What is A&A?


A&A is aid and attendance, which is paid for both pension and compensation. The claimant must show the need and entitlement to qualify for A&A benefits. The VA regulations state the following will be accorded consideration in determining the need for regular aid and attendance:


The inability of claimant to dress or undress himself (herself), or to keep himself (herself) ordinarily clean and presentable; frequent need of adjustment of any special prosthetic or orthopedic appliances which by reason of the particular disability cannot be done without aid, inability of claimant to feed himself (herself) through loss of coordination of upper extremities or through extreme weakness; inability to attend to the wants of nature; or incapacity, physical or mental, which requires care or assistance on a regular basis to protect the claimant from hazards or dangers incident to his or her daily environment.


After it has been determined the claimant meets the need for regular aid and attendance, them a determination of entitled must be made.


There are different criteria for pension and compensation to determine if you are entitled to A&A. Compensation is paid for an injury or disease caused by service no matter what your income. Then to be entitled to higher compensation based on A&A the disability that causes the need for regular aid and attendance must also be service connected. This means a veteran 50% service connected for hearing loss whom is blind NLP but not service connected for sight is in need for regular aid and attendance based on blindness but not entitled to higher compensation because his blindness is not service connected.


The same veteran whom may not be entitled to higher compensation may be entitled to a Special monthly pension with A&A. As shown above he is in need for regular aid and attendance based on blindness. A non-service connected pension is paid as a low-income supplement. If this veteran’s income is below VA guidelines then he is entitled to a Special monthly pension with A&A. Depending on the veteran’s income and other service-connected disabilities, a pension with A&A could pay a higher rate.


Note: 5/200 both eyes or nursing home care is an automatic qualification in determining the need for regular aid and attendance. If the veteran meets either of these criteria then the only determination is if the veteran is entitled to A&A for compensation and or pension.



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