Healthcare Enrollment
Enroll in VA healthcare. This is your application.
10-10EZ
Healthcare
What this form does
Enroll in VA healthcare. This is your application.
Applies for VA health care benefits. Specific services and cost-sharing depend on eligibility and priority group.
Official VA title: Instructions and Enrollment Application for Health Benefits
VA revision February 1, 2025 · Links verified against VA.gov August 10, 2026
Use it when: When applying for VA health care for the first time. Eligibility depends on service, discharge, and other factors that VA reviews.
Preparation route
How to use 10-10EZ
Every preparation step stays open so you can scan the whole job before starting.
Do now · 01
Before you start
- Estimated time
- 20-30 minutes
Use this form when: When applying for VA health care for the first time. Eligibility depends on service, discharge, and other factors that VA reviews.
Gather · 02
Gather your documents
Helpful when available
- DD-214 — VA may be able to verify service. A copy can help if service information is missing or VA asks for it.
- Most recent tax return or income information — VA does not require financial information from every applicant. The application explains when it may affect eligibility, priority group, or costs.
- Insurance cards (private, Medicare, Medicaid) — If you have other health insurance.
Waypoint · 03
Complete the form
- Military service history
- Financial information (income, deductible expenses)
- Insurance information (private insurance, Medicare, Medicaid)
- Next of kin and emergency contact
Waypoint · 04
Avoid common mistakes
- Not applying because you think you won't qualify — apply and let the VA decide
- Not reporting all income sources accurately
- Forgetting to list current private insurance
- Not knowing you can use VA healthcare even with private insurance
Go next · 05
Submit the form
Available methods
- Online
- Phone
- In person
- Mail to
- Health Eligibility Center, PO Box 5207, Janesville, WI 53547-5207
- Submission note
- Apply online, call VA health benefits at 877-222-8387, mail the official form, or apply at a VA medical center or clinic.
Field note
You can use VA healthcare alongside private insurance. Even if you have great private coverage, enrolling gives you access to VA mental health, prescriptions, and specialty care.
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