This page is about the pension add-on. For the compensation version for service-connected veterans, see special monthly compensation.
What it is
Aid and Attendance and Housebound are higher pension rates. Aid and Attendance is for a veteran who needs another person's help. Housebound is for a veteran who is mostly confined to home. You cannot get both at the same time. VA's form page says the benefit is added to monthly compensation or pension. Base Veterans Pension rules are on the Veterans Pension page.
Who qualifies
VA says you must get a VA pension and meet one of these.
Aid and Attendance, at least one of:
You need another person to help with daily activities like bathing, feeding and dressing.
You need extended bed rest because of illness.
You live in a nursing home because of a physical or mental disability.
Your eyesight is 5/200 or worse in both eyes, or your visual field is contracted to 5 degrees or less.
Housebound: you spend most of your time in your home because of a permanent disability.
Who qualifies
Your eyesight is 5/200 or worse in both eyes, or your visual field is contracted to 5 degrees or less. Housebound: you spend most of your time in your home because of a permanent disability.VA: Aid and Attendance and Housebound benefits · Page reviewed September 2026.
What it pays
The maximum rates for basic pension, Housebound and Aid and Attendance, and how VA figures your actual payment, are on the Veterans Pension page.
How to apply, step by step
Have a VA pension or apply for pension at the same time (see the Veterans Pension page).
Have your doctor or medical examiner complete VA Form 21-2680, Examination for Housebound Status or Permanent Need for Regular Aid and Attendance.
If you live in a nursing home, the facility also completes VA Form 21-0779.
Send it: online (a medical examiner completes the exam section), by mail to the Pension Intake Center (address on the Veterans Pension page), or in person at a VA regional office.
VA pensionVA Form 21-2680
nursing homeVA Form 21-0779
onlinein person
Traps
Without a VA pension you do not qualify for this pension add-on.
VA processes claims in the order received unless a claim needs priority. VA gives no processing time on this page, so ask the hotline for your claim status.
Income and net worth limits still apply (see the Veterans Pension page).