Step 1 — Gather five things
- DD-214 (member 4 copy) or other separation documents
- Social Security numbers for you and dependents
- Prior-year gross household income (drives priority group for non-SC veterans)
- Current insurance cards, including Medicare/Medicaid
- Deductible expense estimates (education, medical) if income matters for your group
Step 2 — Apply (pick one)
- Online — VA.gov → Health care → "Apply now" (10-10EZ). About 30 minutes; you can save and return.
- Phone — 877-222-8387, Monday–Friday, 8 a.m.–8 p.m. ET. A rep completes the form with you.
- In person — any VA medical center or clinic enrollment office.
- Mail — print the 10-10EZ, sign it, send to the Health Eligibility Center in Atlanta.
Step 3 — What happens next
Most decisions arrive within about a week; you'll get a letter with your priority group. Then: schedule your first primary-care appointment (this activates you in the system), download the VA Health & Benefits app, and set up prescription delivery through the VA mail-order pharmacy.
Enrollment now means the system already knows you when you need it later — and VA treatment records become claim evidence automatically. Veterans who wait until a crisis enroll under pressure; veterans who enroll early walk in the door already established.
If your application is denied
Denials are usually income-threshold or minimum-duty issues, and both have exceptions and appeal paths. Ask the Health Eligibility Center for the specific reason, check whether a PACT Act category covers you, and consider whether a pending or new disability claim changes your category — any service-connected rating moves you up the priority ladder.