A: VA will require the same evidence for claims and applications involving same-sex marriage as claims based on opposite-sex marriage.

Generally, VA will accept a claimant's or applicant's assertion that he or she is married as sufficient evidence to establish a Veteran's marriage for the purpose of VA benefits and services.

A: VA will treat all married couples the same, regardless of the sex of the spouses.

A: For Veterans who are not currently enrolled in VA health care, it is possible that recognition of a same-sex spouse and inclusion of spousal income could either render the Veteran eligible to enroll or preclude the Veteran from being eligible to enroll.

This will depend on the impact of the spousal income on the couple's household income relative to the applicable income threshold.

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For claims received after September 4, 2014, including newly filed claims, VA may assign an effective date up to one year prior to the date of the claim if the claimant met all eligibility requirements on that date.

However, consistent with current policy, VA may investigate further if an assertion concerning a marriage appears unreliable, but VA will not treat assertions regarding same-sex marriages any differently than assertions regarding opposite-sex marriages.

For example, inclusion of a spouse's income may result in the Veteran being moved to a lower priority group (e.g., from 5 to 8) and being required to make copayments for care the Veteran receives.

Recognition of marriage could also result in the Veteran being moved to a higher priority group, for example, if the spouse does not have income to report.

The inclusion of spousal income would not result in a Veteran who is currently enrolled in VA health care being disenrolled.

Information on income thresholds is available here gov/healthbenefits/cost/income_

In some instances, this could mean an effective date as early as the date of marriage or as early as when VA received the claim.