If you have Veterans insurance and your drug or service is denied, you can appeal. An appeal is when you ask your insurance company to change their decision. Like other types of insurance, the VA also has its own appeals process.
- Your name
- Your address
- Your phone number
- Reason(s) why you’re appealing
- The name of the drug or service you want your plan to cover
- If you have an appointed representative, a copy of the “appointment of representative” form
- Any other information that may help, including medical records
Send your NOD to the local or regional VA office that denied your request. That office will review your request and make a decision. They will send their decision in writing. This document is called a Statement of the Case (SOC).
If you disagree with the decision in the SOC, you can appeal again. The appeal goes to the Board of Veterans’ Appeals (also called the BVA or the Board) in Washington, D.C. This group will look over all your information and make a decision.
You have 60 days from when your VA office sent you the SOC to do this next level of appeal.
- A copy of the Notice of Disagreement (NOD) you did when you first sent your appeal
- A completed VA Form 9—Appeal to Board of Veterans’ Appeals form. This should have come with your SOC. If not, you can get a blank form at: Download Appeal to Board of Veterans’ Appeals Form
- Any additional information that supports your case, such as medical records
To give someone permission to represent you, you need to fill out a VA Form 21-22a Appointment of Individual as Claimant’s Representative form.
There are also some Veterans’ Service Organizations or state veterans’ offices that are willing to help. The Directory of Veterans Service Organizations gives you the names of veterans’ service organizations near you that may help.
However, not every organization has been reviewed by the government as able to help you (also called a government accreditation). If you pick an organization to help you, use the following link first to make sure they have a government accreditation to help you.
To give any of these VA organizations permission to help you, you will need to fill out a VA Form 21-22 Appointment of Veterans Service Organization as Claimant’s Representative form.
To set up this meeting, call your local VA regional office. Use this link and click on your state to get the phone number.
For more information on Veterans (VA) Health Benefits appeals, go to: