Health Care Benefits (Health Care Enrollment):
"Mean Test" Threshold for Financial Assistance
Private Health Insurance
For Dayton VA 268-6511
VA provides a number of health care services.
- Hospital, outpatient medical, dental, pharmacy and prosthetic services
- Domiciliary, nursing home, and community-based residential care
- Sexual trauma counseling
- Specialized health care for women veterans
- Health and rehabilitation programs for homeless veterans
- Readjustment counseling
- Alcohol and drug dependency treatment
- Medical evaluation for disorders associated with military service in the Gulf War, or exposure to Agent Orange, radiation, and other environmental hazards
Combat Veterans - VA will provide combat veterans free medical care for any illness possibly associated with service during a period of hostility for two years from the veteran's release from active duty.
8 Priority Levels:
| Priority 1
- Veterans with service-connected disabilities rated 50% or more disabling, or
- Veterans determined by VA to be unemployable due to service-connected conditions
- Veterans with service-connected disabilities rated 30% or 40% disabling
- Veterans with service-connected disabilities rated 10% or 20% disabling
- Veterans who are former POWs
- Veterans awarded the Purple Heart
- Veterans whose discharge was for a disability that began in the line of duty
- Veterans who are disabled because of VA treatment or participation in VA vocational rehabilitation program
- Veterans who are receiving aid and attendance or housebound benefits (on pension) from VA
- Veterans who have been determined by VA to be catastrophically disabled
- Veterans receiving VA pension benefits
- Veterans who are eligible for Medicaid programs
- Veterans with income and assets below VA Means Test Thresholds
- Veterans with 0% service-connected conditions, but receiving VA compensation
- Veterans seeking care only for disorders relating to Ionizing Radiation and Project 112/SHAD
- Veterans seeking care for Agent Orange Exposure during service in Vietnam
- Veterans seeking care for Gulf War Illness or for conditions related to exposure to Environmental Contaminants during service in the Persian Gulf
- Veterans of World War I or the Mexican Border War
- Veterans who served in combat in a war after the Gulf War or during a period of hostility after November 11, 1998 for 2 years following discharge or release from the military
- Click here for more information about combat veteran eligibility (PDF)
- Veterans who agree to pay specified copay with income and/or net worth above VA Income Threshold and income below the Geographic Means Test Threshold
- Subpriority A: Noncompensable 0% service-connected veterans who were enrolled in VA Health Care System on a specified date and who have remained enrolled since that date.
- Subpriority C: Nonservice-connected veterans who were enrolled in VA Health Care System on a specified date and who have remained enrolled since that date.
- Subpriority E: Noncompensable 0% service-connected veterans not included in Subpriority A above. VA is not currently using Subpriority E.
- Subpriority G: Nonservice-connected veterans not included in Subpriority C above. VA is not currently using Subpriority G.
Veterans who agree to pay specified copay with income and/or net worth above VA Means Test Threshold and the Geographic Means Test Threshold.
- Subpriority A: Noncompensable 0% service-connected veterans enrolled as of January 16, 2003 and who have remained enrolled since that date.
- Subpriority C: Nonservice-connected veterans enrolled as of January 16, 2003 and who have remained enrolled since that date.
- Subpriority E*: Noncompensable 0% service-connected veterans applying for enrollment after January 16, 2003.
- Subpriority G*: Nonservice-connected veterans applying for enrollment after January 16, 2003
Effective January 17, 2003, VA suspended NEW enrollment of veterans assigned to Priority Group 8 (VA's lowest priority group consisting of higher income veterans). If you are a veteran enrolling for the first time on or after January 17, 2003, and your income exceeds the current year income threshold, you are not eligible for enrollment at this time. Veterans enrolled in Priority Group 8 on or before January 16, 2003, will remain enrolled and continue to be eligible for the full-range of VA health care benefits.
New enrollees assigned to subpriority groups e and g, are not eligible for enrollment at this time.