Update your VA health benefits information
Use the Health Benefits Update Form (VA Form 10-10EZR) to update your personal, financial, insurance, or military service history information after you’re enrolled in VA health care.
What to know before you fill out this form
You can update this type of information:
- Your marital status
- Dependent information
- Income information from 2024 for you, your spouse (if you’re married), and any dependents you may have
- Deductible expenses from 2024 for you or your spouse (expenses that you can subtract from your income)
We’ll use this information to determine if you’ll need to pay a copay for non-service-connected care or prescription medicines. We’ll also determine if you’re eligible for travel pay reimbursement.
You can also update this information:
- Your personal information. This includes your phone number, email address, and mailing address.
- Insurance information for all health insurance companies that cover you. This includes coverage that you get through a spouse or significant other. This also includes Medicare, private insurance, or insurance from your employer.
- Military service history information. This includes details about exposure to any toxins or other hazards. And you can also submit supporting documents with more information about this exposure. Learn more about the supporting documents you can submit
Note: You can provide more information about your military service history and we’ll determine if you may have had exposure to any toxins or other hazards. We’ll also determine if we’ll place you in a higher priority group. This may affect how much (if anything) you’ll have to pay toward the cost of your care.
Sign in to update your information online
- We can fill in some of your information for you to save you time.
- You can save your work in progress. You’ll have 60 days from when you start or make updates to your form to come back and finish it.
Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 2900-0091, and it expires 07/31/2027. Public reporting burden for this collection of information is estimated to average 27 minutes per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate and any other aspect of this collection of information, including suggestions for reducing this burden, to VA Reports Clearance Officer at VACOPaperworkReduAct@va.gov. Please refer to OMB Control No. 2900-0091 in any correspondence. Do not send your completed VA Form 10-10EZR to this email address.
Privacy Act information: VA is asking you to provide the information on this form under 38 U.S.C. Sections 1705,1710, 1712, and 1722 in order for VA to determine your eligibility for medical benefits. Information you supply may be verified from initial submission forward through a computer-matching program. VA may disclose the information that you put on the form as permitted by law. VA may make a “routine use” disclosure of the information as outlined in the Privacy Act systems of records notices and in accordance with the VHA Notice of Privacy Practices. Providing the requested information is voluntary, but if any or all of the requested information is not provided, it may delay or result in denial of your request for health care benefits. Failure to furnish the information will not have any effect on any other benefits to which you may be entitled. If you provide VA your Social Security Number, VA will use it to administer your VA benefits. VA may also use this information to identify Veterans and persons claiming or receiving VA benefits and their records, and for other purposes authorized or required by law.