Aid and Attendance Pension (A & A): A & A is a supplement to the VA Pension program and provides benefits to veterans and surviving spouses who require the regular attendance of another person to assist them in eating, bathing, dressing, cooking, leaving home, etc. This program is paid in addition to the additional VA Pension program, and to qualify, you must be eligible for the VA Pension Program first.
To qualify for A & A, you must be currently receiving a VA pension and at least one of the following must be true:
- 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)
Please Note: You can’t get A & A and Housebound benefits at the same time. So if you are already receiving Housebound benefits, you cannot also get A&A.
You can apply by mail or in person, whichever is easier for you.
To apply by mail:
You must download and fill out VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance) and mail it to the Pension Management Center for your state. You can have your doctor fill out the examination information section.
When sending your VA Form 21-2680, you will also want to include other evidence such as:
- A doctor’s report that shows you need Aid and Attendance or Housebound care,
- Details about what you normally do during the day and how you get to places,
- Details that help show what kind of illness, injury, or mental or physical disability affects your ability to do things on your own.
To apply in person:
Gather any information and documentation you have regarding your medical issue and why you need Aid and Attendance or Housebound care and bring it to your nearest VA Regional Office (RO). This information can include:
- A doctor’s report that shows you need Aid and Attendance or Housebound care,
- Details about what you normally do during the day and how you get to places,
- Details that help show what kind of illness, injury, or mental or physical disability affects your ability to do things on your own.