Enrollment Priority Groups
| Priority Group
|
Definition |
| 1
|
- Veterans with VA-rated service-connected disabilities 50% or more disabling
- Veterans determined by VA to be unemployable due to service-connected conditions
|
| 2
|
- Veterans with VA-rated service-connected disbilities 30% or 40% disabling
|
| 3
|
-
Veterans who are Former Prisoners of War (POWs)
-
Veterans awarded a Purple Heart medal
-
Veterans whose discharge was a disability that was incurred or aggravated in the line of duty
-
Veterans with VA-rated service-connected disabilities 10% or 20% disabling
-
Veterans awarded special eligibility classification under Title 38, U.S.C., Section 1151, "benefits for individuals disabled by treatment or vocational rehabilitation"
|
| 4
|
- Veterans who are receiving aid and attendance or housebound benefits from VA
- Veterans who have been determined by VA to be catastrophically disabled
|
| 5
|
- Nonservice-connected veterans and noncompensable service-connected veterans rated as 0% disabled by VA and whose annual income and net worth are below the VA national income threshold
- Veterans receiving VA pension benefits
- Veterans eligible for Medicaid programs
|
| 6 |
- World War I veterans
- Compensable 0% service-connected veterans
- Veterans exposed to ionizing radiation during atmospheric testing or during the occupation of Hiroshia and Nagasaki
- Project 112/SHAD participants
- Currently enrolled veterans and new enrollees who were discharged from active duty on or after January 28, 2003, are eligible for the enhanced benefits for 5 years post discharge
- Veterans discharged from active duty before January 28, 2003, who apply for enrollment on or after January 28, 208, are eligible for the enhanced benefit until January 27, 2011
|
| 7 |
- Veterans with income and/or net worth above the VA national income threshold and income below the geographic income threshold who agree to pay copays
|
| 8 |
- Veterans with income and/or net worth above the VA national income threshold and the geographic income threshold 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 Jauary 16, 2003
|
**Note: Veterans assigned to Priority Group 8e or 8g are not eligible for enrollemnt 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.
