If you are a wartime Veteran who meets certain income, net worth, age or disability requirements, or you are a surviving spouse, then you may be eligible for VA’s pension benefits. But did you know that VA’s Aid and Attendance and Housebound benefits, or enhanced pension, can boost your pension payments? If you need help with daily activities, or if you are housebound, you may qualify for an increased monthly pension.

What are Aid and Attendance (A&A) benefits?

In addition to your monthly VA pension payment, A&A benefits help cover the cost of in-home care, assisted living or a nursing home. Benefits are available to qualifying low-income and net worth, wartime and disabled Veterans, as well as their surviving spouses who are in nursing homes or who need help with everyday tasks, like dressing, bathing or eating.

You may be eligible for this benefit if you have a VA pension and:

  • You need to stay, or spend, a large part of the day in bed because of illness, or
  • You are in a nursing home due to the loss of mental or physical abilities related to a disability, or
  • Your eyesight is limited even with glasses or contact lenses.

What are Housebound benefits?

Like A&A, Housebound benefits increase your monthly VA pension amount. It is available to Veterans who are confined to their homes because of a permanent disability. If you have a disability that is rated 100% disabling and spend most of your time at home or have another disability, or disabilities, that are evaluated at 60% or more, you may qualify for Housebound benefits.

How do I know if I am eligible for VA pension benefits?

You will still need to meet the same age, wartime and disability requirements needed to receive VA pension benefits. However, your medical expenses are considered when determining eligibility for A&A and Housebound benefits. This may reduce your monthly income, allowing you to qualify for enhanced pension benefits. It is important to note, however, that you cannot receive both A&A and Housebound benefits at the same time.

How do I apply?

A&A and Housebound benefits are not automatic. If you believe you or someone you know may qualify, apply for these benefits with VA by completing the application form and sending it to the nearest VA Pension Management Center or applying in person at a VA regional office near you. If you are not already in receipt of pension benefits, you will also need to complete an Application for Veterans Pension or an Application for DIC, Survivors Pension and/or Accrued Benefits. Be sure to provide evidence that can prove your need for A&A or that you are housebound. For example, you could submit a report from your doctor that confirms your disability when you file your application.

If you’re in a nursing home, you will also need to complete a Request for Nursing Home Information in connection with your claim for A&A.

For more information by visiting va.gov/pension/aid-attendance-housebound/, or call 1-800-827-1000.

By Angela Childers-Conner is a marketing and communications specialist with VBA’s Office of Strategic Engagement.

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Published on Sep. 14, 2021

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Views to date: 1,338


  1. Lauren October 7, 2021 at 10:34 am

    I had a recent eye exam and considered to have vision in one eye due to an injury as a child. I’m limited to driving during the day. I’m a surviving spouse of a Veteran. Is there any benefit available ?

  2. Proud USMC September 16, 2021 at 10:30 am

    That’s not a true statement…. I’m not black and that was such an ignorant comment.

    • Verta Jones September 16, 2021 at 2:42 pm

      I am receiving a surviving spouse benefit from VA. I am now in need of help to perform everyday activities. I am currently going to physical therapy 3 times a week for a left shoulder injury that required surgery. I am now in need of a right hip replacement. The pain is unbearable and I can barely walk some days. Can VA help me pay for in home daily/nightly help?

  3. Joan Greenman September 16, 2021 at 9:44 am

    Still waiting for the VA to admit and recognize myelofibrosis for Viet Nam vets. I

  4. Joseph LeBlanc September 16, 2021 at 9:01 am

    An aid and attendance packet, yes its a 35-40 page packet is the most cumbersome application process the VBA has. We done dozens in our office. Even the most complete packet the recipient gets paper whooped from the Pension Management Center.

  5. Laura Valentine September 16, 2021 at 8:48 am

    You, ma’am, are what is wrong with the social system…

  6. martin lubin September 16, 2021 at 8:36 am

    Why are old WWII veterans still subject to income requirements to get health benefits? Not many of us left; won’t break the U.S. budget to include those vets

  7. Bonnie W McDade September 15, 2021 at 9:05 pm

    Why aren’t Vietnam Veterans eligible for benefits? We don’t qualify for anything unless we’re eaten up with all types of diseases or have all types of medical issues. Regardless of the MOS just being in country should qualify for some benefits.

  8. Teri Buvala September 15, 2021 at 8:33 pm

    I don’t have a car, and I need help getting groceries delivered to my home. Is there any help for this?

    • Tom September 16, 2021 at 6:22 pm

      Yes, it’s called Instacart. If you do not have a verifiable service connected disability and made bad life choices which resulted in your no car situation then the VA isn’t there to fill in every deficiency in your life. The VA is already past going broke and can not be a nanny to all ills.

  9. Rafael Chaves September 15, 2021 at 6:55 pm

    What about war time veterans that serve 20 plus years between active duty service and reserve time died prior to their 60th birthday and did not have time to put in for VA disability evaluation for pension is the widow elegible ? The widow currently receives a small piece of the retirement pay the husband would have received

Comments are closed.

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