VA Form 10-10EZ
Healthcare Enrollment
Enroll in VA healthcare. This is your application.
Healthcare Enrollment
In Plain English
Enroll in VA healthcare. This is your application.
Initial enrollment application for VA healthcare benefits including medical, dental, and mental health services.
Step-by-Step Guide
How to file 10-10EZ
When to use this form
When enrolling in VA healthcare for the first time. All veterans who served in active military service and were honorably discharged may be eligible.
Required
- ✓DD-214
Proof of military service and discharge status.
- ✓Most recent tax return or income information
Used to determine your priority group and copay level.
Recommended (if applicable)
- +Insurance cards (private, Medicare, Medicaid)
If you have other health insurance.
You'll need to provide
- ✓Military service history
- ✓Financial information (income, deductible expenses)
- ✓Insurance information (private insurance, Medicare, Medicaid)
- ✓Next of kin and emergency contact
- ✕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
Apply online for fastest processing. You can also apply in person at any VA medical center enrollment office.
Pro Tip
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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“I'm 100% P&T — what else am I entitled to?”
Family Members
“My spouse or parent is a veteran.”
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“I lost my veteran. What am I entitled to?”
Guard & Reserve Veterans
“I was Guard or Reserve — do I qualify?”
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