The TRICARE Open Season is an annual period when you can enroll in, change, or disenroll from a TRICARE health plan. In 2024, the open season runs from November 11 to December 10. Changes you make during the open season go into effect January 1, 2025.  Whether you’re considering TRICARE Prime (including the US Family Health Plan) or TRICARE Select, it’s important to choose the plan that best fits your needs.

“Now is the perfect time to review your current plan and determine which is best for you and your family for 2021,” says Mark Ellis, chief of the Policy and Programs Section of the TRICARE Health Plan at the Defense Health Agency. “For example, if having a primary care manager (PCM) to oversee your care is a priority, TRICARE Prime might suit you. If flexibility in choosing specialists is more important, TRICARE Select could be a better fit.”

Active duty service members (ADSMs) are required to enroll in TRICARE Prime. However, active duty family members (ADFMs) can choose between TRICARE Prime and TRICARE Select. Here’s a breakdown of each plan to help you make an informed decision this open season.

TRICARE Prime: Coordinated Care with a PCM

TRICARE Prime is available in specific areas, known as Prime Service Areas. You can use the TRICARE Plan Finder to determine whether it’s an option in your location. TRICARE Prime typically involves using military hospitals and clinics, and requires that you select a PCM to manage your care. Your PCM will also provide referrals to specialists when necessary.

For ADFMs, retirees, or their family members, TRICARE Prime offers the option to see a specialist without a referral, but this is under the point-of-service option, which can increase out-of-pocket costs. If you stick to TRICARE network providers, your out-of-pocket expenses will usually be lower.

TRICARE Select: Greater Flexibility in Care

Unlike TRICARE Prime, TRICARE Select does not require a PCM. With TRICARE Select, you have the freedom to choose your own TRICARE-authorized providers and manage your healthcare independently. Generally, no referrals or pre-authorizations are needed. However, out-of-pocket costs will be higher if you opt for non-network providers, so using TRICARE network providers can help you save. Keep in mind, services from non-authorized providers won’t be reimbursed by TRICARE.

TRICARE Prime: Costs Overview

For ADSMs, ADFMs, and transitional survivors, TRICARE Prime has no enrollment fees. However, retirees and their families will need to pay annual enrollment fees.

ADFMs using network providers and obtaining the necessary referrals or pre-authorizations won’t have out-of-pocket costs for covered services. Retirees, on the other hand, will have copayments or cost-shares for services from network providers. All out-of-pocket expenses count towards your catastrophic cap, with the exception of costs incurred under the point-of-service option. TRICARE Prime also does not have a deductible.

TRICARE Select: Costs Overview

TRICARE Select generally involves higher out-of-pocket expenses compared to TRICARE Prime. While ADFMs don’t pay an annual enrollment fee, retirees and their families may need to pay enrollment fees depending on when the sponsor enlisted in the military. Starting next year, most Group A retirees and their families will need to pay enrollment fees for TRICARE Select. Make sure to set up automatic payments to avoid any lapse in coverage.

TRICARE Select also includes an annual deductible for covered services. Once the deductible is met, you’ll pay copayments or cost-shares per visit. Like TRICARE Prime, there’s a catastrophic cap to limit out-of-pocket expenses.

Compare Your Options

To make the best decision, use the tools available on the TRICARE website to compare plans and costs side by side. You can also search for providers through the Find a Doctor tool. Before making any changes to your plan, review the details of TRICARE Prime and TRICARE Select to ensure your healthcare needs are met during this open season.

Tricare Open Season 2024

The Department of Veterans Affairs (VA) provides a wide range of benefits designed to support elderly veterans, many of whom may not be fully aware of the valuable assistance available. Veterans who served during wartime, are 65 years or older, or have significant disabilities could qualify for various forms of financial and healthcare support. This article explores several key benefits for elderly veterans, including the Aid and Attendance program, geriatric care, long-term care, and other home-based services.

Who Qualifies?

Veterans aged 65 and older, especially those who served during periods of conflict, such as World War II, the Korean War, the Vietnam War, and the Persian Gulf War, may be eligible for these special benefits. These programs are designed to help address the changing health, financial, and support needs of elderly veterans as they age.

