VA Health Care Eligibility & Enrollment All Enrollment Priority Groups

VA Health Care Eligibility & Enrollment All Enrollment Priority
Groups Priority Description

Priority 1: • Veterans with VA-rated service-connected disabilities
50% or more disabling • Veterans determined by VA to be unemployable
due to service-connected conditions

Priority 2: • Veterans with VA-rated service-connected disabilities
30% or 40% disabling

Priority 3: • Veterans who are Former Prisoners of War (POWs) •
Veterans awarded a Purple Heart medal • Veterans whose discharge was
for a disability that was incurred or aggravated in the line of duty •
Veterans with VA-rated service-connected disabilities 10% or 20%
disabling • Veterans awarded special eligibility classification under
Title 38, U.S.C., § 1151, "benefits for individuals disabled by
treatment or vocational rehabilitation"

Priority 4: • Veterans who are receiving aid and attendance or
housebound benefits from VA • Veterans who have been determined by VA
to be catastrophically disabled

Priority 5: • Nonservice-connected veterans and noncompensable
service-connected veterans rated 0% disabled by VA with annual income
and net worth below the VA National Income Thresholds • Veterans
receiving VA pension benefits • Veterans eligible for Medicaid
programs

Priority 6: • World War I veterans • Compensable 0% service-connected
veterans • Veterans exposed to Ionizing Radiation during atmospheric
testing or during the occupation of Hiroshima and Nagasaki • Project
112/SHAD participants • Veterans who served in a theater of combat
operations after November 11, 1998 as follows: ◦ Currently enrolled
Veterans and new enrollees who were discharged from active duty on or
after January 28, 2003, are eligible for the enhanced benefits for 5
years post discharge ◦ Veterans discharged from active duty before
January 28, 2003, who apply for enrollment on or after January 28,
2008 are eligible for this enhanced enrollment benefit through January
27, 2011 NOTE: At the end of this enhanced enrollment priority group
placement time period Veterans will be assigned to the highest
Priority Group their unique eligibility status at that time qualifies
for.

Priority 7: • Veterans with income and/or net worth above the VA
national income threshold and income below the VA National Geographic
Income Thresholds who agree to pay copays

Priority 8: • Veterans with income and/or net worth above the VA
National Income Thresholds and the VA National Geographic Income
Thresholds who agree to pay copays Veterans eligible for enrollment:
Noncompensable 0% service-connected and: ◦ Subpriority a: Enrolled as
of January 16, 2003, and who have remained enrolled since that date
and/or placed in this subpriority due to changed eligibility status ◦
Subpriority b: Enrolled on or after June 15, 2009 whose income exceeds
the current VA National Income Thresholds or VA National Geographic
Income Thresholds by 10% or less Veterans eligible for enrollment:
Nonservice-connected and: ◦ Subpriority c: Enrolled as of January 16,
2003, and who have remained enrolled since that date and/or placed in
this subpriority due to changed eligibility status ◦ Subpriority d:
Enrolled on or after June 15, 2009 whose income exceeds the current VA
National Income Thresholds or VA National Geographic Income Thresholds
by 10% or less Veterans not eligible for enrollment: Veterans not
meeting the criteria above:

◦ Subpriority e: Noncompensable 0% service-connected

◦ Subpriority g: Nonservice-connected Federal Benefits for
Veterans and Dependents

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