VA, VA health care eligibility and priority groups

VA Priority Groups | Veterans Affairs Skip to Content An official website of the United States government Here’s how you know The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site. The site is secure. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. Talk to the Veterans Crisis Line now Health care Eligibility Active-duty service members VA priority groups In this section VA priority groups Find out what VA priority groups are, how they work, and how they may affect you. The PACT Act expands benefit access for Veterans exposed to burn pits and other toxic substances The PACT Act is a new law that expands access to VA health care and benefits for Veterans exposed to burn pits and other toxic substances. This law helps us provide generations of Veterans—and their survivors—with the care and benefits they’ve earned and deserve. Learn how the PACT Act may affect your VA benefits and care What are VA priority groups and how do they affect me? After we’ve processed your application and you’re enrolled in VA health care, we’ll assign you to 1 of 8 priority groups. Your priority group may affect how much (if anything) you’ll have to pay toward the cost of your care. Learn more about your health care costs Check current VA copay rates What factors will VA use to assign me to a priority group? We’ll base your priority group on: Your military service history, and Your disability rating, and Your income level, and Whether or not you qualify for Medicaid, and Other benefits you may be receiving (like VA pension benefits) We assign Veterans with service-connected disabilities the highest priority. We assign the lowest priority to Veterans who earn a higher income and who don’t have any service-connected disabilities qualifying them for disability compensation (monthly payments). If you qualify for more than one priority group, we’ll assign you to the highest one. Priority group 1 We may assign you to priority group 1 if any of these descriptions are true: You have a service-connected disability that we’ve rated as 50% or more disabling, or You have a service-connected disability that we’ve concluded makes you unable to work (also called unemployable), or You received the Medal of Honor (MOH) Priority group 2 We may assign you to priority group 2 if you have a service-connected disability that we've rated as 30% or 40% disabling. Priority group 3 We may assign you to priority group 3 if any of these descriptions are true: You’re a former prisoner of war (POW), or You received the Purple Heart medal, or You were discharged for a disability that was caused by—or got worse because of—your active-duty service, or You have a service-connected disability that we’ve rated as 10% or 20% disabling, or You were awarded special eligibility classification under Title 38, U.S.C § 1151, “benefits for individuals disabled by treatment or vocational rehabilitation” Priority group 4 We may assign you to priority group 4 if either of these descriptions is true: You’re receiving VA aid and attendance or housebound benefits, or You have received a VA determination of being catastrophically disabled Priority group 5 We may assign you to priority group 5 if any of these descriptions are true: You don’t have a service-connected disability, or you have a non-compensable service-connected disability that we’ve rated as 0% disabling, and you have an annual income level that’s below our adjusted income limits (based on your resident zip code), or You’re receiving VA pension benefits, or You’re eligible for Medicaid programs Priority group 6 Assignment based on disability rating or general service history We may assign you to priority group 6 if any of these descriptions are true: You have a compensable service-connected disability that we’ve rated as 0% disabling, or You participated in Project 112/SHAD, or You served in World War II between December 7, 1941, and December 31, 1946, or You served in the Persian Gulf War between August 2, 1990, and November 11, 1998, or You served on active duty at Camp Lejeune for at least 30 days between August 1, 1953, and December 31, 1987 We may also assign you to priority group 6 if all of these descriptions are true for you: You served in a theater of combat operations after November 11, 1998, and You were discharged from active duty on or after October 1, 2013, and You meet the minimum active-duty service requirement Note: You’ll have 10 years of enhanced eligibility from the date of your discharge or release. At the end of this 10-year period, we’ll assign you to the highest priority group you qualify for. Assignment based on exposure to toxins or other hazards We may also assign you to priority group 6 if you were exposed to toxins or other hazards during military service at home or abroad in any of the ways listed here. We may assign you to priority group 6 if you participated in a toxic exposure risk activity (TERA) while serving on active duty, active duty for training, or inactive duty training. We may assign you to priority group 6 if you were assigned to a duty station (including airspace above) in certain