Key VA Benefits for Elderly Veterans

The VA offers several important programs tailored specifically for elderly veterans:

1. Aid and Attendance (A&A) Program

The Aid and Attendance (A&A) program provides additional financial assistance to veterans who need help with daily living activities, such as bathing, dressing, or eating. This benefit is available to veterans who already qualify for a VA pension and meet specific criteria regarding their health needs.

2. Housebound Benefits

Housebound benefits offer increased monthly payments to veterans who are largely confined to their homes due to a disability. Like the A&A program, these benefits are only available to veterans who qualify for a VA pension.

VA Healthcare for Elderly Veterans

The VA also provides geriatric healthcare tailored to meet the complex needs of elderly veterans. This care can be offered in a variety of settings:

• In-home care: Veterans can receive assistance and healthcare in the comfort of their own homes.
• Community care: For those who prefer, or require, care in a community setting, the VA offers access to services through local healthcare providers.
• VA care centers: Some veterans may prefer to receive their care directly from a VA medical facility.

For more information about VA healthcare programs and geriatric services, visit the VA’s Geriatrics and Extended Care page.

Long-Term Care Options

Veterans who require long-term assistance may also be eligible for VA-sponsored extended care. This includes services for veterans of all ages who need daily support, whether at home, in a VA facility, or through community providers. Long-term care options include:

• Skilled nursing care
• Assisted living services
• Respite care for caregivers

More details about the VA’s long-term care programs can be found here.

Home-Based and Community Services

For veterans who wish to remain at home but still require regular support, the VA offers a variety of Home-Based and Community Services, including:

• Home Health Aide Care: Provides personal care services.
• Homemaker and Home Health Aide Programs: Support veterans with daily activities such as bathing, dressing, and meal preparation.
• Skilled Home Care: Offers professional healthcare services for veterans needing regular medical attention.

Learn more about these home-based services and how to access them on the VA’s Home and Community-Based Services page.

How to Apply for These Benefits

Veterans and their families can apply for elderly benefits in several ways:

1. Apply Online: Visit the VA’s online application portal to begin the application process.
2. Work with an Accredited Veterans Service Officer (VSO): Accredited VSOs can assist veterans in applying for their benefits. A directory of these officers is available here.
3. File in Person: Veterans can also apply in person by visiting a VA regional office. To find the nearest regional office, visit the VA’s facility locator.
4. Submit a Paper Application: Fill out VA Form 21-526EZ for electronic filing, which can be downloaded here.

Veterans can also mail their applications to the following address:

Department of Veterans Affairs
Claims Intake Center
PO Box 4444
Janesville, WI 53547-4444

Next Steps

After learning about the benefits available for elderly veterans, it’s essential to take action. Review the links provided to explore the various programs and determine which ones are most applicable. Don’t hesitate to seek assistance from a VSO or the VA directly if you have any questions. The process can sometimes feel overwhelming, but there are many resources available to ensure veterans receive the support and benefits they deserve.

For further information on VA benefits for elderly veterans, check out the Veterans Affairs Elderly Veterans page.

This guide has covered important VA benefits for elderly veterans, including the Aid and Attendance program, geriatric and long-term care, and home-based services. Understanding these options and knowing how to apply ensures veterans can access the support they need during their golden years.

The Official Military Personnel Files (OMPF), housed at the National Personnel Records Center (NPRC), are administrative records that contain details about an individual’s military service history. While many OMPFs used to include both personnel and active-duty health records, this practice was discontinued in the 1990s by the various military branches.

In the past, all military services transferred a service member’s individual health records to the NPRC upon separation from service, along with the personnel records. The Army and Air Force retired health records with the OMPF, while the Department of the Navy (including the Navy, Marine Corps, and Coast Guard) sent these files separately to the NPRC until the 1980s.

Health records document outpatient, dental, and mental health treatment received during military service. They include induction and separation physical exams, routine medical care (such as doctor visits, lab tests, dental check-ups), but not inpatient records.

Clinical (hospital inpatient) records, which are created during hospital stays, are typically not filed with health records. Instead, they are retired to the NPRC by the facility that generated them. Medical records from the Department of Veterans Affairs (VA) are also not part of these files.

