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Vet Assistance for Alzheimer's and Dementia Care

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Here are some commonly asked questions and answers regarding assistance for vets with Alzheimer's or dementia:

Question: My father is a veteran of World War II and has now been diagnosed with Alzheimer’s disease. What services does the VA provide for persons with dementia, and how do we apply for them?

Answer: Your father may be entitled to:

Services. Eligible veterans with dementia who seek care from the VA participate in the full range of health care services including in-home, community-based, outpatient, and inpatient acute care and extended care services. Services may include:

  • Home based primary care: Homemaker/home health aide, respite, adult day health care, outpatient clinic, inpatient hospital, nursing home, or hospice care.
  • In addition to general care for veterans with dementia in VA outpatient and inpatient settings, some VA facilities have developed specialized dementia care programs such as an outpatient Dementia Clinic or an inpatient Dementia Unit.

Application. There are no separate VA eligibility criteria for dementia. The standard eligibility criteria and application process should be followed.

  • Enroll the veteran for VA medical services. Call toll-free 1-877-222-VETS (1-877-222-8387), or complete an online enrollment application form, or call your nearest VA Medical Center or VA Community-Based Outpatient Clinic and ask for an enrollment coordinator. 
  • Talk with a patient care coordinator (usually a social worker) at the VA facility of your choice to determine what services are appropriate and available for your situation.  Depending on the enrolled veteran’s priority group, there may be a co-payment requirement for certain services. The care coordinator can discuss options, help find what you need, and explain any co-payment requirements. The prescription benefit is not separate from medical care. The veteran must be seen by a VA or VA-authorized physician to receive medication from a VA pharmacy. There are prescription co-pays, depending on the veteran’s priority group and income.

State Veterans Home Program. State Veterans Homes are owned and operated by individual States. States establish admission criteria and may charge veterans for their care. They may provide a variety of extended care services, including adult day health care, domiciliary, and nursing home care.

VA pays part of the daily costs of care (per diem) for veterans admitted to a State Veterans Home, not to exceed 50% of the State’s costs. Application for admission to a State Veterans Home is made directly to the State. The veteran need not be enrolled in the VA health care system in order to access State Veterans Home services but must be eligible to obtain VA per diem payments. Contact your State Department of Veterans Affairs for more information on the State Veterans Home program, including residency and other admission requirements, as well as any specialized services for Alzheimer’s/dementia care. A list of State Veterans Homes is also available from the National Association of State Veterans Homes.

Question: My mother is the widow of a World War II veteran, and she has Alzheimer’s disease. Does the VA have nursing home or other services for her?

Answer: VA health benefits are for veterans, not for non-veteran spouses. However, there are other programs that might be relevant to your mother’s situation. Check the following websites for more information on these programs: 

VA Non-Medical Benefits: http://www.vba.va.gov 1-800-827-1000. 

CHAMPVA and CHAMPVA for LIFE (CFL) healthcare benefits for dependents and spouses of certain veterans: www.va.gov/hac/forbeneficiaries/champva/champva.asp

TRICARE and TRICARE for Life (TFL) healthcare benefits for military retirees, their families and survivors.  

VA Medical Center locations and phone numbers. 

State Veterans Home Program. State Veterans Homes are owned and operated by individual States. States establish admission criteria and may charge for care provided. They may provide a variety of extended care services, including adult day health care, domiciliary, and nursing home care. Some State Homes admit spouses of veterans, although neither the VA nor States provide funding for such non-veteran family members. Thus, your mother would be private pay. Application for admission to a State Veterans Home is made directly to the State.

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Spiritcat said
Jan 27, 2010

This omits a very important bit of information and that is the financial. It is very unclear to me what the financial limitations are, that is, whether assets or income of family members directly affect benefits and how much. The vet I have in mind was on active duty in a war zone in WWII.

mitzipinki said
Jan 27, 2010

I am currently going through this with an elder attorney. For mine there are financial requirements. Through a VA analysis my attorney had done, there was a value set that my parents are allowed to have.

This next part is where you need to pay REALLY close attention. If I hadn't caught this it could be a whole different ball game. When the attorney was talking, I was under the impression (through his fast talk) that medicaid was part of setting up the VA benefits.

Through a miracle of God's covering (too long to tell here), I discovered Medicaid was a whole separate issue where the government helps to pay for nursing care IF your parents need it.

Here's the problem I had. The attorney was "assuming" I wanted the government to provide for my parents. That's an individual's choice. Mine wanted to preserve my inheritance and let the government take care of mom and dad (yes, his own words).

I proceeded to explain to the attorney that I was private paying now and due to correctly placed investments, their assisted living would continue to be paid for and protected.

We disagreed on issues, but I say all that to say this.... ask a LOT of questions. Know in your mind what and how you want to take care of your parents. Make sure you separate issues, ask yourself the tough questions.

I'm not saying that my choice is right for anyone, but based on my beliefs of our government and country and God as the fore runner of it all... my choice was quite clear.

Just be careful... and be prepared for paperwork galore when it comes to VA benefits, but its definitely worth it and your loved one EARNED IT!

God bless!

arose4yu said
Jan 27, 2010

also ask the VA about Aid and Attendance which is an "enhancement" to their existing benefits

RightatHome said
Feb 5, 2010

Good point arose4yu,

I work on a blog about eldercare and in-home care. VA benefits are some of the best out there from a long-term or in-home care perspective. But as you said, it is important to ask about Aid and Attendance benefits.

For more information on taking advantage of VA benefits, check out our blog at www.rightathome.net/seniorhomecare.

Best,
Bill

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