VA Health Care Eligibility

VA Outpatient Clinic Coeur d'Alene ID -
VA Outpatient Clinic Coeur d'Alene ID -

If you served on active duty and didn't get a dishonorable discharge you may be eligible for U.S. Department of Veterans Affairs (VA) medical benefits.

Eligibility for VA Medical Care

You may be able to get VA health care benefits if you served in the active military and didn’t receive a dishonorable discharge.

If you enlisted after Sept. 7, 1980, or entered active duty after Oct. 16, 1981, you must have served 24 continuous months or the full period for which you were called to active duty, unless you were either:

  • Discharged for a disability that was caused — or made worse — by your active-duty service, or
  • Discharged for a hardship.

If you’re a current or former member of the Reserves or National Guard, you must have been called to active duty by a federal order and completed the full period for which you were called or ordered to active duty. If you had or have active-duty status for training purposes only, you don’t qualify for VA health care.

Cost of VA Medical Care

Normally, if you have an injury or disability caused by your military service you are eligible to be treated for that condition by the VA for free. 

If your disability or injury is severe enough for the VA to rate you at least 50% disabled for compensation benefits, all your medical care is free from the VA. 

Related: Who Is Eligible to Receive Free Glasses From The VA?

If you have a lower level of disability rating, you may have to pay the VA a copayment depending on what type of medical services you get and what condition you are being treated for. 

For instance, if you are rated 10% disabled for high blood pressure, you can get your blood pressure medication from the VA for free. Your doctor's appointments are also free. However, you may have to pay a copay for any medicine that isn't for your high blood pressure. 

Check out the current copay amounts.

How VA Determines Your Healthcare Eligibility

The number of veterans who can be enrolled in the health care program is determined by the amount of money Congress gives VA each year. Since funds are limited, VA set up Priority Groups to make sure certain groups of veterans are able to be enrolled before others.

Once you apply for enrollment, your eligibility will be verified. Based on your specific eligibility status, you will be assigned a Priority Group. The Priority Groups range from 1-8, with 1 being the highest priority. Based on eligibility and income, some veterans may have to pay a copay for treatment, and some may not be eligible for enrollment.

You may be eligible for more than one Priority Group. In that case, VA will always place you in the highest Priority Group that you are eligible for. 

See more information about VA Priority Groups

Travel to a VA Doctor

The VA may even reimburse you for traveling to a medical appointment.

Reimbursement for mileage or public transportation may be paid to the following:

  1. Veterans with service-connected disabilities rated at 30% or more.
  2. Veterans traveling for treatment of a service-connected condition.
  3. Veterans receiving a VA pension.
  4. Veterans traveling for scheduled compensation or pension examinations.
  5. Veterans whose income does not exceed the maximum VA pension rate.

Mileage reimbursement is made at the current rate of 41.5 cents per mile. The deductibles are $3 for a one-way trip and $6 for a round trip, with a maximum of $18 per calendar month. However, these deductibles can be waived if they cause a financial hardship to the veteran.

The deductible is also waived for veterans traveling for scheduled compensation or pension examinations.

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