Changes in Record Handling

Starting in the 1990s, the military branches stopped including health records with the personnel portion of the OMPF sent to NPRC. The Army began sending most health records to the Department of Veterans Affairs (VA) in 1992, with other services following suit by 1998. By 2014, the practice of transferring these records to the VA was discontinued. To find out where your medical record is located, refer to the chart below:

VA Records Center and Vault  Source: https://www.rcv.va.gov/

Filing a Claim for Medical Benefits

Veterans intending to file a medical benefits claim with the Department of Veterans Affairs (VA) do not need to request their military health records from the NPRC. Once a claim is filed, the VA will obtain the original health record from the NPRC. Additionally, many health records were transferred to the VA prior to the 1973 Fire at the NPRC.

Veterans who have already filed a medical claim should contact the VA to verify if their records are on file. For assistance, veterans can contact the VA at 1-800-827-1000, which will connect them to the nearest VA office.

This information ensures veterans have access to the correct channels to retrieve their records and file claims for medical benefits.

Source: Archives.gov

In this article, we will explore the top three conditions that VA rating specialists often see veterans claim as secondary to their service-connected sleep apnea.

A Word of Caution:

Before diving in, it’s important to note that nothing is guaranteed in the VA claims process. If someone claims they can guarantee a favorable outcome, they are likely misleading you. There have been many cases where VA rating specialists thought a claim would be approved, only for it to be denied. On the other hand, claims that seemed far-fetched have sometimes been approved. Keep this in mind when submitting claims for secondary conditions.

For secondary conditions, it is essential to provide a Nexus statement—a document prepared by a medical professional that explains how your condition is linked to your military service. Veterans have the option of undergoing a Compensation and Pension (C&P) exam or having their private doctor complete a public Disability Benefits Questionnaire (DBQ), available on the VA’s website.

The Top 3 Conditions Claimed Secondary to Sleep Apnea:

1. Hypertension (High Blood Pressure)

The first condition commonly claimed as secondary to sleep apnea is hypertensive vascular disease, also known as hypertension. Let’s focus on the 10% rating criteria, as this often causes confusion. For a 10% rating, one of the following must be true:

• Diastolic pressure is predominantly 100 or more
• Systolic pressure is predominantly 160 or more
• There is a history of diastolic pressure predominantly 100 or more, and continuous medication is required for control.

It’s essential to meet both requirements for a 10% rating in the third scenario: a history of diastolic pressure of 100 or more and the need for continuous medication. Veterans can track their blood pressure at home and keep a spreadsheet as evidence. If you believe you meet the criteria for a 20% rating (diastolic pressure predominantly 110 or more or systolic pressure predominantly 200 or more), providing your own records or notes from your doctor is crucial.

Additionally, hypertension or isolated systolic hypertension must be confirmed by readings taken on two or more occasions over at least three different days. So, whether you are monitoring your own blood pressure or having a private doctor or VA doctor take readings, proper documentation is essential.

2. Diabetes Secondary to Sleep Apnea

The second condition often claimed as secondary to sleep apnea is diabetes mellitus, particularly Type 2 diabetes. For these claims, you need a medical professional to provide a diagnosis and a rationale linking the diabetes to sleep apnea via a Nexus statement.

It’s not a bad idea to research medical studies or literature supporting this connection—sources like the Mayo Clinic often provide valuable insights. Additionally, you can refer to the Diabetes Mellitus Type 2 DBQ, which can guide your claim.

In this form, Section 3A asks if the veteran has any recognized complications of diabetes, such as:

• Diabetic peripheral neuropathy (affecting the upper or lower extremities)
• Diabetic nephropathy or renal dysfunction
• Other complications

Section 3B asks if any of these conditions are “at least as likely as not” caused by diabetes, which constitutes a secondary medical opinion.

If you’re dealing with other conditions like hypertension, stroke, skin conditions, or eye conditions, these can also be linked through secondary conditions, sometimes referred to as “stacking.” In this case, the doctor completing the DBQ must provide a clear rationale in the remarks section explaining how they reached their conclusions.

3. Depression Secondary to Sleep Apnea

The third common condition linked to sleep apnea is depression. Veterans claiming depression secondary to sleep apnea must clearly explain to the C&P examiner how their sleep apnea contributes to their mental health condition.

For instance, you could describe how severe snoring or breathing issues force you and your spouse to sleep in separate bedrooms, which may impact your emotional well-being and relationship. It’s also important to familiarize yourself with the General Rating Formula for Mental Disorders to determine if you meet the criteria for a 0%, 10%, 30%, 50%, 70%, or 100% disability rating.

