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The form collects information VA uses to determine eligibility for medical benefits and typically takes about 30 minutes, including time to read instructions, gather facts, and complete Sections I–III. 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VA uses the information on the form to determine eligibility for medical benefits.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How long does it take to complete the form?",{"text":113,"@type":109},"On average, it takes about 30 minutes to complete. 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for enrollment in the VA health care system.The information provided on this form will be used by VA todetermine your eligibility for medical benefits and on average willtake 30 minutes to complete.This includes the time it will take toread instructions,gather the necessary facts and fill out the form.  \n## Where can I get help filling out the form and if I have questions?\n\nYou may use ANY of the following to request assistance:  \n·Ask VA to help you fill out the form by calling us at 1-877-222-VETS(8387).  \n·Go to www.va.gov/health-care for information about VA health benefits.  \n·Contact the Enrollment Coordinator at your local VA health care facility.  \n·Contact a National or State Veterans Service Organization.  \n## Definitions of terms used on this form:\n\n·SERVICE-CONNECTED (SC):AVA determination that an illness or injury was incurred or aggravated in the line of duty,in theactive military,naval or air service.  \n·COMPENSABLE:AVA determination that a service-connected disability is severe enough to warrant monetary compensation.  \n·NONCOMPENSABLE:AVA determination that a service-connected disability is not severe enough to warrant monetarycompensation.  \n·TOXIC EXPOSURE RISK ACTIVITY(TERA):Veterans who were exposed to one or more of the following hazards or conditionsduring active duty,active duty for training,or inactive duty training(this is not an all-inclusive list):air pollutants,chemicals.occupational hazards,radiation,and warfare agents.For more information visit https://www.publichealth.va.gov/exposures.  \n·NONSERVICE-CONNECTED(NSC):AVeteran who does not have a VA determined service-related condition.  \n·REPORTABLE INCOME:The minimum amount of gross income required to file a Federal income tax return according to theInternal Revenue Code of 1954 Section 6012(a).ALL VETERANS MUST COMPLETE SECTIONSI-III.Directions for Sections I-II:  \n## Getting Started:\n\nSection I-General Information:  Answer all questions.Type of Benefit Applying For:  \n·Enrollment-Veterans applying for enrollment for the Full Medical Benefits Package provide in 38CER.17.38 must meet theeligibility requirements of 38 C.F.R.17.36.  \n·Registration-For Registrations,only complete Sections I,I,andⅢI.Enrollment not required-Veterans requesting an eligibilityassessment,clinical evaluation,care or treatment pursuant to a special treatment authority provided in 38 C.E.R.17.37:  \n·Care for a Veteran with a VA service connected disability rating of 50%or greater  \n·Care for a VA rated service connected disability  \n·Care for psychosis or other mental illness  \n·Care for Military Sexual Trauma treatment (MST)  \n·Catastrophically Disabled Examination  \n·Aveteran who was discharged or released from active military service for a disability incurred or agravated in the line of duty canreceive VA care for the 12-month period following discharge or release  \n·Care for a Veteran participating in VA's vocational rehabilitation program under 38 U.S.C.31  \nSectionII-Military Service Information:  If you are not currently receiving benefits from VA,you may attach a copy of your  \ndischarge or separation papers from the military(such as DD-214 or,for WWII Veterans,a\"WD\"Form),with your signedapplication to expedite processing of your application.If claiming a Military Exposure,you may provide us a written statement,orstatements from people who witnessed your claimed exposure(s).If you are currently receiving benefits from VA,we will cross-reference your information with VA data.  \nSectionⅢ-Insurance Information:Include information for all health insurance companies that cover you,this includescoverage provided through a spouse or significant other.Bring your insurance cards,Medicare and/or Medicaid card with you toeach health care appointment.  \nDirections for Sections IV-IX:  \n## Section IV-Dependent Informatio","cbCaimnXk6HuOpWy","https://ap.wps.com/l/cbCaimnXk6HuOpWy","pdf",1267392,6,"English","# Please Read Before You Start...What is VA Form 10-10EZ used for?\n## Where can I get help filling out the form and if I have questions?\n## Definitions of terms used on this form:\n# Getting Started:\n## Section I-General Information\n## Section II-Military Service Information\n## Section III-Insurance Information\n## Section IV-Dependent Information\n## Section V-Employment Information\n## Section VI-Financial Disclosure","[{\"question\":\"What is VA Form 10-10EZ used for?\",\"answer\":\"It is used for Veterans to apply for enrollment in the VA health care system. VA uses the information on the form to determine eligibility for medical benefits.\"},{\"question\":\"How long does it take to complete the form?\",\"answer\":\"On average, it takes about 30 minutes to complete. This includes reading instructions, gathering facts, and filling out the form.\"},{\"question\":\"Where can I get help if I have questions about completing the form?\",\"answer\":\"You can call VA at 1-877-222-VETS(8387), visit www.va.gov/health-care, contact your local VA Enrollment Coordinator, or contact a National or State Veterans Service Organization.\"}]","VA Form 10-10EZ - Enrollment Application for Health Benefits | PDF",1789795704]