
Veterans
Aid and Attendance Benefit
Extra monthly payment for veterans needing help with daily activities
- Topic
- Veterans & VA benefits
- Reading time
- 3 min
Mesothelioma can make everyday tasks such as bathing, dressing and moving around the house difficult. The VA provides additional monthly payments, often called Aid and Attendance, for eligible veterans and survivors who need help with these activities. The extra money can help pay for home care or support a family caregiver.
Who may qualify
Aid and Attendance is generally available to eligible veterans and surviving spouses who need another person's help with daily activities, are largely confined to bed, live in a nursing home because of disability, or meet certain vision-related criteria. For veterans receiving disability compensation, similar support may come through what the VA calls special monthly compensation. For those receiving VA pension, it is added to the pension amount as an extra payment. Because these programs have different rules, including income and net worth limits for pension-based benefits, ask a service officer which version fits your situation before applying.
The medical certification
The VA will want evidence from a physician describing the veteran's or survivor's condition and the kind of help needed each day. This is often a specific VA examination form completed by a doctor, along with supporting medical records. The evaluation usually covers the ability to bathe, dress, eat, use the bathroom, move around safely and manage medications. Be honest and specific about daily struggles, even if it feels uncomfortable to describe them. Caregivers can help by keeping a simple log of the help they provide, which gives the doctor a clearer, more accurate picture to report.
Using the benefit for care at home
The additional payment can help cover home health aides, adult day programs, assisted living costs or support for a family member who provides care. It does not replace medical treatment, but it can make it possible for someone with mesothelioma to stay at home longer and more comfortably. Some families combine it with VA caregiver support programs or community services such as meal delivery. Keep receipts and records of care expenses, especially if pension-based benefits are involved, since unreimbursed medical and care expenses can affect how the VA counts income when deciding eligibility.
What to do next
- 1
Keep a written log of daily activities where the veteran or survivor needs help.
- 2
Ask the treating physician to complete the VA's medical examination form for this benefit.
- 3
Ask a service officer whether the benefit applies through compensation or pension.
- 4
Save receipts for home care and medical expenses in case they affect eligibility.
Questions
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