There are proposed changes to these criteria coming in April 2025, so be sure to stay updated if you’re pursuing a mental health claim.

Conclusion:

These are the top three conditions that VA rating specialists frequently see veterans claim as secondary to their service-connected sleep apnea: Hypertension, Diabetes, and Depression. Many veterans succeed in their claims by submitting private evidence or attending a C&P exam.

Disclaimer:

This article is for informational purposes and should not be considered professional legal or medical advice. While the author has had a successful VA rating outcome, veterans should conduct their own research and apply the relevant findings to their specific cases.

Why Seeking Assistance from Veterans Service Organizations (VSOs) Like Disabled American Veterans (DAV) Is More Sensible and Cost-Effective Than Hiring a Lawyer for VA Appeals

When appealing a VA decision, especially on conditions like vertigo as secondary to service-connected bilateral hearing loss and tinnitus, veterans often face a difficult choice: Should they hire a lawyer or seek the assistance of a Veterans Service Organization (VSO) like Disabled American Veterans (DAV)? The implications of this decision can significantly impact the outcome of a claim, as well as the financial burden on the veteran.

Here’s why obtaining help from a VSO is often the more practical and cost-effective choice.

1. Cost-Free Representation

One of the most compelling reasons to work with a VSO is that they provide their services free of charge. VSOs like DAV offer trained representatives who assist veterans through the claims and appeals process without imposing legal fees.

In contrast, VA-accredited attorneys charge fees that can be up to 20% of the retroactive benefits awarded. While these fees are regulated, they can still amount to a significant cost, especially in cases where veterans wait years for a favorable decision.

2. Expertise in Complex Claims

VSOs have representatives who are well-versed in the VA’s requirements and regulations, making them highly effective in assisting with complicated cases. Veterans attempting to prove a secondary service connection for conditions such as vertigo, which may stem from hearing loss or tinnitus, can benefit from the expertise of VSO representatives who have experience in similar cases.

For example, in VA Case 0211929, a veteran successfully appealed for service connection for vertigo as secondary to service-connected bilateral hearing loss and tinnitus. The veteran argued that their vertigo was linked to these conditions, and after providing medical evidence and testimony, the Board granted the appeal. Cases like this highlight the importance of presenting the right medical evidence, which VSOs are skilled in gathering and presenting.

3. Access to Resources and Medical Evidence

VSOs have access to critical resources that can make or break a VA claim. They often collaborate with medical experts, specialists, and psychologists to gather the evidence needed to support claims of secondary service connection. In cases like the one mentioned above, where proving that vertigo is caused or aggravated by hearing loss and tinnitus is crucial, VSOs can leverage these resources to provide comprehensive support.

Lawyers may not have the same direct access to these resources unless they hire external experts, which can further increase costs for the veteran.

4. Deep Understanding of the Appeals Process

VSOs work with the VA regularly and have a deep understanding of its appeals process. This expertise can prevent unnecessary delays and common errors that may weaken a veteran’s case. In cases like proving that vertigo is secondary to hearing loss and tinnitus, this familiarity with VA procedures can be invaluable.

In the aforementioned VA Case 0211929, the veteran successfully appealed because the VSO representatives knew how to navigate the VA’s complex system, ensuring that the correct medical evaluations and evidence were provided. These organizations understand how to align their arguments with VA requirements, increasing the likelihood of a favorable outcome.

5. Advocacy and Veteran-Centered Focus

VSOs are focused entirely on advocating for veterans. Organizations like DAV exist solely to serve veterans and are motivated by the goal of ensuring they receive the benefits they deserve. This can make a significant difference in the quality of representation veterans receive.

Unlike attorneys, who may be motivated by financial compensation, VSO representatives are committed to the well-being of veterans, often advocating for cases involving complex secondary conditions like vertigo without financial incentives.

6. Long-Term Support

In addition to providing free and specialized assistance during the appeals process, VSOs like DAV offer long-term support for veterans. They help with future claims, changes in disability ratings, and any other challenges a veteran may face in securing or maintaining benefits.

