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Calcimator

VA Health Care Eligibility Calculator

Determine your VA health care priority group from disability rating, service history, and income to understand copay levels and benefits.

Inputs

years
$

Results

Priority Group

2

Copay Level

None

Rx Copay (30-day)$0.00
Enrollment Eligible1
Dental Benefits1
Travel Reimbursement1
How to Use This Calculator
  1. Enter VA Disability Rating, Combat Veteran (within 5 yrs), and No.
  2. Set Yes, Years of Service, and Annual Household Income.
  3. Adjust Number of Dependents as needed.
  4. Review Priority Group and Copay Level.
  5. Use Rx Copay (30-day) ($) and Enrollment Eligible to inform your decision.

How the result changes with VA Disability Rating

VA Disability RatingPriority GroupCopay Level
10%3Reduced
35%2None
65%1None
90%1None

What each input means

VA Disability Rating
Your combined VA disability rating.
Combat Veteran (within 5 yrs)
Served in a combat zone and discharged within the last 5 years.
Years of Service
Total years of active duty military service.
Annual Household Income
Total annual household income (affects priority group if no disability).
Number of Dependents
Number of dependents in your household.

What each result means

Enrollment Eligible
1 = Yes, 0 = May be limited
Dental Benefits
1 = Yes, 0 = No

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    4 parameters
    VA Disability Rating = 30, Combat Veteran (within 5 yrs) = 0, Years of Service = 8, Annual Household Income = 45000 = 5 input(s) provided
  2. Calculate Priority Group
    Priority Group
    2 = 2
  3. Calculate Copay Level
    Copay Level
    None = None
  4. Calculate Rx Copay
    Rx Copay
    0 = $0
  5. Calculate Enrollment Eligible
    Enrollment Eligible
    1 = 1

Engine last updated . Checked against 3 independently-derived tests — how we verify calculators.

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