Veteran Service Organization ‘Officers Day’December 3, 2010

Enrollment Eligibility

Overview Basic qualifications Information needed to complete a registration Vision Dental Changes

Veterans Period of Service

Prior to November 7, 1980

After November 7, 1980

Exceptions to 24 month rule

Early OutsHardshipsDisability

DischargesMeets Qualifications

HonorableUnder Honorable ConditionsGeneral

Does-Not Meet QualificationsOther Than HonorableDishonorableUncharacterized

Has the veteran used VA health care?

Enrolled prior to January 16, 2003 with continual use

Enrolled prior to 1996 and not used

Enrolled after January 16, 2003

Income Qualification after 03’Means/income testTwo different income thresholds

Means Threshold (MT)Geographical Means Threshold (GMT)10% above MT/GMT allowed

MT/GMT determines qualificationAbove MT/GMT not qualifiedBelow MT/GMT qualified

Means Test FormulaGross household incomeMinus non-reimbursed medical expenses

Minus pre-paid funeral/burial expenses

Minus educational expensesEquals allowable amount for MT/GMT

Means tests MT/GMT determines…Qualifications for health carePriority Group placement (5, 7 and 8)Co-Pay thresholds

VisitsMedications

Veterans not subject to 2003 guidelines:Purple Heart recipientsPrisoners of WarOEF/OIF (for 5 years post discharge)Service Connected Veterans with 10% or higher disability

Veterans not subject to 2003 guidelines:Service Connected veterans 0%

Enrolled prior to 16 January 2003 with continual useEnrolled prior to 1996 and not usedEnrolled after 16 January 2003

Vietnam VeteransBoots on groundBrown WaterBlue water

Needed Items to Enroll/Register10-10EZ- Application For Health Care BenefitsDD-214/Discharge Papers (WWII)

http://www.archives.gov/veterans/evetrecs/Knowledge of Gross Annual IncomesKnowledge of Non-reimbursed medical expensesKnowledge of AssetsInsurance Card(s)

How to Enroll/RegisterIn personBy Mail Internet

https://www.1010ez.med.va.gov/sec/vha/1010ez/

By phone Previously enrolled veteransTransfers10% or higher Service Connected

Priority Groups:12345678a, 8b, 8c, 8d, 8e, and 8g

HardshipsCase by Case basisBridge a GapCatastrophicQualified Otherwise

Dental Qualifications60-100%-Unemployable100% Permanent and TotalEmergency/HumanitarianDental TraumaVeterans released from Active

Duty/ActivationService of 90 daysRegister within 180 daysDD214 annotates no dental

Dental QualificationsPOW’s

Chapter 31

Medical

Inpatient

Homeless

Vision and Hearing

Categories 1-5Categories 6-8

Important Things to Remember

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