This is especially important for veterans dealing with chronic conditions, such as vertigo, tinnitus, and hearing loss. The ongoing support from a VSO can provide veterans with peace of mind, knowing that they have dedicated advocates throughout their VA journey.

Real-World Success: VA Case 0211929

A prime example of how VSOs can help veterans succeed in proving secondary service connection claims is VA Case 0211929. In this case, the veteran contended that their vertigo was related to their service-connected hearing loss and tinnitus. Initially, the claim was denied, but through the appeals process, with the assistance of their representative, the veteran was able to present compelling medical evidence, including an expert opinion, which established the link between these conditions.

The Board ultimately found that the vertigo was indeed secondary to the veteran’s bilateral hearing loss and tinnitus, granting the appeal. This case demonstrates how the expertise and advocacy of a VSO can lead to a successful outcome, particularly in cases involving complex medical conditions.

7. Proven Track Record

VSOs have a long history of helping veterans succeed in their appeals. Their proven track record of securing benefits for veterans, often through cases like VA Case 0211929, provides veterans with a sense of trust and confidence in their representation. For veterans with complex claims, such as proving a secondary service connection for vertigo, VSOs are equipped to handle these challenges effectively and efficiently.

Conclusion

For veterans appealing a VA decision, particularly in cases involving complex medical issues like proving that vertigo is secondary to bilateral hearing loss and tinnitus, seeking assistance from a Veterans Service Organization such as Disabled American Veterans is often the more practical and cost-effective option. With free representation, specialized expertise, access to valuable resources, and a strong commitment to veterans’ well-being, VSOs provide a comprehensive and highly effective alternative to hiring a lawyer.

Using DAV or other services VSOs can help a veterans obtain a case of highlight the critical role that VSOs play in helping veterans win their appeals and secure the benefits they deserve.

Take a look at the following from an actuak VA case:

CONCLUSION OF LAW

The criteria for service connection for a disorder manifested by vertigo, secondary to service-connected hearing loss and tinnitus disabilities, have been met.

Citation Nr: 1708783	
Decision Date: 03/22/17    Archive Date: 04/03/17 

https://www.va.gov/vetapp17/Files2/1708783.tx

Successful cases like VA Case 0211929 and others via this Google Search links:

https://www.google.com/search?q=tinnitus+cause+vertigo+VA+Case+approved&oq=tinnitus+cause+vertigo+VA+Case+approved&gs_lcrp=EgZjaHJvbWUyBggAEEUYOTIHCAEQIRigATIHCAIQIRigATIHCAMQIRigATIHCAQQIRigAdIBCTE4MDgyajBqN6gCALACAA&sourceid=chrome&ie=UTF-8

VA Warns Congress of Potential Benefits Payment Disruptions Due to $15 Billion Budget Shortfall

The Department of Veterans Affairs (VA) has informed Congress that it may face a nearly $15 billion budget shortfall this year and next, largely due to a higher-than-expected number of veterans utilizing VA services. This shortfall could affect both benefits and health care programs.

A significant portion of the deficit is attributed to the PACT Act, which has led to an increase in benefits claims, potentially leaving the VA $2.9 billion short in its benefits accounts this year. Additionally, health care accounts could fall short by nearly $12 billion next year, driven by unexpected costs related to staffing and prescription drugs.

In response to these concerns, the VA stated that it is collaborating with the White House and Congress to address the budgetary challenges in a manner that protects veterans’ interests.

“Currently, due in large part to the historic PACT Act, the VA is delivering more care and benefits to more veterans than ever before,” said VA Press Secretary Terrence Hayes. “These efforts are life-changing for veterans, their families, caregivers, and survivors, and the VA remains committed to ensuring they receive the care and benefits they deserve.”

However, there are warnings that if funding is not secured by the end of the fiscal year, benefits payments could be disrupted. Chairman of the House Veterans Affairs Committee, Mike Bost (R-Ill.), criticized the VA for what he described as fiscal mismanagement, noting that this is the largest budget shortfall the department has experienced under any administration.

Bost has demanded that VA Secretary Denis McDonough provide answers regarding the shortfall, raising the possibility of a subpoena if the VA does not comply by July 26.

For this fiscal year, the VA anticipated spending around $193 billion on benefits payments. While disability benefits payments have been slightly lower than projected so far, an increase is expected by year-end, particularly due to the PACT Act. There is also an anticipated rise in GI Bill payments following a Supreme Court ruling that expanded education benefits for veterans.

