Filling out VA
Claims
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When you are going to fill out a VA Claim form you will need the following
documents:

Non-Medical Benefits

A copy of your discharge certificate, or DD Form 214, Certificate of Release or
Discharge from Active Duty, if available
Your VA claim number or Social Security number if receiving benefits under prior
service
A copy of all marriage certificates and divorce decrees (if any)
A copy of each child's birth certificate (or adoption order)
A copy of your birth certificate if there are living parents dependent on you for
support
A copy of any service medical records for disabilities you intend to claim
The most typical claim for benefits is for compensation for military service related
injuries. Complete VA Form 21-526, Veterans Application for Compensation or
Pension,  you may obtain a copy of the form from any VA Regional Office
.
Medical Benefits

A copy of your discharge certificate, or DD Form 214, Certificate of Release or
Discharge from Active Duty, if available
In order to document your service in a theater of combat operations, it would be
helpful if you brought any of the following:
A copy of your Leave and Earnings Statement showing receipt of Hostile Fire or
Imminent Danger Pay
Receipt of the Armed Forces Expeditionary Medal
Kosovo Campaign Medal
Global War on Terrorism Expeditionary Medal
Southwest Asia Campaign Medal
Proof of exemption of federal tax status for Hostile Fire or Imminent Danger Pay
Orders to a theater of combat operations
Complete VA Form 10-10EZ, Application for Health Benefits, online. Or, you may
obtain the form by:
Calling VA's Health Benefits Service Center toll free number, 1-877-222-VETS(8387),
Monday through Friday between 8:00 AM and 8:00 PM (Eastern Time)
Calling or visiting any VA health care facility or VA regional office. To find the facility
nearest you, visit the VA Facilities web page.

Determining Your Eligibility Eligibility for health care through VA is a two-step
process:  
1) VA must determine your eligibility status as a veteran by reviewing your  
Character of Discharge from active military service, and your  Length of active
military service  
2) VA must determine whether you qualify for one of the eight enrollment priority
groups.     

Step 1. Determine your qualifying military service  The character of discharge you
received from the military can be a factor. It is not an issue if you received:   
*An honorable discharge  A general discharge  A discharge under honorable
conditions  
*The length of your service may also matter. It depends on when you served. There’
s no length of service requirement for:   Former enlisted persons who started active
duty before September 8, 1980, or  Former officers who first entered active duty
before October 17, 1981  All other veterans must have 24 months of continuous
active duty military service or meet one of the exceptions described below.  If you
have a different character of discharge, you may still be eligible for care. Contact
your Enrollment Coordinator at your local VA health care facility to see if you
qualify.   

Minimum Service Requirement

You do not have to meet the 24 continuous months of active duty service
requirement if you:

Were a reservist who was called to Active Duty and who completed the term for
which you were called, and who was granted an other than dishonorable discharge,
or
Were a National Guard member who was called to Active Duty by federal executive
order, and who completed the term for which you were called, and who was granted
an other than dishonorable discharge, or
Only request a benefit for or in connection with:
a service-connected condition or disability; or  
treatment and/or counseling of sexual trauma that occurred while on active military
service; or
treatment of conditions related to ionizing radiation; or
head or neck cancer related to nose or throat radium treatment while in the military.
Were discharged or released from active duty for a hardship , or
Were discharged with an “early out”; or   
Were discharged or released from active duty for a disability that began in the
service or got worse because of the service; or
Have been determined by VA to have compensable service-connected conditions; or
Were discharged for a reason other than disability, but you had a medical condition
at the time that
Was disabling, and
In the opinion of a doctor, would have justified a discharge for disability (in this last
case, the disability must be documented in service records)

Step 2. Enrollment in VA Health Care System
Generally, you must be enrolled in VA health care system to receive benefits
offered in the Medical Benefits Package.

Certain veterans do not need to be enrolled to receive medical care benefits.

You do not have to be enrolled if you:

Have been determined by VA to be 50% or more disabled from service-connected
(SC) conditions
Are seeking care for a VA rated service-connected disability only
It is less than one year since you were discharged for a disability that the military
determined was incurred or aggravated by your service, but that VA has not yet rated

However, enrolling will assist VA in planning and budgeting resources.

Information About Enrollment

To apply for VA health care benefits, including enrollment you must fill out an
application. We use the application to determine:

Whether you have qualifying service as a veteran
What your veteran status is so that you can be placed into one of the priority groups
I want more information about applying for care.

Once enrolled, most veterans remain enrolled from year to year without further
action on their part. However,

Some veterans need to provide updated financial information to continue their
enrollment in a certain priority group
You may cancel your enrollment anytime
Changes in VA’s available resources may reduce the number of priority groups VA
can enroll in a given year. If that occurs, VA will publicize the enrollment changes
and notify affected enrollees.

Enrollment Priority Groups
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 that 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 for enrollment. Some veterans may
have to agree to pay copayments to be placed in certain priority groups.

You 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 for. Under the
Medical Benefits Package, the same services are generally available to all enrolled
veterans.

The priority groups are complicated and some reference financial thresholds. For
more information about the thresholds go to the
Copayments and Charges page. We
have provided a couple of different ways to view
priority groups.

What if I am Catastrophically Disabled?

To be considered Catastrophically Disabled, you must have a severely disabling
injury, disorder, or disease which permanently compromises your ability to carry out
activities of daily living, and:
requires you to have personal or mechanical assistance to leave home or bed, OR
requires you to have constant supervision to avoid physical harm to yourself or
others.
To request a catastrophic disability evaluation, contact the Enrollment Coordinator at
your local VA health care facility. VA will make every effort to schedule your
evaluation within 35 days of request. There is no charge for the Catastrophic
Disability evaluation.

If it is determined by a VA health care provider that you are Catastrophically
Disabled, your priority group assignment will be upgraded to Priority Group 4.

Why Choose a Preferred Facility?

VA asks you to identify the health care facility where you would like to receive your
primary care. A preferred facility may be any VA health care location, for example,
VA health care facility, independent clinic, or community based outpatient clinic. If
VA is unable to provide your needed health care, that facility will make
arrangements to refer you to another VA health care facility or to one of VA’s private
sector affiliates to provide the required care.

What if I Want to Cancel my Enrollment?

There are many reasons to remain with VA for your health care needs. However, the
decision as to whether it is more beneficial for you to find a doctor outside VA
system is yours to make.
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