www.va.gov Open in urlscan Pro
2600:8030:0:28::30:221  Public Scan

Submitted URL: https://www.1010ez.med.va.gov/sec/vha/1010ez/
Effective URL: https://www.va.gov/health-care/how-to-apply/
Submission: On September 06 via manual from US — Scanned from DE

Form analysis 0 forms found in the DOM

Text Content

Skip to Content

An official website of the United States government

Here’s how you know

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive
information, make sure you're on a federal government site.

The site is secure.
The https:// ensures that you're connecting to the official website and that any
information you provide is encrypted and sent securely.

Talk to the Veterans Crisis Line now
Close

Search
Use up and down arrows to review autocomplete results and enter to search. Touch
device users, explore by touch or with swipe gestures.
Search
Contact us
Sign in
 * Home
 * VA Benefits and Health Care
   
 * About VA
   
 * Find a VA Location
   
 * My VA
   


Learn what the PACT Act means for your VA benefits
 * Home
 * Health care
 * How to apply

HEALTH CARE

 * Get benefits
    * About VA health benefits
      * Your care team
      * Where you'll go for care
      * Your health care costs
      * VA health care and other insurance
      * Long-term care
      * Dental care
        * VA Dental Insurance Program (VADIP)
      * Vision care
        * Blind and low-vision services
    * Eligibility
      * Active-duty service members
      * VA priority groups
    * How to apply
    * Apply now
    * After you apply
    * Family health benefits
      * CHAMPVA benefits

 * Manage benefits
    * Refill and track prescriptions
    * Use secure messaging
    * Schedule and manage health appointments
    * View lab and test results
    * Order hearing aid batteries and accessories
    * Order prosthetic socks
    * COVID-19 vaccines at VA
      * About COVID-19 vaccines
      * How to get your COVID-19 vaccine records online
    * Get medical records
    * Update health benefits info
    * Pay your VA copay bill
      * Dispute your VA copay charges
      * Request VA financial hardship assistance
    * Check appeal status
    * Request a decision review or appeal
    * Get travel pay
    * Get a Veteran Health Identification Card (VHIC)

 * More resources
    * VA health care copay rates
      * Past rates: 2022
      * Past rates: 2021
      * Past rates: 2020
    * Health needs and conditions
      * Health issues related to service era
        * Operation Enduring Freedom
        * Iraq War
        * Gulf War
        * Cold War Era
        * Vietnam War
        * Korean War
        * World War II
      * Mental health
        * PTSD
        * Depression
        * Suicide prevention
      * Military sexual trauma
      * Substance use problems
      * Exposure to hazardous materials
      * Women’s health care needs
      * Health topics A-Z
    * Wellness programs
    * Community care
    * Income limits
    * Affordable Care Act
    * Million Veteran Program
    * Access and quality in VA health care
    * Patient rights and responsibilities

In this section

English |Español


HOW TO APPLY FOR VA HEALTH CARE

Find out how to apply for VA health care benefits as a Veteran or service
member.


HOW DO I PREPARE BEFORE I START MY APPLICATION?

 * Find out if you’re eligible for VA health care benefits
 * Gather the information listed below that you’ll need to fill out an
   Application for Health Benefits (VA Form 10-10EZ)


YOU'LL NEED THIS INFORMATION:

 * Social Security numbers for you, your spouse, and your qualified dependents
 * Your military discharge papers (DD214 or other separation documents)
 * Insurance card information for all insurance companies that cover you,
   including any coverage provided through a spouse or significant other. This
   includes Medicare, private insurance, or insurance from your employer. 
 * Gross household income from the previous calendar year for you, your spouse,
   and your dependents. This includes income from a job and any other sources.
   Gross household income is your income before taxes and any other deductions.
 * Your deductible expenses for the past year. These include certain health care
   and education costs.

Note: You don't have to tell us about your income and expenses when you apply.
But if you’re not eligible based on other factors, we’ll need this information
to decide on your application.


HOW DO I APPLY?

You can apply online right now.

Apply for health care benefits


YOU CAN ALSO APPLY IN ANY OF THESE 4 WAYS

OPTION 1: APPLY BY PHONE

Call our toll-free hotline at 877-222-8387, Monday through Friday, 8:00 a.m. to
8:00 p.m. ET to get help with your application.

OPTION 2: APPLY BY MAIL

Fill out an Application for Health Benefits (VA Form 10-10EZ).

Get VA Form 10-10EZ to download

You or someone acting as your power of attorney must sign and date the form.
And:

 * If you’re using a power of attorney, you’ll need to submit a copy of the
   Power of Attorney form along with your application.
 * If you sign with an “X,” 2 people you know must witness your signature.
   They’ll also need to sign and print their names on the form.

Send your completed application here:

Health Eligibility Center
2957 Clairmont Rd., Suite 200
Atlanta, GA 30329

OPTION 3: APPLY IN PERSON

Fill out an Application for Health Benefits (VA Form 10-10EZ).

