In October 1996, Congress passed Public Law 104-262, the Veterans' Health Care Eligibility Reform Act of 1996. This legislation paved the way for the creation of a Medical Benefits Package - a standard enhanced health benefits plan available to all enrolled veterans. Like other standard health care plans, the Medical Benefits Package emphasizes preventive and primary care, offering a full range of outpatient and inpatient services.
VA places a priority on improved veteran satisfaction. Their goal is to ensure the quality of care and service you receive is consistently excellent, in every location, in every program. Under the Medical Benefits Package, VA offers you, the veteran, a comprehensive health care plan that provides the care you need.
Our office will assist you in completing the application for medical benefits, VA Form 10-10EZ. Please contact Mecklenburg County Veterans Services at 704-000-0000. Walk in assistance is available at our office located at Hal Marshal Service Center, 700 N. Tryon Street, Charlotte, NC.
- Priority Groups
- CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs)
- Eligibility for enrollment in VA's Health Care System
What are the Priority Groups?
Once you apply for enrollment (VA Form 10-10-EZ), your eligibility will be verified. Based on your specific eligibility status, you will be assigned a priority group.
The priority groups are as follows, ranging from 1-8 with 1 being the highest priority for enrollment. Under the Medical Benefits Package, the same services are generally available to all enrolled veterans.
As of January 17, 2003, VA is not accepting new Priority Group 8 veterans for enrollment (veterans falling into Priority Groups 8e and 8g).
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Priority Group 1
- Veterans with service-connected disabilities rated 50% or more disabling,
- Veterans determined by VA to be unemployable due to service-connected conditions
Priority Group 2
- Veterans with service-connected disabilities rated 30% or 40% disabling
Priority Group 3
- Veterans with service-connected disabilities rated 10% or 20% disabling
- Veterans who are former Prisoners of War (POWs)
- Veterans awarded the Purple Heart medal
- Veterans whose discharge was for a disability that was incurred or aggravated in the line of duty
- Veterans awarded special eligibility classification under Title 38, U.S.C., Section 1151, "benefits for individuals disabled by VA treatment or participation in VA vocational rehabilitation program"
Priority Group 4
- 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
Priority Group 5
- Veterans receiving VA pension benefits
- Veterans eligible for Medicaid benefits
- Non-service connected veterans and non-compensable service connected veterans rated 0% disabled whose annual income and net worth are below the VA established income and assets means test thresholds
Priority Group 6
- Veterans with 0% service-connected conditions, but receiving VA compensation
- Veterans of World War I or the Mexican Border War
- Veterans seeking care for exposure to herbicides (Agent Orange Exposure) while serving 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 exposed to ionizing radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki
- Veterans seeking care for illness possibly related to participation in Project 112/SHAD
- Veterans who served in combat in a war after the Gulf War or during a period of hostility after November 11, 1998, are eligible for VA health care for 2 years following discharge from the military for combat related conditions
- Click here for more information about combat veteran eligibility
Priority Group 7
Veterans with income and/or net worth above the VA income threshold and income below the geographic income threshold who agree to pay copays:
- Sub-priority a: Non-compensable 0% service connected veterans who were enrolled in the VA Health Care System on a specified date and who have remained enrolled since that date
- Sub-priority c: Non-service connected veterans who were enrolled in the VA Health Care System on a specified date and who have remained enrolled since that date
- Sub-priority e: Non-compensable 0% service connected veterans not included in Sub-priority a above. VA is not currently using Sub-priority e.
- Sub-priority g: Non-service connected veterans not included in Sub-priority c above. VA is not currently using Sub-priority g.
Priority Group 8
Veterans with income and/or net worth above the VA income threshold and the geographic income threshold who agree to pay co-pays:
- Sub-priority a: Non-compensable 0% service connected veterans enrolled as of January 16, 2003, and who have remained enrolled since that date
- Sub-priority c: Non-service connected veterans enrolled as of January 16, 2003, and who have remained enrolled since that date
- Sub-priority e**: Non-compensable 0% service connected veterans applying for enrollment after January 16, 2003
- Sub-priority g**: Non-service 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.