Army * Marines * Navy * Air Force * Coast Guard

Army Reserve * Marine Reserves * Air Force Reserves * Coast Guard Reserves * Navy Reserve

Fact Sheet 164-2

Enrollment Priority Groups                                 March 2008

PriorityGroup

Definition

1

  1. Veterans with VA-rated service-connected disabilities 50% or more disabling
  2. Veterans determined by VA to be unemployable due to service-connected conditions

2

  1. Veterans with VA-rated service-connected disabilities 30% or 40% disabling

3

  1. Veterans who are Former Prisoners of War (POWs)
  2. Veterans awarded a Purple Heart medal
  3. Veterans whose discharge was for a disability that was incurred or aggravated in the line of duty
  4. Veterans with VA-rated service-connected disabilities 10% or 20% disabling
  5. Veterans awarded special eligibility classification under Title 38, U.S.C., Section 1151, "benefits for individuals disabled by treatment or vocational rehabilitation"

4

  1. Veterans who are receiving aid and attendance or housebound benefits from VA
  2. Veterans who have been determined by VA to be catastrophically disabled

5

  1. Nonservice-connected veterans and noncompensable service-connected veterans rated as 0% disabled by VA and whose annual income and net worth are below the VA national income threshold
  2. Veterans receiving VA pension benefits
  3. Veterans eligible for Medicaid programs

6

• World War I veterans

• Compensable 0% service-connected veterans

• Veterans exposed to ionizing radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki

• Project 112/SHAD participants

• Veterans who served in a theater of combat operations after November 11, 1998 as follows:

    1. Veterans discharged from active duty on or after January 28, 2003, who were enrolled as of January 28, 2008 and veterans who apply for enrollment after January 28, 2008, for 5 years post discharge
    2. Veterans discharged from active duty before January 28, 2003, who apply for enrollment after January 28, 2008, until January 27, 2011

7

  1. Veterans with income and/or net worth above the VA national income threshold and income below the geographic income threshold who agree to pay copays

8

• Veterans with income and/or net worth above the VA national income threshold and the geographic income threshold who agree to pay copays
    1. Subpriority a: Noncompensable 0% service-connected veterans enrolled as of January 16, 2003, and who have remained enrolled since that date
    2. Subpriority c: Nonservice-connected veterans enrolled as of January 16, 2003, and who have remained enrolled since that date
    3. Subpriority e**: Noncompensable 0% service-connected veterans applying for enrollment after January 16, 2003
    4. Subpriority g**: Nonservice-connected veterans applying for enrollment after January 16, 2003

** Note: Veterans assigned to Priority Groups 8e or 8g are not eligible for enrollment as a result of the enrollment restriction which suspended enrolling new high-income veterans who apply for care after January 16, 2003. Veterans enrolled in Priority Groups 8a or 8c will remain enrolled and eligible for the full-range of VA health care benefits.

Priority Group Definitions are subject to change: in order to determine eligibility contact the VA or Veterans benefits representative

    •   Copyright © 2003 Vets4Veterans