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VISN 12 - Hines VA Hospital

Patient Information

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Federal Benefits for Veterans and Dependents

Eligilibility and Enrollment

All veterans are encouraged to enroll in the VA Health Care System. To begin the process, please complete an Application for Health Care Benefits. You can submit the form online, or you may print the form and mail it to us at:

Hines VA Hospital
Eligilibility
5000 South 5th Ave
Hines, IL 60141

You can also bring the form to the hospital. The Admission and Benefits Office is located on the ground floor right next to the main entrance to our main hospital building, Building 200.

Whether mailing or bringing your application, please include the following items-

  • a copy of both sides of your current insurance card (including Medicare or Medicaid)
  • a copy of your DD214, "Armed Forces Report of Transfer or Discharge"
  • (Purple Heart recipients only) a copy of your award letter if "Purple Heart" is not noted on your DD214

To speak to someone in our eligilibilty office, please call 708-202-4483.