VA Health Benefits Eligibility and Enrollment Information
Learn about the eligibility criteria, enrollment process, required documents, and urgent care options for VA health benefits. Find out how to access non-urgent health care services online, by phone, in person, or via mail.
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Basic Eligibility Criteria Must be Active Duty for 24 months or more If not active duty, must have be activated by Title 10 orders and have completed the period for which activated If discharged with less than 24 months due to convenience of the government or for medical reasons, the time in service requirement is waived Must have a discharge that is Honorable or General Under Honorable Conditions If Other Than Honorable, must be adjudicated by sending VA Form 7131 to VBA If Bad Conduct or Dishonorable, Veteran is barred from receiving Federal Benefits Once enrolled, a Veteran is placed into a Priority Group based on their individual status. Priority Groups range from 1 to 8 Groups 7 and 8 have multiple subgroupings Non-Service Connected Veterans Eligibility is based on income We ALWAYS consider income from the previous year. EXCEPT when the Veteran has a hardship. Hardship Applications take into account THIS year s projected income There are two thresholds (MT & GMT) Means Test and Geographical Means Test. MT is a national threshold. GMT is based on zip code. The higher of the two is the one that applies. The threshold varies based on the number of dependents in the household (restrictions apply on who is considered a dependent) When a Veteran is made eligible based on low income they are placed in PG5. Additional income thresholds apply that determine if PG5 Veterans may or may not be eligible to receive travel reimbursement.
Non Urgent Health Care Enrollment Online www.va.gov/healthbenefits By Phone 1-877-222-8387 M-F 08:00am to 8:00pm EST In person Enrollment Office M-F 08:00am-4:00pm In person Transition & Care Management Office Walk-in s M-Th 08:00am-4:00pm *Serving All Post 911 discharging Veterans By Fax at 503-402-2909 By Mail to: Portland VA Health Care System 3710 SW U.S. Veterans Hospital Road, Portland, OR 97209. Attn: Enrollment P-3Enro
Documents required Proof of Identity some form of ID Proof of Service Discharge documents or DD214 s (may not always be required if VA staff can electronically verify) Application for care 10-10EZ
Urgent VA Portland Emergency Department access 24 hours a day 7 days a week. 503-220-8262 Extension 55424. Veterans Crisis Line 1-800-827-8255 press 1.
