VA Form 10-10EZ
Application for Health Benefits
Enrollment in VA health care, separate from disability compensation.
Opens the official VA.gov page, always the authority on the current version and instructions.
This is the application for VA health care itself: hospitals, clinics, and providers. It is a different system from disability compensation; a veteran can be enrolled in care without a disability rating, and vice versa.
Applications are accepted online, by phone, by mail, and in person.
Worth knowing
- Health care enrollment and disability compensation are separate applications and separate decisions.
- PACT Act eligibility expansions brought many toxic-exposure veterans into health care eligibility.
On this site
Keep your copy where you can find it
Every form you send becomes part of your story. MusterVault keeps your completed copies, decision letters, and records organized and encrypted on your own computer, so the next deadline finds you ready. No cloud, no account.
Informational only: what this form is and where it lives, not advice about whether or when to file it. A free accredited VSO can advise on your situation. MusterVault organizes records, never gives claims advice, and is not affiliated with the U.S. Department of Veterans Affairs.