For many veterans and their families, the cost of long-term care—whether at home, in assisted living, or in a nursing facility—can feel overwhelming. What many don’t realize is that the U.S. Department of Veterans Affairs (VA) offers a little-known benefit that can provide real financial relief: Aid & Attendance (A&A).
What Is Aid & Attendance?
Aid & Attendance is an enhanced monthly pension for eligible veterans and their surviving spouses who need help with daily activities or are housebound. It’s not a stand-alone benefit, but an addition to a VA pension, designed to help offset the costs of care for those who:
- Need assistance with activities like bathing, dressing, or feeding.
- Are bedridden or spend most of the day at home due to illness.
- Reside in assisted living or nursing care facilities.
Why Most Families Haven’t Heard of It
Unlike disability compensation or standard VA pensions, Aid & Attendance isn’t widely advertised. Many families only learn about it by chance, often after paying out of pocket for care for months or years.
This is unfortunate because the monthly benefit can be significant. In 2025, qualifying veterans and surviving spouses may receive hundreds to thousands of dollars per month to help cover care costs.
Who May Qualify
Eligibility depends on several factors, including:
- Service Requirements – The veteran must have served at least 90 days of active duty, with at least one day during a wartime period (as defined by the VA).
- Medical Need – The veteran or surviving spouse must require help with daily living activities or be largely confined to their home.
- Income and Asset Limits – The VA reviews income and net worth to ensure financial need. Proper planning can help families qualify without jeopardizing other resources.
How the Benefit Can Help
- Offset Home Care Costs: Families can hire caregivers or supplement family caregiving.
- Support Assisted Living: Monthly A&A benefits can make assisted living more affordable.
- Delay or Reduce Nursing Home Costs: Veterans can maintain independence longer without draining life savings.
Taking the Next Step
Applying for Aid & Attendance can be complex, and even small mistakes can delay benefits. Families often benefit from working with a professional experienced in VA-accredited claims assistance or elder law planning to ensure a smooth process.
If you or a loved one is a wartime veteran struggling with the cost of care, don’t overlook Aid & Attendance—it could be the bridge that makes quality care possible without exhausting your resources.
