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Aid and Attendance or Housebound Allowance

If you need help with your daily activities, or you’re housebound, you may qualify for Aid and Attendance (A&A) or Housebound allowances in addition to your pension benefits. Find out if you can get these monthly payments added to the amount of your monthly pension.

Can I get A&A or Housebound benefits from VA?

You may qualify for A&A if you get a VA pension and:

  • You need another person to help you perform daily activities, like bathing, feeding, and dressing, or
  • You have to stay in bed—or spend a large portion of the day in bed—because of illness, or
  • You are a patient 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 you have only 5/200 or less in both eyes; or concentric contraction of the visual field to 5 degrees or less)

You may qualify for housebound benefits if you get a VA pension and you spend most of your time in your home because of a permanent disability (a disability that doesn’t go away).

Note: You can’t get A&A benefits and housebound benefits at the same time.

Who’s covered:

  • Qualified Veterans
  • Qualified surviving spouses

How do I get this benefit?

There are 2 ways you can get this benefit:

Write to your Pension Management Center (PMC)

You can write to the PMC for your state. Find your PMC.

Include this information:

  • Evidence, like a doctor’s report, that shows you need A&A or Housebound care, or VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance), which you can have your doctor complete
  • Details about what you normally do during the day and how you get places
  • Details that help show what kind of illness, injury, or mental or physical disability affects your ability to do things, like take a bath, on your own

Apply in person

You can bring your information to a Regional Benefits Office near you. Find a Regional Benefits Office.

How long does it take VA to make a decision?

It depends. We process claims in the order we receive them, unless a claim requires priority processing.