Returning Servicemembers (OEF/OIF/OND)
Your service has earned your access to enhanced VA health care benefits. In order to take advantage of these benefits, OEF/OIF/OND Veterans need to enroll in VA's health care system. Don't delay, apply today!
Enhanced Eligibility For Health Care Benefits
Veterans who served in a theater of combat operations after November 11, 1998 are eligible for an extended period of eligibility for health care for 5 years post discharge.
Under the "Combat Veteran" authority, the Department of Veterans Affairs (VA) provides health care services and community living care for any condition possibly related to the Veterans’s service in the theater of operations and enrollment in Priority Group 6, unless eligible for enrollment in a higher priority group to:
Combat Veterans who were discharged or released from active service on or after January 28, 2003, are eligible to enroll in the VA health care system for 5 years from the date of discharge or release.
Combat Veterans, while not required to disclose their income information, may do so to determine their eligibility for a higher priority status, beneficiary travel benefits, and exemption of copays for care unrelated to their military service.
Enhanced Enrollment Opportunity
The Clay Hunt Suicide Prevention for American Veterans Act was signed into law on February 12, 2015. The Act provides a one-year window of enhanced VA health care enrollment for combat Veterans who are not enrolled in the VA health care system, and who were discharged or released from active military, naval, or air service after January 1, 2009 and before January 1, 2011. Combat Veterans who fall within these timeframes and conditions will be placed in Priority Group (PG) 6, unless they qualify for a higher PG. Once the extended year (February 12, 2016) has been reached, combat Veterans will remain enrolled, although they may be shifted to a lower PG.
What Does This Mean?
Affected Veterans can take advantage of this enhanced enrollment opportunity until February 12, 2016 (when the law ends) by applying for enrollment either online at www.va.gov/healthbenefits; on eBenefits at http://www.ebenefits.va.gov/ebenefits/homepage; by phone at 1-877-222-VETS (8387) Monday through Friday between 8 a.m. and 8 p.m., eastern; or by visiting their local VA medical center.
Benefits and Services to Enjoy
- Eligible combat Veterans will have free medical care and medications for any condition that may be related to their service in theater.
- Immediate benefits of health care coverage.
- No enrollment fee, monthly premiums or deductibles.
- Low or no out-of-pocket costs. During the five-year post discharge timeframe, there may be small medical care or prescription drug copayments for medical care for any condition not related to combat theater. See our Copayment page for more information. (http://www.va.gov/HEALTHBENEFITS/cost/copays.asp)
- Once enrolled, the Veteran will remain enrolled.
- Enrollment with VA satisfies the health care law’s requirement to have health care coverage.
- Medical care rated among the best in the United States.
- More than 1,700 places available to get health care.
- Choice Card Program eligibility. Click here for more information
- VA health care can be used along with Medicare and any other health insurance coverage.
For more information on suicide prevention and the Veterans crisis line, visit: http://www.mentalhealth.va.gov/suicide_prevention/
Veterans, including activated Reservists and members of the National Guard, are eligible if they served on active duty in a theater of combat operations after November 11, 1998, and have been discharged under other than dishonorable conditions.
Fill out the Returning Servicemembers Calculator
Documentation Used To Determine Service in a Theater Of Combat Operations
- Military service documentation that reflects service in a combat theater, or
- Receipt of combat service medals, and/or
- Receipt of combat tax exemption, imminent danger or hostile fire pay
Health Benefits Under The "Combat Veteran" Authority
- Medical care and medications provided for conditions potentially related to combat service
- Enrollment in Priority Group 6 unless eligible for enrollment in a higher priority group
- Full access to VA's Medical Benefits Package
What Happens After The Enhanced Eligibility Period?
Veterans who enroll with VA under this authority will continue to be enrolled even after their enhanced eligibility period ends. At the end of their enhanced eligibility period, Veterans enrolled in Priority Group 6 may be shifted to a lower priority group depending on their income level, and required to make applicable copays.
What About Combat Veterans Who Do Not Enroll During Their Enhanced Authority Period?
For those Veterans who do not enroll during their enhanced eligibility period, eligibility for enrollment and subsequent care is based on other factors such as: a compensable service-connected disability, or the Veteran's financial circumstances. For this reason, combat Veterans are strongly encouraged to apply for enrollment within their enhanced eligibility period, even if no medical care is currently needed.
Veterans who qualify under this special eligibility are not subject to copays for conditions potentially related to their combat service. However, unless otherwise exempted, combat Veterans must either disclose their prior year gross household income OR decline to provide their financial information and agree to make applicable copays for care or services VA determines are clearly unrelated to their military service.
Eligibility for VA dental benefits is based on very specific guidelines and differs significantly from eligibility requirements for medical care. Combat Veterans may be authorized dental treatment as reasonably necessary for the one-time correction of dental conditions if:
- They served on active duty and were discharged or released from active duty under conditions other than dishonorable from a period of service not less than 90 days and
- The certificate of discharge or release does not bear a certification that the Veteran was provided, within the 90-day period before the date of such discharge or release, a complete dental examination
- Appropriate dental service and treatment indicated by the examination to be needed and
- Application for VA dental treatment is made within 180 days of discharge or release under conditions other than dishonorable)
Additional information is available at the nearest VA medical facility. Veterans can also call VA toll-free at 877-222-VETS (8387).
Certain Veterans may be eligible for more than one Enrollment Priority Group. In that case, VA will always place you in the highest Priority Group that you are eligible. Under the VA Health Benefits Package, the same services are generally available to all enrolled Veterans.
Once enrolled, you will receive a personalized Veterans Handbook, which will detail your VA health benefits and provide important information concerning your access to VA health care.