received the Purple Heart
  • Veterans awarded special eligibility classification under 38 U.S.C., Section 1151, "benefits for individuals disabled by treatment or vocational rehabilitation"

Priority Group 4

  • Veterans who are receiving aid and attendance or housebound benefits
  • Veterans who have been determined by VA to be catastrophically disabled

Priority Group 5

  • Non service-connected veterans and non-compensable service-connected veterans rated 0% disabled, whose annual income and net worth are below the established dollar thresholds

Priority Group 6
All other eligible veterans who are not required to make co-payments for their care, including:

  • World War I and Mexican Border War veterans
  • Veterans seeking care solely for disorders associated with: exposure to herbicides while serving in Vietnam; or exposure to ionizing radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki; or for disorders associated with service in the Gulf War; or for any illness associated with service in combat in a war after the Gulf War or during a period of hostility after November 11, 1998
  • Compensable 0% service-connected veterans

Priority Group 7

  • Non service-connected veterans and non-compensable 0% service-connected veterans with income and net worth above the established dollar thresholds and who agree to pay specified co-payments

 

 

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