If you have questions regarding enrollment, eligibility or billing please call (562) 826-5915 and we will be happy to provide assistance.
to help the enrollment process, it is helpful if you have the following information available when you visit:
- DD214
- Employment data
- Any private health insurance coverage
- Financial information from previous year
- Information relating to your dependants and spouse such as social security number, date of birth and date of marriage.
| Where do I enroll? |
You can enroll at any of our three Community Based Outpatient Clinics or at the VA Long Beach Healthcare System. At Long Beach our enrollment area is located in the west entrance, Bldg 126, 1st floor at the Patient Business Office and is open Monday through Friday, 8:00am-4: 00pm.
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| Is there Online enrollment? |
Absolutely, you can find the electronic 10-10EZ form at https://www.1010ez.med.va.gov/sec/vha/1010ez/. All you need to do is complete the form, submit the form and print a copy. We will need you to sign the printed copy and mail or fax it to us with a copy of your DD-214.
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