“If the Veterans Benefits Administration lacks sufficient funding, compensation and pension payments to over 7 million veterans and survivors, along with readjustment benefit payments to over 500,000 individuals, scheduled for October 1, 2024, are at risk,” officials warned.

In March, the VA requested nearly $370 billion for fiscal 2025, including $134 billion in discretionary spending primarily for medical care. While this represents a 13% increase from the previous year, discretionary funding is slightly reduced due to budget caps imposed by Congress.

The VA’s budget request anticipated a reduction of about 10,000 employees in the Veterans Health Administration, but the agency now expects to have about 20,000 more employees than initially projected. Additionally, pharmacy and prosthetic costs for next year could exceed expectations by $4 billion if current pricing trends continue.

The VA also noted that increased use of community care services, where veterans receive care from non-VA providers, is contributing to the budget shortfall. The program’s costs are now projected to increase by 16.5% next year, up from the originally forecasted 12%.

Despite these challenges, the VA views the higher-than-expected costs as a positive indicator of the success of the PACT Act, which expanded care and benefits for veterans exposed to toxins during their service.

“Significant growth in care has resulted from new benefits and enrollment opportunities under the PACT Act, alongside unprecedented outreach efforts to inform veterans about these opportunities,” Hayes added.

Chairman Bost, however, criticized the VA for not adequately planning for the PACT Act’s impact and for using budgetary tactics he described as “gimmicks.” He also questioned the VA’s drastic change in staffing projections, noting the difficulties in hiring quality healthcare workers amid shifting targets.

Source:

https://www.veterans.senate.gov/2024/7/sen-moran-statement-on-va-budget-shortfall

FACT SHEET: President Biden to Announce 1 Million PACT Act Claims Approved, Benefits Delivered to Veterans in all 50 States and U.S. Territories

President Biden signed the landmark bipartisan Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics (PACT) Act into law in August 2022, enacting the most significant expansion of benefits and services for toxic exposed veterans in more than 30 years.  Named in honor of Sergeant First Class Heath Robinson, a decorated combat medic who died from a rare form of lung cancer, this historic legislation is delivering timely benefits and services to veterans—across all generations—who have been impacted by toxic exposures while serving our country.

Thanks to this transformational law, the President will announce that more than 1 million PACT Act related claims have now been granted.  More than 888,000 veterans and survivors across all 50 states and U.S. territories are now receiving new service-connected disability benefits.
 
President Biden believes that our nation has a sacred obligation to properly prepare and equip the troops we send into harm’s way – and to care for them and their families when they return home. Sometimes military service can result in increased health risks for our veterans, and some injuries and illnesses like asthma, cancer, and others can take years to manifest. These realities can make it difficult for veterans to establish a direct connection between their service and disabilities resulting from military environmental exposures such as burn pits – a necessary step to ensure they receive the disability benefits and health care they earned. The PACT Act eliminated these barriers and ensures veterans get the care and services they deserve.

President Biden has made clear that supporting our veterans is a commitment that unites all Americans – Democrats, Republicans, and Independents — and it’s why he made supporting our veterans a core element of his Unity Agenda. Under President Biden’s leadership, the Department of Veterans Affairs (VA) has processed claims at the fastest rate in history, and is delivering health care to more veterans than ever before. Today, to mark a key milestone in this effort, the President will join veterans and their families at the Westwood Park YMCA in Nashua, New Hampshire to discuss how the historic PACT Act has delivered lifesaving health care and benefits to more than 888,000 veterans and survivors.

Today, the Biden-Harris Administration will also release new national and state-by-state data on PACT Act claims granted. 
 
