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va form 10 10ez

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VA FORM MAR 2015 10-10EZ Complete only the sections that apply to you sign and date the form. Continued. What is VA Form 10-10EZ used for For Veterans to apply for enrollment in the VA health care system. The information provided on this form will be used by VA to determine your eligibility for medical benefits and on average will take 30 minutes to complete. Sections 1705 1710 1712 and 1722 in order for VA to determine your eligibility for medical benefits. Information you supply may be...
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Figure Out Your Eligibility for Health Benefits with the VA 10 10EZ Form

VA 10 10EZ Form: Application for Health Benefits

All eligible US veterans served in the active military can apply for health benefits. These benefits include all necessary inpatient hospital care and outpatient services as well. It’s very important that the Department of Veterans Affairs takes cares of the veterans and offers all the necessary conditions for the maintenance of their health. The medical facilities for veterans provide various medical services, such as surgery, mental health therapy, radiology, physical therapy, and others. The range of medical services can vary according to the veteran’s eligibility status. In other words, each veteran will have his own package of health care benefits. To start the application process, the veteran has to fill in a special form - VA 10 10EZ. The procedure of enrollment is very simple and takes only half an hour. Read more to learn all the details.

Who needs the VA 10 10EZ form?

This form is used those veterans who want to enroll in the healthcare system provided for them. The application can be completed by the veteran or any person on his behalf. In order to receive healthcare benefits, the veteran must be eligible. The veteran must prove that the health problems were incurred during active military, naval or air service.

What is the purpose of the VA 10 10EZ form?

The information provided in this form is used by the Department of Veterans Affairs to determine the veteran’s eligibility for health benefits under the health care system. The financial information is used to determine the amount of monetary compensation.

What other documents must accompany the VA 10 10EZ form?

The application can be accompanied by a number of documents. If the veteran is not currently receiving benefits from the VA, he can attach a copy of the discharge or separation papers from the military, such as DD-214. The veteran should also attach copies of insurance cards, Medicare or a Medicaid card.

When is the VA Form 10 10EZ due?

The application has to be submitted when the veteran needs it. The estimated time for completing the application is thirty minutes.

What sections should I complete in the application?

The veteran must complete the following sections:

  • General Information: veteran’s name, mother’s maiden name, gender, nationality, race, social security number, date of birth, address, phone number, email, marital status, the preferred medical clinic
  • Military Service Information: last branch of service, last entry date, last discharge date, discharge type, military history
  • Insurance information: name of the health insurance company, name of the policy holder, policy number, group code, Medicaid eligibility
  • Dependent information: personal information about the spouse and children

    Gross annual income of the previous calendar year (this section and the two following are completed only if necessary)

  • Deductible expenses of the previous calendar year
  • Previous calendar year net worth

What do I do with the application after its completion?

The veteran can submit the form electronically at the VA’s site or forward it to the Health Eligibility Center, 2957 Clairmont Road, Suite 200, Atlanta, GA 30329.

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Instructions and Help about applying for va health benefits form
Medical care: it's one of your most important benefits.During your service to our nation, the military has met your healthcare needs.In fact, you probably haven't had to give healthcare a second thought.As you prepare to transition to the next phase of your life, give yourself the gift of wellbeing.The Department of Veterans Affairs, your VA, will continue to be there,much like it has since 1930, providing America's veteran's with first-class healthcare services.VA operates the largest healthcare system in the country,with more than 1400 medical centers and clinics across the nation.Not only is VA healthcare ranked among the country's healthcare elite,but the care is portable, so the coverage stays with you if you travel or relocate.VA offers comprehensive health services, from health assessments to surgical procedures.In addition to traditional care, we provide care unique to veterans, such as PTSD, TBI,military sexual trauma, and environmental exposures.VA also focuses on taking care of the growing women veterans population,and helping veterans in crisis, or who are homeless.Veterans who served in the theater of operations, also known as combat veterans,in such operational areas as Operation Enduring Freedom,Operation Iraqi Freedom, and Operation New Dawn, receive cost-free medical care for any conditionrelated to their service in the theater of operations for five yearsafter the date of their most recent discharge or release.When the five-year period ends, VA care and treatment will continue,although some veterans, depending on eligibility status, may be responsible for co-pays based on income.Free, confidential counseling services are available to combat veterans at community-based centers called Vet Centers,located across the US and surrounding territories.VA offers free dental benefits for the one-time evaluation and treatment for veteranswho served more than 90 days of continued service, and whose DD214 certificate of release or discharge from active dutyindicates they did not receive dental treatment at least 90 days prior to their separation.You must apply for this dental care within 180 days, six months, of separation from active duty service.VA also offers a comprehensive pharmacy service,including the option of having prescription refills ordered online and sent directly to you.You are encouraged to register with My HealtheVet, located at www.myhealth.va.gov.This secure website allows viewing of VA healthcare records 24/7, exchanging messages with VA healthcare providers,receiving wellness reminders, viewing appointments and lab results, and much more.VA's health benefits website is a one-stop shop for VA healthcare information.Located at www.va.gov/healthbenefits, the site gives you a chance to explore VA healthcare services,find a medical facility near you, determine the cost of care, and apply for care.This site also provides VA healthcare news, calculators to help you determine...
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