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Information from IRS and SSA If the information received from IRS and SSA may result in a change in the Veteran’s eligibility or copay requirement, VA will notify the Veteran and give the Veteran an opportunity to provide input.

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If no response is received within 75 days, it is assumed the IRS/SSA information is correct and a letter will be sent informing the Veteran his/her copay status will be changed and of their copay responsibility.

This may also impact the Veteran’s eligibility for enrollment.

For more information, please visit the Clay Hunt webpage.

These Combat Veterans are not required to provide their income for care related to their service in the theater of operations; however, they may complete the financial assessment to determine their eligibility for a higher priority status in the VA health care system, eligibility for beneficiary travel benefits, or for cost-free care for treatment not related to their military service.

Changes to Income and Personal Information VA encourages Veterans to continue to report changes in their income information, as well as their personal information, such as address, phone numbers, dependents, next of kin and health insurance, using VA Form 1010EZR available online or at their local medical center. Income Threshold Tables Income Verification VA is required by law to verify Veterans’ self-reported household income (including spouse/partner and dependents, if any) with the Internal Revenue Service (IRS) and Social Security Administration (SSA).

The Income Verification (IV) process is used to confirm the accuracy of Veterans eligibility for VA health care, copay status and enrollment priority group assignment.

Veterans Included in the Income Verification Process VA does not verify all enrolled Veterans’ income.

Only Veterans who receive free medical care and/or medications based on their self-reported household income are included in the income verification process.

This part of the application process is called an ‘income assessment or financial assessment” (also formerly called a means test) and is used to determine if these Veterans are eligible for enrollment and whether or not they have to pay copays for their health care or prescription medication.

Financial Assessments are not Required to be Updated Yearly Enrolled Veterans are no longer required to provide their financial assessment on an annual basis if they had a current financial assessment on file as of March 24, 2014.

A financial assessment is a means of collecting the Veteran’s household income information which is used to determine whether a Veteran is eligible for enrollment and whether or not the Veteran would be required to pay copays for care or prescription medication. There is no change in VA’s long-standing policy to provide no-cost care to Veterans who cannot afford to pay for their care, Veterans with catastrophic medical conditions, Veterans with a disability rating of 50 percent or higher, or for conditions that are officially rated as “service-connected.” Veterans Required to Provide a Financial Assessment Not all Veterans are required to provide their income information to VA when applying for enrollment.

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