Glossary of Terms
Adjudication: The process of making a decision to grant a benefit for a particular applicant by obtaining and reviewing the facts bearing on the case in view of the laws governing the benefits.
Area of combat: The area served by military personnel during Operations Enduring Freedom and Iraqi Freedom (OEF/OIF). Veterans are eligible for 5 years of free care for service connected conditions if they served on active duty in a theater of combat operations during a period of war after the Gulf War or in combat against a hostile force after Nov. 11, 1998.
CMOP: Consolidated Mail Out Pharmacy
Co-Payment: The cost-sharing charge assessed to certain veterans based on their service connection and/or income or income plus net worth above statutory thresholds.
Eligibility: Determination of a person's qualification for VA health care and related benefits.
Enrollee: A Veteran that applies for enrollment in the VA health care system and who is not deceased, ineligible, cancel/declined or rejected enrollment status or fugitive felon status.
Enrollment Priority Group: Veterans are assigned to an Enrollment Priority Group based on their specific eligibility attributes and enrollment information. The Priority Groups range from 1-8 with 1 being the highest priority for enrollment. Returning service members are placed in Category 6 and are eligible for free care for any service connected injury or illness for a five-year period.
Means Test (MT)/ Financial Assessment: An income assessment to determine whether a Nonservice-Connected Veteran is eligible for cost-free VA medical care due to income level.
OEF/OIF: Operations Enduring Freedom and Iraqi Freedom
Pharmacy Co-Payment: Co-Payment for each 30 day or less supply of medication by the VA.
Preferred Facility: The VHA healthcare location identified by the veteran as his/her preferred facility to receive primary care.
Service Connection: A disability or condition rated by VBA which is used to determine the type of medical care or benefits available to the veteran.
TRICARE: The name of the Department of Defense's managed health care program for active duty military, active duty service families, retirees and their families, and other beneficiaries. Under TRICARE, you'll generally have three options for health care.
TRICARE Prime: This is a voluntary health maintenance organization (HMO)-type option. If you decide to get your health care through TRICARE Prime, active duty members and their dependents have no enrollment fee. Retirees pay an annual enrollment fee and normally enroll for one year at a time.
VAMC: Department of Veterans Affairs Medical Center.
VBA: Veterans Benefits Administration which administers monetary and other benefits outside of the medical arena.
VHA: Veterans Health Administration which governs the medical treatment facilities within the Department of Veterans Affairs.
Veterans Industry: Veterans Industry is a vocational rehabilitation program of the Department of Veteran Affairs that sub contracts with many and diverse industries. They provide temporary and permanent staffing for information technology, manufacturing, warehousing, construction, office support, retail and the services delivery industry. They also provide outsource support in assembly, packaging, sorting, grading, reclaiming, and recycling.
Vet Center- Readjustment Counseling Service: RCS welcomes home with honor the war veteran by providing quality readjustment services in a caring manner assisting them and their family members toward a successful post-war adjustment in or near their respective communities.
