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Published byLorraine Bell Modified over 9 years ago
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Veteran Service Organization ‘Officers Day’ December 3, 2010 Enrollment Eligibility
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Overview Basic qualifications Information needed to complete a registration Vision Dental Changes
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Veterans Period of Service Prior to November 7, 1980 After November 7, 1980
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Exceptions to 24 month rule Early Outs Hardships Disability
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Discharges Meets Qualifications Honorable Under Honorable Conditions General Does-Not Meet Qualifications Other Than Honorable Dishonorable Uncharacterized
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Has the veteran used VA health care? Enrolled prior to January 16, 2003 with continual use Enrolled prior to 1996 and not used Enrolled after January 16, 2003
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Income Qualification after 03’ Means/income test Two different income thresholds Means Threshold (MT) Geographical Means Threshold (GMT) 10% above MT/GMT allowed MT/GMT determines qualification Above MT/GMT not qualified Below MT/GMT qualified
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Means Test Formula Gross household income Minus non-reimbursed medical expenses Minus pre-paid funeral/burial expenses Minus educational expenses Equals allowable amount for MT/GMT
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Means tests MT/GMT determines… Qualifications for health care Priority Group placement (5, 7 and 8) Co-Pay thresholds Visits Medications
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Veterans not subject to 2003 guidelines: Purple Heart recipients Prisoners of War OEF/OIF (for 5 years post discharge) Service Connected Veterans with 10% or higher disability
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Veterans not subject to 2003 guidelines: Service Connected veterans 0% Enrolled prior to 16 January 2003 with continual use Enrolled prior to 1996 and not used Enrolled after 16 January 2003 Vietnam Veterans Boots on ground Brown Water Blue water
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Needed Items to Enroll/Register 10-10EZ- Application For Health Care Benefits DD-214/Discharge Papers (WWII) http://www.archives.gov/veterans/evetrecs/ Knowledge of Gross Annual Incomes Knowledge of Non-reimbursed medical expenses Knowledge of Assets Insurance Card(s)
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How to Enroll/Register In person By Mail Internet https://www.1010ez.med.va.gov/sec/vha/1010ez/ By phone Previously enrolled veterans Transfers 10% or higher Service Connected
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Priority Groups: 1 2 3 4 5 6 7 8a, 8b, 8c, 8d, 8e, and 8g
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Hardships Case by Case basis Bridge a Gap Catastrophic Qualified Otherwise
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Dental Qualifications 60-100%-Unemployable 100% Permanent and Total Emergency/Humanitarian Dental Trauma Veterans released from Active Duty/Activation Service of 90 days Register within 180 days DD214 annotates no dental
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Dental Qualifications POW’s Chapter 31 Medical Inpatient Homeless
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Vision and Hearing Categories 1-5 Categories 6-8
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Important Things to Remember Veterans Laws
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