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Payment Guide · VA Aid & Attendance

VA Aid & Attendance for Home Care in Southeast Michigan

VA Aid & Attendance is a monthly pension add-on that helps a wartime veteran or surviving spouse pay for in-home care. 2026 maximums are roughly $2,358/mo for a single veteran, $2,795/mo for a veteran with spouse, and $1,515/mo for a surviving spouse. Southeast Michigan Personal Care runs $29–$37/hr.

2026 Monthly Benefit Maximums

2026 Aid & Attendance maximum monthly payments are $2,358 for a single veteran, $2,795 for a veteran with one dependent, and $1,515 for a surviving spouse. Amounts adjust each December with the VA cost-of-living adjustment; actual payment depends on countable income minus unreimbursed medical expenses. See the official VA Aid & Attendance benefit page and current VA pension rates for authoritative figures.

Single Veteran

~$2,358/mo

Wartime veteran needing daily hands-on help with ADLs.

Veteran + Spouse

~$2,795/mo

Wartime veteran with a spouse; either or both need ADL help.

Surviving Spouse

~$1,515/mo

Surviving spouse of a qualifying wartime veteran, needing ADL help.

Who Qualifies

A veteran or surviving spouse must meet the wartime service, discharge, medical-need, and income/asset tests. The medical-need test is usually the fastest to document — a home-care agency can help.

  • At least 90 days of active duty with 1+ day during a declared wartime period.
  • Discharge under conditions other than dishonorable.
  • Needs help with 2 or more Activities of Daily Living (bathing, dressing, toileting, transferring, eating, continence) — or is bedridden, in a nursing home, or legally blind.
  • Meets VA income and asset limits (net worth ceiling adjusts annually).

How A&A Stacks With Other Funding

At Southeast Michigan Personal Care rates ($29–$37/hr), a $2,795 veteran-with-spouse benefit covers roughly 18–24 hours of care per week. Most families stack A&A with long-term care insurance and private pay to cover the full week. We accept private-pay clients using A&A funds and provide the itemized invoices the VA requires.

See also: Paying for Home CareMedicare Advantage & Home Care

FAQ

Frequently Asked Questions

A monthly pension add-on for wartime veterans and surviving spouses who need help with ADLs. It can be used to pay a home care agency directly.
A wartime veteran (90+ days active duty with at least 1 day during a wartime period) or their surviving spouse who needs help with 2+ ADLs and meets income/asset limits.
Roughly $2,358/mo for a single veteran, $2,795/mo for a veteran with spouse, and $1,515/mo for a surviving spouse. Amounts adjust annually.
Most claims are decided in 3–6 months. Benefits are retroactive to the application date once approved.
Aid & Attendance is for veterans who need daily hands-on help. Housebound is for veterans confined to the home but not requiring help with ADLs. A&A pays more.
Yes. Families commonly stack A&A + LTC insurance + private pay to cover full weekly hours of home care.
Yes. We accept private-pay clients using A&A funds, provide the itemized invoices the VA requires, and coordinate with accredited VA claims agents when needed.
At Southeast Michigan Personal Care rates ($29–$37/hr), a $2,795 veteran-plus-spouse benefit covers roughly 18–24 hours per week. Most families stack it with other funds.