VA Medical

Apply for VA Health Benefits

The simplest way to apply for VA health benefits is by completing and submitting VA Form 10-10EZ, Application for Health Benefits online. The following list the many ways to apply for enrollment:

Apply Online

Fill out the application online and electronically submit it to the VA for processing. No need for additional documents to verify military service. If you were recently discharged, we will get your military information for you.

Applying online is faster and significantly reduces the processing time for enrollment and you will be able to access your health care benefits more quickly.

• Complete VA Form 10-10EZ, Application for Health Benefits online.
• Once you complete your information, you may submit your application online.
• You will immediately receive a confirmation message notifying you that your application has been received.

Apply in Person

1. Go to your local VA health care facility.
2. Complete VA Form 10-10EZ, Application for Health Benefits.
3. Generally, you will receive written notification of your enrollment status in the VA health care system within 5 -7 days.
4. The letter will also give you instructions on how to appeal the decision if you do not agree.

By Telephone

• Call 1-877-222-VETS(8387), Monday-Friday, 8 am to 10 pm Mon-Fri, 11 am to 3pm Sat, EST.
• Complete application over the telephone with a VA representative.
• Within 3-5 business days you will receive the completed VA Form 10-10EZ, Application for Health Benefits for you to review, sign and return. Mail the application to:

By Mail:

Pick up an application at your local VA or download the application online. Complete the application (be sure to sign it) and mail to:

Applicants for Long Term Care

Applicants for Long Term Care benefits, including community nursing home care, domiciliary care, adult day health care, geriatric evaluation, and respite care may also need to complete VA Form 10-10EC, Application for Extended Care Services. The form is required for nonservice-connected and zero percent service-connected enrolled Veterans with income over the single pension rate.

• VA Form 10-10EC, Instructions for Completing Application for Extended Care Services

You can indicate on the application form if you desire an appointment at the same time you apply.

Obtaining an Appointment

You may request a doctors appointment at the time you apply for enrollment by checking 'yes' to the question asking if you want an appointment on the application. An appointment will be made with a VA doctor or provider and you will be notified via mail of the appointment. If you need health care before your scheduled appointment, you may contact the Enrollment Coordinator, Urgent Care Clinic or the Emergency Room at your local VA.

If you need Help

For Help filling out the form, call 1-877-222-VETS(8387) between the hours of 8 am and 8 pm Mon through Friday, EST, or click on the "chat online with representative" button and a representative will provide assistance. You may also contact your local VA health care facility.

Required Signature

There is not a signature requirement for the online registration.

If you apply in person, by mail or via telephone, you or the person acting as your Power of Attorney must sign and date the form. If your Power of Attorney signs and dates the form you must submit a copy of the Power of Attorney with the form.

If you sign with an "X," then two people that you know must witness you as you sign the form. They must also sign and print their names on the form.

What happens once we receive your application?

Find out what happens next, click here the application process.

Affordable Care Act

"The provisions of the Affordable Care Act (ACA) upheld by the U.S. Supreme Court will not affect the current role the Department of Veterans Affairs (VA) has in the lives of America's Veterans. We will continue to provide Veterans with high quality, comprehensive health care and benefits they have earned through their service.