Medical Expense Report (VA Form 21P-8416)

VA Form 21P-8416 is used by claimants and beneficiaries to report unreimbursed medical expenses for the purpose of reducing their countable income associated with needs-based benefit programs such as VA Pension and Parents’ Dependency and Indemnity Compensation (DIC). Unreimbursed medical expenses are deducted from otherwise countable income to determine eligibility for income-based benefits and the rate payable.

The latest form for Medical Expense Report (VA Form 21P-8416) expires 2026-10-31 and can be found here.