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VA Aid and Attendance Benefit: Eligibility, Application Process, and Approval Tips

VA Aid and Attendance Benefit: Eligibility, Application Process, and Approval Tips

What can Aid and Attendance payments be used for?

The U.S. Department of Veterans Affairs (VA) Aid and Attendance benefit can be used to help cover the costs of an assisted living community, memory care facility, or nursing home. The A&A benefit can also be used for in-home care services.

Who’s eligible for VA Aid and Attendance?

Veterans who qualify for the VA’s A&A benefit must first be eligible to receive the basic VA pension.

Suzette Graham, founder and CEO of Patriot Angels, explains that veterans or their surviving spouses who need assistance with at least two activities of daily living (ADLs) can use A&A benefits.

Additionally, veterans or their surviving spouse must:1

  • Be bedridden as the result of an illness, or
  • Live in a nursing home due to a physical or cognitive disability, or
  • Have 5/200 vision or less in both eyes, even with glasses, or a visual field of 5 degrees or fewer.
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How much does the VA Aid and Attendance benefit pay?

A&A benefit amounts depend on whether the payment is going to a veteran or a surviving spouse, and whether the veteran or spouse has dependents.

The current amounts for the VA’s A&A benefit, as well as the total Maximum Annual Pension Rate (MAPR), are:2,3

Recipient A&A amountTotal MAPR
Surviving spouse$6,998$18,697 with no dependents; $22,304 with dependents
Single veteran$11,589$29,030
Veteran with dependent$11,649$34,488 plus $2,984 for each additional dependent
Two married veterans, one qualifies for A&A$11,649$34,488
Two married veterans, both qualify for A&A$23,304$46,143

How are VA Aid and Attendance benefits paid?

A&A benefits are usually paid through direct deposit to the veteran or survivor’s bank account, says Graham. There are credit unions and veteran-friendly banks for people who don’t have a bank account but want to receive their payment through direct deposit.

How do veterans apply for the VA Aid and Attendance benefit?

Veterans or their surviving spouses can apply using VA Form 21-2680, also known as the Examination for Housebound Status or Permanent Need for Regular Aid and Attendance. This form outlines and collects health information related to qualifying for the A&A benefit. All applications for the A&A benefit must include a completed 21-2680 form.

If the veteran or their surviving spouse lives in a nursing home, an additional form is needed. VA Form 21-0779, or the Request for Nursing Home Information in Connection with Claim for Aid and Attendance.

Once these forms have been completed, they can be taken to a local VA office or mailed to:

Department of Veterans Affairs
Pension Intake Center
P.O. Box 5365
Janesville, WI 53547-5365

Tips for getting a VA Aid and Attendance claim approved

Families often worry about making mistakes that delay approval. These 5 strategies can help ensure that your loved one’s A&A claim is approved:

1. Confirm basic eligibility

The A&A benefit is a supplement to the basic VA pension, so veterans must first qualify for that.

2. Gather all supporting documentation

Include medical records, proof of care costs, income statements, and details about assets and expenses.

3. Provide detailed descriptions of care needs

If your loved one needs help with bathing, dressing, transferring, or staying safe, make sure the doctor’s narrative clearly explains why support is necessary.

4. Use the Fully Developed Claim program when possible

The Fully Developed Claim program allows families to submit all evidence of their loved one’s eligibility upfront, including medical records, health history, and employment information. This reduces the number of back-and-forth requests and potentially shortens processing times. The FDC is the quickest way to get a VA benefits claim processed.

5. Keep organized records

Save copies of all forms and follow up regularly. If a claim is denied, you can appeal. Understanding the reason for denial helps you respond effectively.

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Where can we get help with VA Aid and Attendance applications?

Trusted resources that support elderly veterans and their family caregivers with guidance include:

  • Veterans’ organizations such as the VFW, American Legion, and Disabled American Veterans (DAV), which have local posts and chapters in most cities, assist in completing A&A forms free of charge. Elder law attorneys can also assist veterans and their families with their applications, especially for more complex cases.
  • A Place for Mom’s trusted, VA-accredited partner Patriot Angels, which helps families navigate VA benefits.
  • For help with navigating senior care, older adults and their families can reach out to A Place for Mom’s Senior Living Advisors. These thoughtful experts can help you understand care options available in your area and set up community tours – all at no cost to you and your family.

Note: A Place for Mom may be compensated if you choose to use Patriot Angels’ services.

What are the processing times for VA Aid and Attendance?

Processing times for the A&A benefit range from a couple of weeks to several months. Claims are typically processed in the order they’re received. Some veterans may also qualify for priority processing under specific conditions determined by the VA, such as severe financial hardship, terminal illness, or homelessness.

You can also submit an Intent to File form, which protects the earliest possible start date for benefits while you’re gathering documentation. Once the claim is approved, the VA issues retroactive payments covering the months your loved one was eligible but waiting.

Is the VA Housebound Allowance the same as the Aid and Attendance benefit?

No. The VA’s Housebound Allowance program is different from the Aid and Attendance benefit. It’s not possible to qualify for both, as the eligibility criteria are different. A veteran can’t get A&A benefits and Housebound benefits at the same time.

Note: This article is for informational purposes only. A Place for Mom doesn’t provide legal advice for benefits applications. For professional legal advice, please consult with an elder law attorney or VA-accredited claims representative of your choice. Additionally, VA eligibility requirements may change over time.

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