| INITIAL SECTION OF LETTER |
Each year VA requires most nonservice-connected veterans and 0% service-
your priority for enrollment in the VA health care system to lapse.
What Do You Need To Do?
o Complete and sign the Financial Assessment portion of the enclosed VA
Form 10-10EZR, Health Benefits Renewal, reporting income and
assets for the previous calendar year.
o Return the completed and signed form in the enclosed envelope before
your means test anniversary date.
o When you report to your next health care appointment, bring your health
insurance card so we may update your health insurance information.
connected veterans to complete a financial assessment (means test). Our
o Notify us if you feel you received this letter in error.
What If You Have Questions?
records show that your annual means test is due.
What Does This Mean To You?
o An updated means test is needed to determine your ability to pay
copayments for your medical care and medications and your priority for
enrollment in the VA health care system.
o Failure to complete the means test by the anniversary date will cause
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