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Report unemployment payments, worker's compensation payments, black lung payments, tort settlement payments, social security payments, and court mandated payments. Report payments from VA or any other Federal programs, and any other income. Exclude income of the Veteran's dependents.
Use VA Form 10-10EZ if you're a Veteran and want to apply for VA health care. You must be enrolled in VA health care to get care at VA health facilities or to have us cover your care at a community care provider (an approved non-VA provider).
Where do I send my application? Mail the original application and supporting materials to the Health Eligibility Center, 2957 Clairmont Road, Suite 200, Atlanta, GA 30329.
VA Form 10-10ez: Healthcare Application Call the VA at 1-800-698-2411 (1-800-MyVA411) Visit the VA's website. Contact the Enrollment Coordinator at their local VA health care facility. Contact a National or State Veterans Service Organization.
The Request for Hardship Determination form is used to determine whether the veteran's projected income for the current year will be substantially below the VA means test threshold due to a loss of income or increase in allowable deductible expenses.
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Certain nonservice-connected and 0% noncompensable service-connected veterans are required to fill out the financial worksheet, which is known as a "Means Test." A means test is a gathering of financial information by which VA determines your priority group for enrollment, and whether or not you are required to make ...
VA Form 10-10EZR is used by VA to update your personal, insurance, or financial information after you are enrolled.
Resources and support. Call us. 800-698-2411. Visit a medical center or regional office. Find a VA location.
If you're struggling because of life situations like losing your job, having a sudden decrease in income, or having an increase in out-of-pocket family health care expenses, we can help. You can request financial hardship assistance to manage your current VA copay debt or request an exemption from future copays.
Certain nonservice-connected and 0% noncompensable service-connected veterans are required to fill out the financial worksheet, which is known as a "Means Test." A means test is a gathering of financial information by which VA determines your priority group for enrollment, and whether or not you are required to make ...

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