Are Va Health Benefits Based On Income?

by | Last updated on January 24, 2024

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The assessment is based on the previous year gross household income of the Veteran and his or her spouse and dependents, if any

. This financial information also may be used to determine the Veteran's enrollment Priority Group.

What are VA benefits based on?

Eligibility for VA Benefits

Your eligibility for most VA benefits is based on

discharge from active military service under other than dishonorable conditions

.

What disqualifies you from VA benefits?

If you're a current or former member of the Reserves or National Guard, you must have been called to active duty by a federal order and completed the full period for which you were called or ordered to active duty.

If you had or have active-duty status for training purposes only

, you don't qualify for VA health care.

Can you lose your VA benefits if you make too much money?

VA disability compensation is not income-based. Thus,

the amount of money a veteran makes in a given year has no effect on his or her compensation

. He understood, but then replied, “My buddy lost his compensation because he and his wife made too much money.”

Do all US Veterans get free healthcare?


If you are a 50% or greater disabled veteran or a former POW, all your medical care from the VA is free

. There are other groups that may get some, or all VA medical care for free, see our VA Copay page for details.

What is the VA income limit?

Veteran with: VA National Income Threshold VA Pension Threshold
1 dependents


$41,539 or less


$18,243 or less
2 dependents $43,921 or less $20,625 or less 3 dependents $46,303 or less $23,007 or less 4 dependents $48,685 or less $25,389 or less

What are the income limits for VA health care 2020?

Veteran with: VA National Income Threshold VA Pension with Aid and Attendance Threshold
0 dependents


$34,171 or less


$22,939
1 dependents $41,005 or less $27,195 2 dependents $43,356 or less $29,546 3 dependents $45,707 or less $31,897

Do all Veterans get VA benefits?


Most who served on active duty are eligible for VA health care

, but priority for benefits depends on disability and other factors. The Veterans Health Administration (VHA) provides health care for veterans at VA hospitals and clinics throughout the country.

What is the VA 5 year rule?

The five-year rule states that

the VA can't reduce a veteran's disability that's been in place for five years, unless the condition improved overtime on a sustained basis

. The veteran will likely need to present medical evidence to prove the material improvement of their condition.

Is VA disability for life?

If you have a severe medical condition from which VA believes you will never recover, it may designate you as permanently and totally disabled. With this designation,

you'll receive VA disability benefits for life (absent a finding of fraud)

. VA reserves permanent and total disability for the most extreme situations.

What qualifies for VA special monthly compensation?

For Veterans, Special Monthly Compensation is a higher rate of compensation paid due to special circumstances such as

the need of aid and attendance by another person or by specific disability, such as loss of use of one hand or leg

.

Do veterans have to pay for prescriptions?


Typically, VA drug coverage has no premiums and no or limited copayments for prescriptions

—but you must use VA pharmacies and facilities. You may want Part D coverage if you: Live far from a VA pharmacy or facility, or do not want to use a VA provider to get prescriptions.

Will VA disability benefits go up in 2021?


2021 VA disability pay rates, which are effective beginning December 1, 2020, have increased by 1.3%

based on the latest cost-of-living adjustment (COLA).

What is the difference between VA health care and Tricare?

TRICARE Benefits VA Benefits Your services may vary depending on your health plan. Your eligibility and copayment depend on: Discharge, Service-connection, or Income Your TRICARE health plan's rules and costs will apply.

Do Veterans get free life insurance?


Totally disabled Veterans are eligible for free coverage

and have the opportunity to purchase additional life insurance. Veterans' Mortgage Life Insurance (VMLI) provides mortgage life insurance protection to disabled Veterans who have been approved for a VA Specially Adapted Housing (SAH) grant.

Can I add my family to my VA health insurance?

If I have a VA health plan, can my family sign up for insurance through Covered California? ​Yes. Even though you are covered by your VA health care enrollment,

your family members who are not eligible for a VA health care program may be able to receive health care coverage through Covered California

.

Does Social Security count towards VA benefits?


If you receive VA compensation, this will not affect your Social Security benefits

. For a quick, side-by-side comparison of each program, please reference this Fact Sheet.

How many years do you have to work at the VA to retire?

VA employees are part of the Federal Employees Retirement System (FERS). Under FERS, you are eligible for monthly retirement benefits after just

five years of federal service

. This retirement system is portable — if you leave federal employment, the Social Security component carries over to your new employment.

Who qualifies for VA prescriptions?

  • Enrolled in and receiving health care from the VA health care system or,
  • Be eligible based on one of the exceptions in the law.

How long do you have to be in the military to be considered a veteran?

To be considered a veteran, any military personnel must be on active-duty service for

at least 180 days

. The only exception is if the member sustained a service-related injury and was discharged under honorable conditions.

What qualifies you as a military veteran?

Title 38 of the Code of Federal Regulations defines a veteran as “

a person who served in the active military, naval, or air service and who was discharged or released under conditions other than dishonorable

.” This definition explains that any individual that completed a service for any branch of armed forces …

Rachel Ostrander
Author
Rachel Ostrander
Rachel is a career coach and HR consultant with over 5 years of experience working with job seekers and employers. She holds a degree in human resources management and has worked with leading companies such as Google and Amazon. Rachel is passionate about helping people find fulfilling careers and providing practical advice for navigating the job market.