Apply now to receive high-quality, VA health benefits
The fastest and easiest way to apply for enrollment is online.
The online application does not require a signature. Complete your application and submit it immediately.
You will need Adobe Reader 9.2 or newer to open the 10-10EZ form.

Why apply for VA health benefits?
- There is no cost to apply.
- Enroll once – comprehensive health care services will be available when and where you need them.
- Remain enrolled, even if you don’t use VA for your health care.
- Enrollment in VA health care meets health care law requirements; you don’t need any other coverage.
- If you are not eligible to enroll at this time, VA will save your application and contact you if eligibility criteria change.
Don’t wait – Apply Today!