How Do I Update My Information?

VA Form 10-10EZR, Health Benefits Renewal, is for your use to update the information we have on file. This form enables you to update or report changes to your address, phone number, name, health insurance and financial information when these changes occur.

If you are not charged copay for medications or your health care or are charged a reduced inpatient copay you should update and report your financial information to VA each year to prevent your status from lapsing. VA will remind you when it is time to renew the information.

If you are not charged medication copay because you have low income, you should also update your financial information to VA each year to have your ability to pay copay reassessed.

It is not necessary to wait for the annual renewal period to provide VA your updated information. You may update your information whenever your financial or personal information changes. Simply complete VA Form 10-10EZR to provide your updated information.

Click here for a paper version of VA Form 10-10EZR. You will need to complete the form and mail it to your local facility for processing.

Be sure to sign and date the form. Click here for information as to who can sign the form. If the form is not signed and dated properly, VA will return it to you for completion.

Keeping your information current is important

If it’s been a while since your information was updated, we may contact you to remind you of your upcoming scheduled appointment and to be sure that your information on file is up to date. By updating your eligibility, insurance and personal information before the day of your appointment, you will save time during your visit.

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For questions about Health Care Eligibility, please visit the VA inquiry website.