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VISN 12 - Hines VA Hospital
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Patient Information
Related Links


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.
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Reviewed/Updated Date:
November 04, 2007
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