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What Happens After The
Enhanced Eligibility Period Expires?
Veterans who enroll with VA under this authority will continue to be enrolled even after their enhanced eligibility period ends. At the end of their enhanced eligibility period, Veterans enrolled in Priority Group 6 may be shifted to Priority Group 7 or 8, depending on their income level, and required to make applicable copays.
What
About Combat Veterans Who Do Not Enroll During Their Enhanced Authority Period?
For those Veterans who do not enroll during their enhanced eligibility
period, eligibility for enrollment and subsequent care is based on other factors such as: a compensable service-connected
disability, VA pension status, catastrophic disability determination, or the Veteran’s financial circumstances. For
this reason, combat Veterans are strongly encouraged to apply for enrollment within their enhanced eligibility period, even
if no medical care is currently needed.
Copays Veterans who qualify under this special eligibility are not subject to copays for conditions potentially
related to their combat service. However, unless otherwise exempted, combat Veterans must either disclose their prior year
gross household income OR decline to provide their financial information and agree to make applicable copays for care or services
VA determines are clearly unrelated to their military service. Note: While income disclosure by a recently discharged combat Veteran is not a requirement, this disclosure may provide
additional benefits such as eligibility for travel reimbursement, cost-free medication and/or medical care for services unrelated
to combat.
Dental Care
Eligibility for VA dental benefits is based on very specific guidelines and differs significantly
from eligibility requirements for medical care. Combat Veterans may be authorized dental treatment as reasonably necessary
for the one-time correction of dental conditions if: • They served on active duty and were discharged or released from
active duty under conditions other than dishonorable from a period of service not less than 90 days and • The certificate
of discharge or release does not bear a certification that the Veteran was provided, within the 90-day period immediately
before the date of such discharge or release, a complete dental examination (including dental X-rays) and all appropriate dental service and treatment indicated by the examination to be needed and • Application for
VA dental treatment is made within 180 days of discharge or release under conditions other than dishonorable)
Additional
Information
Additional information is available at the nearest VA medical facility.
Veterans can also call VA toll free at 1-877-222-VETS (8387). |
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