US Department Of Veterans Affairs: Outpatient Dental Treatment Qualifications !
Scroll, and see Dental Qualifications Fact Sheet Table !
Outpatient Dental Treatment:
Dental benefits are provided by VA according to law.
In some instances, VA is authorized to provide extensive dental care, while in other cases treatment may be limited by law. This Fact Sheet table describes dental eligibility criteria and contains information to assist Veterans in understanding their eligibility for VA dental care.
By law, the eligibility for Outpatient Dental Care is not the same as for most other VA medical benefits. It is categorized in classes. Those eligible for VA dental care under Class I, IIC, or IV are eligible for any necessary dental care to maintain or restore oral health and masticatory function, including repeat care. NOTE: Other classes on the Fact Sheet have time and/or service limitations !
| If you: | You are eligible for: | Through |
| Have a service-connected | Any needed dental care. | Class I |
| compensable dental disability | ||
| or condition. | ||
| Are a former prisoner of war. | Any needed dental care. | Class IIC |
| Have service-connected dis~ | Any needed dental care. | Class IV |
| abilities rated 100% disabling, | ||
| or are unemployable and | [note: Veterans paid at the | |
| paid at the 100% rate due to | 100% rate based on a tem– | |
| service–connected conditions. | porary rating, are not eligible | |
| for comprehensive outpa– | ||
| tient dental services. | ||
| Apply for dental care within | One–time dental care if | Class II |
| 180 days of discharge or | a DD214 certificate of | |
| release from a period of ac- | discharge does not indi- | |
| tive duty (under conditions | cate that a complete dental | |
| examination and all ap– | ||
| other than dishonorable) of | propriate dental treatment | |
| 90 days or more during the | had been rendered prior to | |
| Gulf War era. | discharge.* | |
| Have a service–connected | Needed care for the service- | ClassIIA |
| noncompensable den– | connected condition(s). | |
| tal condition or disabil– | A Dental Trauma Rating | |
| ity resulting from combat | (VA Form 10-564–D) or | |
| wounds or service trauma. | VA, Regional Office Rating | |
| Decision letter (VAForm | ||
| 1 0–7131) identifies the tooth/ | ||
| teeth eligible for care. | – | |
| Have a dental condition clini- | Dental care to treat the oral | Class III |
| cally determined by VA to be | conditions that are deter– | |
| associated with and aggravat– | mined by a VA dental profes– | |
| ing a service-connected medi– | sional to have a direct and | ~ |
| cal condition. | material detrimental effect–to | |
| a service–connected medical | ||
| condition. |
| Are actively engaged in a 38 | Dental care to the extent | Class V |
| USC Chapter 31 vocational | necessary to: | |
| rehabilitation program. | • Make possible to enter, | |
| achieve goals, and prevent | ||
| interruption of a rehabilita– | ||
| tion program, or | ||
| • Hasten the return to a | ||
| rehabilitation program for | ||
| leave status, or placed in | ||
| discontinued status because | ||
| of a dental condition, or | ||
| • Secure and adjust to | ||
| employment during employ– | ||
| ment assistance, or enable | ||
| to achieve maximum inde- | ||
| pendence in daily living. | ||
| Are receiving VA care or, are | Dental care to treat the | Class VI |
| scheduled for inpatient care | oral conditions that are | |
| and require dental care for a | determined by a VA dental | |
| condition complicating a medi- | professional to complicate a | |
| cal condition currently under | medical condition currently | |
| treatment. | under treatment. | |
| Are an enrolled Veteran who | A one-time course of dental | Class 11B |
| may be homeless and receiv- | care that is determined | |
| ing care under VHA Directive | medically necessary to re– | |
| 2007-039. | lieve pain, assist in gaining | |
| employment, or treat moder- | ||
| ate to severe gingival and | ||
| periodontal conditions. |
“Note:Public Law 83 enacted June 16, 1955, amended Veterans‘ eligibility for outpatient dental services. As a result, any Veteran who received a dental award letter from VBA dated before 1955 in which VBA determined the dental conditions to be noncompensable are no longer eligible for Class II outpatient dental treatment !
Veterans receiving hospital, nursing home, or domiciliary care will be provided dental services that are professionally determined by a VA dentist, in consultation with the referring physician, to be essential to the management of the patient‘s medical·condition under active treatment.
For more information about eligibility for VA medical and dental benefits, contact VA at 1-877-222-8387 or www.va.gov/healthbenefits Please: Scroll www.vetsguide.net, entire WebSite for other information that you might find very beneficial, and/or helpful for you, and/or family ! Please tell every Vet, and or Vet families about this WebSite ! Remember, the ‘Motto’, for all of us Vets’; Is Leave No Vet, Nor Their Families Behind ! Good Luck !