Get VA Form 10-10EZ to download

You or someone acting as your power of attorney must sign and date the form.
And:

 * If you’re using a power of attorney, you’ll need to submit a copy of the
   Power of Attorney form along with your application.
 * If you sign with an “X,” 2 people you know must witness your signature.
   They’ll also need to sign and print their names on the form.

Go to your nearest VA medical center or clinic. Bring a signed Application for
Health Benefits (VA Form 10-10EZ) with you.

Find a VA medical center or clinic near you

Or get help through your state’s Department of Veterans Affairs.

Find your state’s Department of Veterans Affairs

OPTION 4: APPLY WITH THE HELP OF A TRAINED PROFESSIONAL

You can work with a trained professional called an accredited representative to
get help applying for health care benefits.

Get help filing your claim


WHAT HAPPENS AFTER I APPLY?

Find out what happens after you apply

If you’ve also applied for a VA pension or disability benefits, you can check
the status of those claims online.

Check the status of your claim


HOW LONG DOES IT TAKE VA TO MAKE A DECISION?

Less than 1 week

If more than a week has passed since you gave us your application and you
haven’t heard back, please don’t apply again. Call our toll-free hotline at
877-222-8387. We’re here Monday through Friday, 8:00 a.m. to 8:00 p.m. ET.

--------------------------------------------------------------------------------


MORE INFORMATION ABOUT APPLYING

To update your personal, insurance, or financial information from an earlier
application, fill out a Health Benefits Update Form (VA Form 10-10EZR).

Get VA Form 10-10EZR to download

You may qualify for VA health care and other benefits. View the Application for
the Program of Comprehensive Assistance for Family Caregivers (VA Form 10-10CG).

Get VA Form 10-10CG to download

If you need community nursing home care, domiciliary care, adult day health
care, geriatric evaluation, or respite care, you may need to fill out an
Application for Extended Care Services (VA Form 10-10EC).

Get VA Form 10-10EC to download

Last updated: June 6, 2023

Feedback


VETERAN PROGRAMS AND SERVICES

 * Homeless Veterans
 * Women Veterans
 * Minority Veterans
 * LGBTQ+ Veterans
 * PTSD
 * Mental health
 * Adaptive sports and special events
 * VA outreach events
 * National Resource Directory


MORE VA RESOURCES

 * VA forms
 * VA health care access and quality
 * Accredited claims representatives
 * VA mobile apps
 * State Veterans Affairs offices
 * Doing business with VA
 * Careers at VA
 * VA outreach materials
 * Your VA welcome kit


GET VA UPDATES

 * VA news
 * Press releases
 * Email updates
 * Facebook
 * Instagram
 * Twitter
 * Flickr
 * YouTube
 * All VA social media


IN CRISIS? TALK TO SOMEONE NOW

 * Veterans Crisis Line


GET ANSWERS

 * Resources and support
 * Contact us


 * CALL US
   
   800-698-2411
 * TTY: 711


 * VISIT A MEDICAL CENTER OR REGIONAL OFFICE
   
   Find a VA location

 * Talk to the Veterans Crisis Line now
 * Contact us
   
   
   GET ANSWERS
   
    * Resources and support
    * Contact us
   
   
    * CALL US
      
      800-698-2411
    * TTY: 711
   
   
    * VISIT A MEDICAL CENTER OR REGIONAL OFFICE
      
      Find a VA location

 * Veteran programs and services
    * Homeless Veterans
    * Women Veterans
    * Minority Veterans
    * LGBTQ+ Veterans
    * PTSD
    * Mental health
    * Adaptive sports and special events
    * VA outreach events
    * National Resource Directory

 * More VA resources
    * VA forms
    * VA health care access and quality
    * Accredited claims representatives
    * VA mobile apps
    * State Veterans Affairs offices
    * Doing business with VA
    * Careers at VA
    * VA outreach materials
    * Your VA welcome kit

 * Get VA updates
    * VA news
    * Press releases
    * Email updates
    * Facebook
    * Instagram
    * Twitter
    * Flickr
    * YouTube
    * All VA social media


 * LANGUAGE ASSISTANCE
   
    * Español
    * Tagalog
    * Other languages


LANGUAGE ASSISTANCE

 * Español
 * Tagalog
 * Other languages


 * Accessibility
 * Civil Rights
 * Freedom of Information Act (FOIA)
 * Harassment
 * Office of Inspector General
 * Plain language
 * Privacy, policies, and legal information
 * VA Privacy Service
 * No FEAR Act Data
 * USA.gov
 * VA performance dashboard
 * Veterans Portrait Project


WE’RE HERE ANYTIME, DAY OR NIGHT – 24/7

If you are a Veteran in crisis or concerned about one, connect with our caring,
qualified responders for confidential help. Many of them are Veterans
themselves.

 * Call 988 and select 1
 * Text 838255
 * Start a confidential chat

 * Call TTY if you have hearing loss800-799-4889

Get more resources at VeteransCrisisLine.net.