The Application Process
The Application ProcessThe simplest way to apply for VA health benefits is by completing and submitting VA Form 10-10EZ, Application for Health Benefits online. Apply Online
Apply by Telephone
Apply in Person
Other ways to apply
Applicants for Long Term CareApplicants for Long Term Care benefits, including community nursing home care, domiciliary care, adult day health care, geriatric evaluation, and respite care may also need to complete VA Form 10-10EC, Application for Extended Care Services. The form is required for nonservice-connected and zero percent service-connected enrolled Veterans with income over the single pension rate. You can indicate on the application form if you desire an appointment at the same time you apply. Assistance Completing the ApplicationIf you need assistance completing the form, contact:
Required SignatureThere is not a signature requirement for the online registration. You or the person acting as your Power of Attorney must sign and date the form. If your Power of Attorney signs and dates the form you must submit a copy of the Power of Attorney with the form.. If you sign with an "X," then two people that you know must witness you as you sign the form. They must also sign and print their names on the form. Eligibility and Enrollment StatusOnce your application for enrollment in VA health care system is processed, VA will send you a letter informing you of your enrollment Priority Group assignment, copay status and whether you were enrolled. The letter will also give you instructions on how to appeal the decision if you do not agree with it. |