How do I prepare before I start my application?

Find out if you’re eligible for VA health care benefits.

CLICK HERE: https://www.va.gov/health-care/eligibility/

You’ll need the following to complete an Application for Health Benefits (VA Form 10-10EZ):

• Social Security numbers for you, your spouse, and your qualified dependents.
• Your military discharge papers (DD214 or other separation documents), military service history information, and details about exposure to any toxins or other hazards.
• Insurance card information for all insurance companies that cover you, including any coverage provided through a spouse or significant other. This includes Medicare, private insurance, or insurance from your employer.
• Gross household income from the previous calendar year for you, your spouse, and your dependents. This includes income from a job and any other sources. Gross household income is your income before taxes and any other deductions.
• Your deductible medical and educational expenses for the past year.

Note: if you’re not eligible based on other factors, we’ll need this financial information to determine your eligibility for VA care.

How do I apply?

You can apply online right now. https://www.va.gov/health-care/apply-for-health-care-form-10-10ez/introduction

You can also apply in any of these 3 ways:

Option 1: Apply by phone.

Call our toll-free hotline at 877-222-8387 to get help with your application. We’re here Monday through Friday, 8:00 a.m. to 8:00 p.m. ET.

Option 2: Apply by mail

• Fill out an Application for Health Benefits (VA Form 10-10EZ).

Send your completed application here:

• Send your completed Application for Health Benefits (VA Form 10-10EZ or 10-10EZR) to:·

Northport VA Medical Center

Building 200 / Outreach

79 Middleville Road

Northport, NY 11768

Option 3: Apply in person

· Bring your completed Application for Health Benefits (VA Form 10-10EZ or 10-10EZR) to:

Northport VA Medical Center

Building 200 / Outreach

79 Middleville Road

Northport, NY 11768