| In October, 1996, Congress passed Public
Law 104-262, the Veteran's Health Care Eligibility Reform Act of
1996. This legislation led the way for the creation of a Uniform
Benefits Package - a standard health benefit plan available to all
veterans. The package not only opens up services to veterans, but
also simplifies the process by which veterans can receive the services.
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Veterans must first be
enrolled to receive care. |
- Veterans may enroll for services at the nearest VA
health care facility.
- To enroll, veterans complete application form
10-10EZ.
- Veterans may obtain this form from any VA health
care facility, VA clinic, or county veteran service officer.
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Veterans will be placed in
priority groupings. |
- After a veteran has completed the 10-10EZ form, the
Health Eligibility Center in Atlanta, Georgia, will send him/her a
letter confirming enrollment.
- Veterans are placed in one of seven priority
groupings based upon service connection or income status.
- The health care benefits veterans are eligible for
will depend upon the priority group which they are assigned.
- Once enrolled veterans will remain enrolled for one
year. Yearly, veterans will be asked to update the enrollment
information. Renewal is automatic, unless they chose not to
enroll, or unless VA resources limit the number of veterans to whom
the VA can provide.
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Veterans should keep their
existing healthcare coverage. |
- VA enrollment can be used as a complement to any
existing health care coverage.
Enrollment means veterans are eligible for a
comprehensive healthcare benefits package of inpatient and outpatient
services. Among these services are the following:
- Preventive services, including immunizations,
screening tests and health education and training classes.
- Primary medical cares, including outpatient
surgery.
- Diagnosis and treatment.
- Surgery.
- Mental Health and Substance Abuse Treatment.
- Home healthcare.
- Respite and Hospice Care.
- Emergency care in VA facilities.
- Drugs and Pharmaceuticals (as prescribed by VA
providers on a VA prescription)
- Pregnancy Services
- Hearing aids and eyeglasses require a
service-connected disability rating of 10 percent or more and are
not usually provided for normal hearing or vision loss.
- Dental services are provided, however eligibility
for dental services is more restrictive than healthcare, and is
determined on a case to case basis.
Some medical services not normally covered by the
Uniform Benefits Package include cosmetic surgery, sterilization,
abortion, membership in health spas for rehabilitation, special private
duty nursing and gender alteration.
Drug and medical devices not approved by the Food and
Drug Administration are not covered, except under special circumstances.
The law has not changed the requirement for limited
nursing home care, domiciliary care, limited dental care, adult health
day care, homeless programs, sexual trauma counseling and non-VA
hospitalization. Enrolled veterans may be eligible for these
programs, but they are not part of the Uniform Benefits Package.
VA
Priority Groups
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