VA Maryland Health Care System

VA Health Care Eligibility & Enrollment

A wise decision: Marine Veteran William Hooper came to the Balitmore VA Medical Center to explore his options for VA health care shortly after returning home from active duty.


Who is eligible for VA Health Care?
All Veterans are encouraged to enroll for care with the VA Maryland Health Care System. It costs nothing to enroll, and it may be one of the most important things a Veteran can do to assure their continued health and well-being.

There are many ways that a Veteran may qualify to receive top-notch VA health care. Eligibility for VA health care is dependent upon a number of variables, which may influence the final determination of the services for which a Veteran may qualify to receive. These factors include: nature of a Veteran's discharge from military service (e.g., honorable, other than honorable, dishonorable); length of service; VA service-connected disabilities; and income level.

For more information about VA health care eligibility, please visit the VA Health Care website at www.va.gov/healtheligibility/, or contact the Eligibility & Enrollment Center for the VA Maryland Health Care System at 1-800-463-6295, ext. 7324.

How to Enroll for VA Health Care
To receive VA health care, Veterans must first be enrolled with the VA health care system. Veterans can apply for VA health care by one of the following three options:

  1. Veterans can enroll in person at any VA medical center or outpatient clinic throughout the VA Maryland Health Care System. When enrolling in person, Veterans will be asked to complete VA Form 10-10EZ - Application for Health Benefits. To help expedite the enrollment process, Veterans are encouraged to take a copy of their discharge paperwork (Form DD214) and information about their combined household finances when visiting a VA facility to enroll in person.

  2. Veterans can enroll electronically by completing the online VA Form 10-10EZ - Application for Health Benefits, which is available on the VA website at https://www.1010ez.med.va.gov/sec/vha/1010ez/.

  3. Veterans can enroll by mail after completing VA Form 10-10EZ - Application for Health Benefits. To obtain a copy of VA Form 10-10EZ, Veterans may visit any VA medical center or outpatient clinic or they can contact the Eligibility & Enrollment Center for the VA Maryland Health Care System at 1-800-463-6295, ext. 7324. Once completed, the VA Form 10-10EZ should be mailed to:

    Eligibility & Enrollment Center
    VA Maryland Health Care System
    10 North Greene Street
    Baltimore, MD 21201

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Rest assured: Navy Veteran Lakisha Jones came to the VA Maryland Health Care System with sever lower back pain and sleep apnea. After receiving help, she is able to concentrate and today works as a graphic designer.
 

What Happens After the Enrollment Process?
If Veterans enroll in person, they will be scheduled for a New Patient Orientation session after completing the enrollment process. Veterans who mail in their application or complete the online application will receive a letter from the VA regarding their enrollment status and instructing them to contact their local VA facility to schedule their first appointment. After Veterans receive their enrollment letter from the VA, they should contact the Appointment Call Center for the VA Maryland Health Care System to be scheduled for a New Patient Orientation session by calling 1-800-463-6295, ext. 7333. During the New Patient Orientation session, Veterans will be assigned to a VA primary care provider and will be scheduled for their first clinic appointment.

For additional information about the enrollment process for VA health care, please contact the Eligibility & Enrollment Center for the VA Maryland Health Care System at 1-800-463-6295, ext. 7324, or visit the VA Health Care Eligibility website at www.va.gov/healtheligibility/application/.


VA Health Care Enrollment Priority Groups
Eight priority groups have been established to help ensure that VA resources are allocated to Veterans with the highest priority for VA care - with priority group 1 being the highest. Veterans in priority groups 7 and 8 are those individuals who have no service-connected disabilities or have a disability that is officially rated as "noncompensable zero percent service-connected," and whose incomes are above the established VA thresholds. Priority groups 7 and 8 Veterans must agree to make co-payments for medical care and medications. Please note that Veterans who are applying for enrollment on or after January 17, 2003 who are assigned to priority group 8 may not be eligible for enrollment or care of their nonservice-connected conditions. For additional information about VA health care enrollment priority groups, please visit the VA website at: www.va.gov/healtheligibility/eligibility/PriorityGroups.asp.

Co-pays and Charges
There is no monthly premium required to use VA health care. Veterans may have to agree to pay some co-payments depending on their priority group and income level. If a Veteran has their own private health insurance, it may cover the cost of the co-payments. In addition, VA is required by law to bill private health insurance providers for the treatment of a Veteran's nonservice-connected conditions. All Veterans applying for VA health care are required to provide information about their health insurance coverage, including the coverage provided under their spouses' policy. Veterans with disability ratings for injury or disease incurred during military service receive most care without any cost. For more information about VA co-payments and charges, please contact the Eligibility & Enrollment Center for the VA Maryland Health Care System at 1-800-463-6295, ext. 7324, or visit the VA website at www.va.gov/healtheligibility/costs/.

Views of patients interacting with medical center staff.

VA Medical Benefits Package (Standard Benefits)
VA's medical benefits package provides the following health care services to all enrolled Veterans. 

Preventive Care Services
• Immunizations
• Physical Examinations
• Health Care Assessments
• Screening Tests
• Health Education Programs


Ambulatory (Outpatient) Diagnostic and Treatment Services

• Emergency outpatient care in VA facilities
• Medical
• Surgical (including reconstructive/plastic surgery as a result of disease or trauma)
• Chiropractic Care
• Mental Health
• Bereavement Counseling
• Substance Abuse

Hospital (Inpatient) Diagnostic and Treatment
• Emergency inpatient care in VA facilities
• Medical
• Surgical (including reconstructive/plastic surgery as a result of disease or trauma)
• Mental Health
• Substance Abuse


Medications and Supplies
• Prescription medications
• Over-the-counter medications
• Medical and surgical supplies

 

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