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VA Healthcare Network Upstate New York - VISN 2

Enrollment Priorities
These groups are enrollment priorities only. VA services and treatment available
to enrolled veterans generally are not based on priority groups. Enrollment
will be reviewed each year and veterans will be notified in writing of any change
in their enrollment status. Call the nearest VA health care facility or the Health
Benefits Service Center, 1-877-222-8387, to obtain the latest information.
Priority Group 1
- Veterans with service-connected conditions rated 50 percent 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 who are former Prisoners of War (POWs)
- Veterans awarded a Purple Heart medal
- Veterans whose discharge was for a disability that was incurred or aggravated in the line of duty
- Veterans with service-connected conditions rated 10% or 20% percent disabling
- Veterans awarded special eligibility classification under Title 38, U.S.C., Section 1151, “benefits for individuals disabled by treatment or vocational rehabilitation”
Priority Group 4
- Veterans who are receiving aid and attendance or housebound benefits
- Veterans who have been determined by VA
to be catastrophically disabled
Priority Group 5
- Nonservice-connected veterans and noncompensable service-connected veterans rated 0% disabled whose annual income and net worth are below the VA established thresholds
- Veterans receiving VA pension benefits
- Veterans eligible for Medicaid programs
* Veterans currently in receipt of cash
assistance, medical assistance, food
stamp benefits, and/or Home Energy
Assistance Program (HEAP) benefits
will most likely fall below the established
dollar threshold and be eligible
for VA Health Care.
Priority Group 6
- World War I veterans
- Mexican Border War veterans
- Compensable 0% service-connected
veterans
- Veterans solely seeking care for
disorders associated with:
- Exposure to herbicides while serving
in Vietnam
- Exposure to ionizing radiation
during atmospheric testing or during
the occupation of Hiroshima
and Nagasaki
- Service in the Gulf War
- Illness possibly related to participation
in Project 112/SHAD
- Service 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
two years following discharge from
military service for combat related
conditions
* See combat veteran section for more information
Priority Group 7
Veterans with income and/or net
worth above the VA established
threshold and income below the
HUD geographic index who agree
to pay copays
- Subpriority a: Noncompensable
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
- Subpriority c: Nonservice-connected
veterans who were
enrolled in the VA health care
system on a specified date and
who have remained enrolled
since that date
- Subpriority e: Noncompensable
0% service-connected veterans
not included in Subpriority a
above
- Subpriority g: Nonservice-connected
veterans not included
in Subpriority c above
Priority Group 8
Veterans with income and/or net worth
above the VA established threshold and
the HUD geographic index who agree to
pay copays
- Subpriority a: Noncompensable 0%
service-connected veterans enrolled
as of January 16, 2003 and who have
remained enrolled since that date
- Subpriority c: Nonservice-connected
veterans enrolled as of January 16,
2003 and who have remained enrolled
since that date
- Subpriority e**: Noncompensable 0%
service-connected veterans applying for
enrollment after January 16, 2003
- Subpriority g**: Nonservice-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.
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| Reviewed/Updated Date: April 30, 2007 |
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