VA Categories 1 - 8
Once you apply for enrollment, your eligibility will be verified. Based on
your specific eligibility status, you will be assigned a Category group.
The priority groups are as follows, ranging from 1-8 with 1 being the
highest priority for enrollment. Under the Medical Benefits Package, the
same services are generally available to all enrolled veterans.
As of Jan 17, 2003, VA is not accepting new Category Group 8 veterans for
enrollment (veterans falling into Category Groups 8e and 8g.)
Category Group 1
- Veterans with service-connected disabilities rated 50% or more disabling
Category Group 2
- Veterans with service-connected disabilities rated 30% or 40% disabling
Category Group 3
- Veterans who are former POWs
- Veterans awarded the Purple Heart
- Veterans whose discharge was for a disability that was incurred or
aggravated in the line of duty
- Veterans with service-connected disabilities rated 10% or 20%
disabling
- Veterans awarded special eligibility classification under Title 38,
U.S.C., Section 1151, "benefits for individuals disabled by treatment or
vocational rehabilitation"
Category Group 4
- Veterans who are receiving aid and attendance or housebound benefits
- Veterans who have been determined by VA to be catastrophically disabled
Category Group 5
- Non-service-connected veterans and non-compensable service-connected
veterans rated 0% disabled whose annual income and net worth are below
the established VA Means Test thresholds
- Veterans receiving VA pension benefits
- Veterans eligible for Medicaid benefits
Category Group 6
- Compensable 0% service-connected veterans
- World War I veterans
- Mexican Border War veterans
- Veterans solely seeking care for disorders associated with:
-exposure to herbicides while serving in Vietnam; or
-exposure to ionizing radiation during atmospheric testing or
during the occupation of Hiroshima and Nagasaki; or
-for disorders associated with service in the Gulf War; or
-for any illness associated with service in combat in a war
after the Gulf War or during a period of hostility after November 11, 1998
Category Group 7
Veterans who agree to pay specified co-payments with income and/or net worth
above the VA Means Test threshold and income below the HUD geographic index
- Subpriority a: Noncompensable 0% service-connected veterans who were enrolled in the VA Health Care System on a specified date and who have remained enrolled since that date
- Subpriority c: Nonservice-connected 5b4 veterans who were enrolled
in the 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
- Subpriority g: Nonservice-connected veterans not included in
Subpriority c above
Category Group 8
Veterans who agree to pay specified co-payments with income and/or net worth
above the VA Means Test threshold and the HUD geographic index
- Subpriority a: Noncompensable 0% service-connected veterans enrolled as of Jan 16, 2003 and who have remained enrolled since that date
- Subpriority c: Nonservice-connected veterans enrolled as of Jan 16,
2003 and who have remained enrolled since that date
- Subpriority e: Noncompensable 0% service-connected veterans applying for enrollment after Jan 16, 2003
- Subpriority g: Nonservice-connected veterans applying for enrollment after Jan 16, 2003
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