VA Priority Groups Qualifications


The table below contains the eligibility qualifications for the Veterans Administration’s Priority Groups. Priority Groups, with levels 1-8, are used for allocating medical benefits and long term care resources to US Veterans. Typically, the lower the Priority Group number, the higher the priority the VA assigns to it.

 

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Priority Group

Description - Updated May 2012

Priority Group 1:

  • Veterans with VA-rated service-connected disabilities that are 50% or more disabling
  • Veterans determined by VA to be unemployable due to service-connected conditions

Priority Group 2:

  • Veterans with VA-rated service-connected disabilities that are 30% or 40% disabling

Priority Group 3:

  • Veterans who are Former Prisoners of War (POWs)
  • Veterans awarded a Purple Heart medal
  • Veterans whose discharge was for a disability that was incurred or aggravated in the line of duty
  • Veterans with VA-rated service-connected disabilities 10% or 20% that is disabling
  • Veterans awarded special eligibility classification under Title 38, U.S.C., Section 1151, “benefits for individuals disabled by treatment or vocational rehabilitation”

Priority Group 4:

  • Veterans who are receiving Veterans who are receiving aid and attendance or housebound benefits from VA
  • Veterans who have been determined by VA to be catastrophically disabled

Priority Group 5:

  • Non-service-connected veterans and non-compensable service-connected veterans rated as 0% disabled by VA and whose annual income and net worth are below the VA pension benefits national income threshold
  • Veterans receiving VA pension benefits
  • Veterans eligible for Medicaid programs

Priority Group 6:

  • World War I veterans
  • Compensable 0% service-connected veterans
  • Veterans exposed to Ionizing Radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki
  • Project 112/SHAD participants
  • Veterans who served in a theater of combat operations after November 11, 1998 as follows:
  • Veterans discharged from active duty on or after January 28, 2003, who were enrolled as of January 28, 2008 and veterans who apply for enrollment after January 28, 2008, for 5 years post discharge
  • Veterans discharged from active duty before January 28, 2003, who apply for enrollment after January 28, 2008, until January 27, 2011

Priority Group 7:

  • Veterans with income and/or net worth above the VA national income threshold and income below the geographic income threshold who agree to pay co-pays

Priority Group 8:

  • Veterans with income and/or net worth above the VA national income threshold and the geographic income threshold who agree to pay co-pays
  • Sub-priority a: Non-compensable 0% service-connected veterans enrolled as of January 16, 2003, and who have remained enrolled since that date
  • Sub-priority c: Non-service-connected veterans enrolled as of January 16, 2003, and who have remained enrolled since that date
  • Sub-priority e**: Non-compensable 0% service-connected veterans applying for enrollment after January 16, 2003
  • Sub-priority g**: Non-service-connected veterans applying for enrollment after January 16, 2003