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    Aid & Attendance and Housebound Benefits

    Last updated: May 2026
    General education only. This page describes how VA generally evaluates these claims under federal regulations. It is not legal advice and is not a recommendation about any individual claim. Every veteran's facts and evidence are different — for guidance on a specific situation, speak with a VA-accredited representative.

    Required Forms

    VA Form 21-2680

    Examination for Housebound Status or Permanent Need for Regular Aid and Attendance

    VA.gov

    VA Form 21-0779

    Request for Nursing Home Information in Connection with Claim for Aid and Attendance

    VA.gov

    Two separate programs that share the same name

    A&A appears in two distinct VA contexts. For non-service-connected wartime veterans on (or surviving-spouse Survivors Pension), A&A and Housebound are higher monthly payment rates added on top of the basic pension. For service-connected veterans, A&A appears as under 38 CFR § 3.350.

    Aid & Attendance eligibility

    • Requires the regular aid of another person with at least two activities of daily living (bathing, dressing, eating, toileting, transferring, or medication management).
    • OR: bedridden — confined to bed because of disability.
    • OR: residing in a nursing home due to mental or physical incapacity.
    • OR: blindness defined as 5/200 visual acuity or less in both eyes, or concentric contraction of the visual field to 5° or less.

    Housebound eligibility

    • A single permanent disability rated at 100% plus an additional disability rated at 60% or higher, OR
    • Substantially confined to the home or immediate premises due to permanent disability.

    How to apply

    Pension claimants apply on VA Form 21P-527EZ and submit completed by their physician. Service-connected veterans seeking -based A&A submit a for increased compensation with VA Form 21-2680 as supporting medical evidence.

    Frequently Asked Questions

    Useful Tools & Topics

    Have questions about your specific case?

    Every veteran's facts are different. A free initial consultation with a VA-Accredited Claims Agent can tell you whether your matter is a fit for representation — and what the right next step looks like either way.

    Disclaimer: This page is for educational purposes only and does not constitute legal advice. Oakridge Claims is a private business and is not affiliated with, endorsed by, or operated by the U.S. Department of Veterans Affairs. No guarantees of outcomes are made. Each claim is decided on its individual facts.

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