The U.S. Department of Veterans Affairs (VA) is probably most well-known for providing veterans with health care coverage and medical services, but the VA also offers a wide array of other benefits to servicemembers and their families. One such program offers qualifying vets a monthly monetary benefit to supplement their income. This benefit is known as the basic veterans pension.
An “improved” version of the basic pension called the “housebound” pension is available to veterans who have limited income and are confined to their immediate premises due to a permanent disability. These funds can help offset the everyday costs of living and the costs of long-term care, which can be provided in a veteran’s home or in a residential setting, such as an independent living community or an assisted living facility.
Eligibility Requirements for the Housebound Pension
There are several eligibility requirements that veterans must meet to qualify for the housebound pension program. The first and simplest requirement is that a veteran must have received a discharge other than dishonorable. Because the housebound pension is an “improved” version of the basic veterans pension, many of the qualifications are the same except for additional functional requirements.
Wartime Service Requirements
The veteran must have served at least 90 days of active military, naval or air service, with at least one day taking place during a recognized period of war. The VA recognizes the following wartime periods:
- Mexican Border Period: May 9, 1916 – April 5, 1917, for Veterans who served in Mexico, on its borders or on adjacent waters
- World War I: April 6, 1917 – November 11, 1918
- World War II: December 7, 1941 – December 31, 1946
- Korean Conflict: June 27, 1950 – January 31, 1955
- Vietnam Era: February 28, 1961 – May 7, 1975, for Veterans who served in the Republic of Vietnam during that period; otherwise August 5, 1964 – May 7, 1975
- Gulf War: August 2, 1990, through a future date to be set by law or Presidential Proclamation
(Veterans who entered active duty after September 7, 1980, must have either served 24 months or the full period for which they were called into active duty with at least one day during a wartime period defined above.)
Because this pension is intended to supplement the income of financially needy veterans, it makes sense that the VA requires applicants to demonstrate their financial need.
Prior to October 18, 2018, the VA used a household income cap to determine if applicants were eligible for pension and, if so, the amount they were eligible to receive. There was no set maximum amount of assets that an applicant could have, which resulted in claims processors inconsistently and arbitrarily approving and denying applications. To eliminate these inconsistencies, the VA has switched to using an applicant’s net worth to determine financial eligibility.
The VA chose to use Medicaid’s maximum community spouse resource allowance (CSRA) as the new bright-line net worth limit for needs-based benefits like the veterans pension. As of October 2018, the maximum CSRA is $123,600. Like social security benefits and the CSRA, a cost-of-living adjustment will be made annually to the VA’s net worth limit to ensure these numbers keep pace with inflation. In order to qualify for a VA pension under the new rules, an applicant’s net worth (assets plus annual income) must be less than or equal to the maximum CSRA.
Certain assets are not included in the VA’s net worth calculation, such as an applicant’s primary residence of any value (regardless of whether they currently live there, in a family member’s home or in a long-term care facility) and an applicant’s personal effects that are “consistent with a reasonable mode of life” (a car, household appliances, furniture, etc.). However, there is a two-acre limit to the size of the lot area upon which an applicant’s primary residence is located. Any additional marketable acreage is considered an asset by the VA.
Additionally, unreimbursed medical expenses that exceed five percent of the current maximum annual pension rate (MAPR) are used to reduce an applicant’s countable income. At first glance, an applicant may appear to have excessive income and assets, but if he or she is very ill and requires extensive care, these medical expenses can greatly reduce his or her financial resources. Factoring in high health care costs allows veterans in need to qualify financially for benefits like the A&A improved monthly pension.
The VA will calculate (or recalculate) a claimant's net worth when it receives a new pension claim, a secondary claim following a period of non-entitlement, a request to establish a new dependent, or finds information that an applicant’s net worth has increased or decreased. An example of a change in information would be the income tax reporting that is required whenever anyone sells real estate, such as a house.
Keep in mind that beginning October 18, 2018, the VA has established a 36-month look-back period for disqualifying transfers and an associated penalty period not to exceed five years for applicants who dispose of assets for less than fair market value in an attempt to qualify for pension. For more information on VA rule changes and financial eligibility requirements, read Needs-Based VA Benefits Get New Eligibility Rules.
The VA enforces certain functional requirements for recipients of this pension as well to ensure that vets who are unable to work, whether due to disability or age, receive the financial assistance they deserve. An eligible applicant must meet at least ONE of the following criteria for the basic pension:
- Be at least 65 years old.
- Be permanently and totally disabled (non-service-connected).
- Live in a nursing home.
- Receive Social Security Disability Insurance (SSDI).
- Receive Supplemental Security Income (SSI).
Because the housebound pension is specifically intended to help ill, disabled and aging veterans pay for the high level of care they need, applicants must also prove that they have significant difficulty getting around and are generally unable to leave their home. This evidence is typically provided in the form of a statement written by an attending physician.
For example, if a veteran can manage his or her own activities of daily living (ADLs), but requires oxygen therapy, has difficulty walking, and cannot drive, they have a considerable physical and financial burden when it comes to venturing outside. These functional limitations would qualify the veteran for the housebound benefit.
How Veterans Can Use Pension Funds
Veterans pensions are paid out on a monthly basis, considered tax-free income and can be used however the recipient sees fit. For example, pension funds can help cover the costs of housing, food, medical expenses, in-home care services, long-term care, clothing, bills, specialized transportation, etc. VA pension funds can even be used to pay a family caregiver to provide services using a personal care agreement.
How to Apply for VA Pension
Although many veterans are eligible for pensions, navigating the filing process is often overwhelming and frustrating. If you think you or a veteran you know may qualify for a veterans pension, the first step is to locate discharge papers (also known as DD Form 214.)
Many veterans have misplaced their discharge records, but there are a couple of options for tracking them down. The first place to look is at the county courthouse where many vets filed their discharge records upon returning home from active duty. If you do not have access to or cannot find this document, it is also possible to submit an online request through the National Archives eVetRecs site or submit a request via mail or fax using a SF-180 form. Certain fees may apply for requesting replacement documents. Emergency requests can be made, but regular turn-around times can be as long as 90 days.
Veterans filing for the housebound pension will also need to complete and gather the following:
- VA Form 21-527EZ (Application for Pension)
- Additional personal and household evidence including proof of income, net worth information, and all relevant medical records or where to find them (specifics are outlined in the beginning pages of the above form).
- VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance)
- A detailed statement from an attending physician attesting to the veteran’s level of mobility and describing their daily schedule and movements as well as their ability to leave their home.
Where to Find Help Applying for VA Benefits
Including specific and comprehensive information in a VA application is crucial for timely processing and determination of benefits, but many families need help locating and compiling the necessary paperwork. Accredited veteran service organizations (VSOs) like regional offices of the American Legion, Disabled American Veterans (DAV) and Veterans of Foreign Wars (VFW) can provide this assistance free of charge.
Once an application is submitted, there is a waiting period before a veteran will receive an approval or denial. The amount of time varies according to the backlog of claims the VA is processing, but the average wait time is usually a few months. However, longer waits are to be expected if a vet files an incomplete or incorrect application.