The Administration has helped veterans in every state and territory receive the services and care they deserve by:

• Screening veterans for toxic exposures: More than 5.4 million veterans have received free screenings for toxic exposures from VA under the PACT Act – a critical step to catching and treating potentially life-threatening health conditions as early as possible.
• Delivering benefits to veterans and their survivors: Since enactment, VA has delivered more than $5.7 billion in earned PACT Act-related benefits to veterans and their survivors. VA is delivering these benefits to veterans at the fastest rate in history, processing 1.57 million total claims thus far in this fiscal year – 28% more year-to-date than the previous all-time record. In total, VA has processed 1,327,228 PACT Act claims since August 10, 2022.
• Prioritizing veterans with cancer: As a part of President Biden’s Cancer Moonshot, VA has prioritized claims processing for veterans with cancer – delivering nearly $637 million in PACT Act benefits to veterans with cancer. VA also prioritizes claims for veterans with terminal illnesses and veterans experiencing homelessness.
• Spreading the word to veterans and their survivors: Thanks to the PACT Act outreach campaign, veterans and survivors are applying for their earned benefits at record rates. Since August 2022, veterans and survivors have submitted 4.17 million total claims. This includes 1,655,810 PACT Act-specific claims applications.
• Increasing VA’s capacity to serve veterans: Thanks to new PACT Act authorities, VA has been able to expand its workforce in order to serve veterans as quickly and effectively as possible. In total, both the Veterans Health Administration and the Veterans Benefits administration have achieved their highest growth rates in 20 years.
• Eliminating benefits delays for veterans: Instead of phasing in conditions over several years (as outlined in the legislation), the Biden-Harris Administration decided to make all conditions in the PACT Act presumptive for benefits as of August 10, 2022, the day the bill was signed into law. This decision expedited the timeline for veterans to receive their earned care and benefits by several years.
• Accelerating health care eligibility for veterans: As of March 2024, VA opened up eligibility for toxic exposed veterans to enroll in VA Health Care without first having to prove a service-connected disability and regardless of their deployment location, nearly ten years earlier than called for in the PACT Act. Thanks to new PACT Act eligibility, more than 145,000 veterans have newly enrolled in VA Health Care since August 10, 2022.

These historic efforts to address military toxic exposures build on the Biden-Harris Administration’s recent work to support our nation’s veterans, including:

• Ending veteran homelessness. No one should be homeless in this country, especially not those who served it. That’s why President Biden is proposing a guaranteed voucher for extremely low-income veterans, a population at especially high risk of homelessness. Last year, VA found permanent housing for over 46,000 veterans, expanded access to health care for homeless Veterans, expanded access to legal assistance for homeless Veterans, helped more than 145,000 Veterans and their families retain their homes or otherwise avoid foreclosure, and awarded more than $1 billion in grant funding to help homeless Veterans. These efforts are leading to results: from 2020 to 2023, there was a nearly 5 percent decline in veteran homelessness. And, tomorrow, Dallas will announce that it has effectively ended veteran homelessness.
• Securing jobs for our veterans. Roughly 200,000 service members transition from the military each year and the Biden-Harris Administration is committed to providing them and their spouses the support they need to find good paying jobs. This includes helping connect veterans to registered apprentice programs, so they can transfer the skills they learned in the military.
• Removing barriers to mental health care. Next week, VA will take action to remove all cost-sharing for the first three behavioral health visits for veterans enrolled in VA health care, helping to ensure that all those in need can get the care they need. This action builds on VA’s new policy allowing eligible veterans and certain former service members in acute suicidal crisis to go to any VA or non-VA health care facility for no-cost emergency health care – over 50,000 veterans and service members have used this benefit since it launched in 2023. VA is doing everything it can, including expanding mental health screenings, increasing access to legal and financial support, and hiring more mental health professionals, to help veterans get the help they need. For veterans and family members who may be experiencing a crisis, the Veterans Crisis Line is available 24/7 by dialing 988 and then pressing 1.
• Supporting veterans and caregivers. Last year, President Biden signed an Executive Order directing the VA to cut red tape and give veterans who need assistance at home more flexibility to pick their own caregivers. As part of those actions, VA also launched a pilot program, known as the Virtual Psychotherapy Program for Caregivers, to provide mental health counseling services to family caregivers caring for our nation’s heroes. The program successfully completed its pilot phase and is now a permanent program. Since October 2023, the program has provided over 4,937 psychotherapy sessions to family caregivers. And, last year, President Biden signed an Executive Order calling for the most comprehensive set of administrative actions in our nation’s history to support the economic security of military and veteran spouses, caregivers, and survivors.

If you are a veteran, visit www.va.gov/PACT or go to your local VA hospital to see if you are eligible for PACT Act benefits and services.

For a state-by-state breakdown of PACT Act data, click here.