Income affects VA eligibility

Q. Can VA deny me if my income is too high?

All systems have limits, and VA had to close open enrollment when they had too many veterans to care for at the standards required. The American Legion continues to advocate for VA to resume open enrollment, and VA is incrementally lowering the income limit to allow more veterans into the system without overwhelming it. The overall goal is to achieve open enrollment again.

VA health-care eligibility is determined by the Veterans Health Administration (VHA), and VHA rules are constantly changing. If you were previously denied VA health care because your income was too high, I suggest you reapply because you may be eligible for Priority Group 8: Veterans with gross household incomes above the VA national income threshold and agree to pay co-pays.

If you are now below the income limit, but your last year’s income was too high, you can ask them to enroll you based on your current need. You can also use your own and your spouse’s medical expenses to show your income is below the enrollment limit. Income is not the only issue; net worth is also a consideration for enrollment based on means test. If your health care eligibility is based on financial need, your family net worth (over $80,000) can prevent you from qualifying for VA health care.

To reapply for enrollment of your health-care benefits or update your information, visit:  

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