Annual Income Limits - Health Benefits

2019 VA National and Priority Group 8 Relaxation Income Thresholds

Income Thresholds for Cost-Free Health Care, Medications and/or Beneficiary Travel Eligibility

Based on Income Year 2018

Veteran with: VA National Income Threshold VA Priority Group 8
Relaxation Threshold
VA Housebound Threshold VA Pension with Aid and Attendance Threshold VA Pension Threshold Medical Expense Deductible
0 dependents $33,632 or less $36,995 or less $16,540 $22,577 $13,535 or less $658
1 dependents $40,359 or less $44,395 or less $20,731 $26,766 $17,724 or less $862
2 dependents $42,672 or less $46,939 or less $23,044 $29,079 $20,037 or less $975
3 dependents $44,985 or less $49,484 or less $25,357 $31,392 $22,350 or less $1,087
4 dependents $47,298 or less $52,028 or less $27,670 $33,705 $24,663 or less $1,200
For each additional dependent add: $2,313 $2,313 $2,313 $2,313 $2,313 5% of the maximum allowable pension rate from the previous year
Child Earned Income Exclusion: $12,200

For certain Veterans the VA National Income Threshold (based on previous year’s gross household income) and/or net worth, is used to determine eligibility for Priority Group 5 assignment and cost-free VA health care. Applicable VA pension income thresholds are used to determine eligibility for cost-free medications and/or beneficiary travel benefits.

For Geographic-Based financial assessment (means test) information refer to https://www.va.gov/healthbenefits/resources/gmt

Note: Unreimbursed Medical expenses (what you paid out of pocket after medical insurance pays) may be deducted from your total gross household income. Unreimbursed medical expenses include: travel expenses, cost of a long term care institution or assisted living, health related insurance premiums (including Medicare premiums), diabetic supplies, private caregivers, incontinence supplies, prescriptions and dialysis not covered by any other health plan. Only the portion of the unreimbursed medical expenses that exceed 5% of the basic pension may be deducted (see Medical Expense Deductible).

Additional information is available at https://www.va.gov/healthbenefits/cost/financial_assessment.asp