DVA Enrollment Groups

The number of veterans who can be enrolled in the health care program is determined by the amount of money the US Congress gives VA each year.  Since funds are limited, VA set up priority groups to make sure that certain groups of veterans are able to be enrolled before others.

Once you apply for enrollment, your eligibility will be verified. Based on you specific eligibility status, you will be assigned a priority group.  The priority groups range from 1-8 with 1 being the highest priority for enrollment.  Some veterans may have to agree to pay copayments to be placed in certain priority groups.

You may be eligible for more that one Enrollment Priority Group. In that case, VA will always place you in the highest priority group that you are eligible for.  Under the Medical Benefits Package, the same services are generally available to all enrolled veterans.

Priority 1

  • Veterans with service-connected disabilities rated 50% or more disabling, or
  • Veterans determined by VA to be unemployable due to service-connected conditions.

Priority 2

  • Veterans with service-connected disabilities rated 30% or 40% disabling.

Priority 3

  • Veterans with service-connected disabilities rated 10% or 20% disabling.
  • Veterans who are former POWs.
  • Veterans awarded the Purple Heart.
  • Veterans whose discharge was for a disability that began in the line of duty.

Priority 4

  • Veterans who are receiving aid and attendance or housebound benefits (on pension) from VA.
  • Veterans who have been determined by VA to be catastrophically disabled.

Priority 5

  • Veterans receiving VA pension benefits.
  • Veterans who are eligible for Medicaid programs.
  • Veterans with income and assets below VA Means Test Thresholds.

Priority 6

  • Veterans with 0% service-connected conditions, but receiving VA compensation.
  • Veterans seeking care only for disorders relating to Ionizing Radiation and Project 112/SHAD.
  • Veterans seeking care for Agent Orange Exposure during service in Vietnam.
  • Veterans of WWI or the Mexican Border War.
  • Veterans seeking care for Gulf War Illness or for conditions related to exposure to Environmental Contaminants during service in the Persian Gulf.
  • Veterans who served in combat in a war after the Gulf War or during a period of hostility after discharge or release from the military.

Priority 7

  • Veterans who agree to pay specified copayments with income and/or net worth above the VA Means Test threshold and income below the Geographic Means Test Threshold.
  • Subpriority a: Noncompensable 0% service-connected veterans who were enrolled in VA Health Care System on a specified date and who have remained enrolled since that date.
  • Subpriority c: Nonservice-connected veterans who were enrolled in VA Health Care System on a specified date and who have remained enrolled since that date.
  • Subpriority e: Noncompensable 0% service-connected veterans not included in Subpriority a above. VA is not currently using Subpriority e.
  • Subpriority g: Non-service-connected veterans not included in Subpriority c above. VA is not currently using Subpriority g.

Priority 8

  • Veterans who agree to pay specified copayments with income and/or net worth above VA Means Test threshold and the Geographic Means Test Threshold.
  • 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 January 16, 2003.

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