locations during specific periods: On or after August 2, 1990, in Bahrain, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, Somalia, or the United Arab Emirates, or On or after September 11, 2001, in Afghanistan, Djibouti, Egypt, Jordan, Lebanon, Syria, Yemen, Uzbekistan, or any other country that we determine is relevant We may assign you to priority group 6 if you were deployed in support of any of these operations: Operation Enduring Freedom, or Operation Freedom’s Sentinel, or Operation Iraqi Freedom, or Operation New Dawn, or Operation Inherent Resolve, or Resolute Support Mission We may assign you to priority group 6 if you were exposed to ionizing radiation in any of these ways: During atmospheric testing, or During the occupation of Hiroshima and Nagasaki, or While conducting cleanup of Enewetak Atoll between January 1, 1977, and December 31, 1980, or While participating in onsite response efforts in Palomares, Spain, between January 17, 1966, and March 31, 1967, or While participating in onsite response efforts on Thule Air Force Base, Greenland between January 21, 1968, and September 25, 1968 We may assign you to priority group 6 if you were exposed to Agent Orange and served in any of these locations and time periods: The Republic of Vietnam between January 9, 1962, and May 7, 1975, or Thailand at any United States or Royal Thai base between January 9, 1962, and June 30, 1976, or Laos between December 1, 1965, and September 30, 1969, or Cambodia at Mimot or Krek, Kampong Cham Province between April 16, 1969, and April 30, 1969, or Guam or American Samoa or in the territorial waters off of Guam or American Samoa between January 9, 1962, and July 31, 1980, or Johnston Atoll or on a ship that called at Johnston Atoll between January 1, 1972, and September 30, 1977 Priority group 7 We may assign you to priority group 7 if both of these descriptions are true for you: Your gross household income is below the geographically adjusted income limits (GMT) for where you live, and You agree to pay copays Review current copay rates Priority group 8 We may assign you to priority group 8 if both of these descriptions are true for you: Your gross household income is above VA income limits and geographically adjusted income limits for where you live, and You agree to pay copays Review current copay rates If you’re assigned to priority group 8, your eligibility for VA health care benefits will depend on which subpriority group we place you in. Review the criteria for the priority 8 subgroups You may be eligible for VA health care benefits if we place you in one of these subpriority groups: Subpriority group a All of these must be true: You have a non-compensable service-connected condition that we’ve rated as 0% disabling, and You enrolled in the VA health care program before January 16, 2003, and You have remained enrolled since that date and/or were placed in this subpriority group because your eligibility status changed Subpriority group b All of these must be true: You have a non-compensable service-connected condition that we’ve rated as 0% disabling, and You enrolled in the VA health care program on or after June 15, 2009, and You have income that exceeds current VA or geographical limits by 10% or less Subpriority group c All of these must be true: You don’t have a service-connected condition, and You enrolled in the VA health care program as of January 16, 2003, and You have remained enrolled since that date and/or were placed in this subpriority group because your eligibility status changed Subpriority group d All of these must be true: You don’t have a service-connected condition, and You enrolled in the VA health care program on or after June 15, 2009, and You have income that exceeds current VA or geographical limits by 10% or less You’re not eligible for VA health care benefits if we place you in one of these subpriority groups: Subpriority group e All of these must be true: You have a non-compensable service-connected condition that we’ve rated as 0% disabling, and You don’t meet the criteria for subpriority group a or b above Note: You’re eligible for care for your service-connected condition only. Subpriority group g All of these must be true: You don’t have a service-connected condition, and You don’t meet the criteria for subpriority group c or d Once I’m enrolled in VA health care, will my priority group ever change? Your priority group may change in some cases, such as if: Your income changes, or Your service-connected disability gets worse and we give you a higher disability rating Update your income or other health benefits information File for increased disability compensation If you’re currently enrolled or newly enrolled in VA health care, and you served in a theater of combat operations after November 11, 1998, and were discharged from active duty on or after September 11, 2001, you’re eligible for enhanced benefits for 10 years after discharge. During this time, we’ll assign you to priority group 6. At the end of this enhanced enrollment period, we'll assign you to the highest priority group you qualify for at that time. Last updated: April 3, 2024