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https://www.agingcare.com/articles/veteran-aid-attendance-benefit-long-term-care-156656.htm
Also, search Aid and Attendance in the agingcare.com search box for more articles.
Sam, your husband is receiving health care through the VA Medical Center in Manchester, NH, in that he has a primary care physician there. That's how he gets his medications through them. As such, your husband may be able to receive home health aid services through the VA paid for and contracted by the VA. Contact either his primary care physician or a social worker in the primary care division of the VA Medical Center and discuss options available. Because the VA health system recently had a budget scare, it's hard to say whether or not the Manchester VA Medical Center will have the resources available to provide in home care. Our understanding is that these funds are limited. However, calling the social worker in the primary care division is key - other social workers in the building may not have the full details as we learned. A good list of options available is the list of links in this blog posting from a couple of years ago:
http://www.blogs.va.gov/VAntage/10562/va-provides-long-term-care-options-to-veterans/
When our elderly LOs were still in their home, the home health company providing a few hours per week through the county wanted us to pursue VA funding through the VA Medical Center to increase their hours and services provided. Our situation was fairly unique and we were unable to fully pursue this avenue on our end.
As with most things with the VA, sometimes the amount of medical services available depends on the veteran's compensated disability rating determined by another part/agency within the VA. Sam, does your husband have a disability rating? When dealing with VA medical, for instance, enrollment is top priority and there are no out-of-pocket costs for veterans rated disabled at 50% or higher. For veterans rated at 70% or higher, they can use VA nursing homes. The rating process is painful and often requires the help of either a knowledgeable veteran or a National Service Officer as Twopupsmom offered.
The same entity within the VA that determines and administers disability compensation also determines and runs pensions. If your husband is unable to obtain in home care directly through the VA Medical Center, he may be able to obtain pension benefits through your VA Regional Office for you to pay for in home care (see the difference?). Disability compensation is provided for disabilities obtained during or as a result of having been in service. Pension benefits are for disabilities that are not the result of having been in service. For instance, there is an extensive and growing list of disabilities "presumed" to have been caused by exposure to Agent Orange in Vietnam. Perhaps your husband was injured or developed a chronic illness or condition while in the service? Those would be service related disabilities and the VA is obligated to pay for treatment of those disabilities through the VA medical system. Otherwise, to pay for the cost of health care, you would pursue the pension process. Talking with whatever veterans' organization your husband has been a part of in the past or currently is where we'd start on this process.
In closing, dealing with the VA can be a painfully complicated and difficult process, but is often worth it. Fortunately, Sam, your husband has an established relationship with the VA Medical Center in Manchester because he is enrolled and receives some level of services through them already, even if that's just prescription medicines. Rather than start with the VA Regional Office, start with the Medical Center and his primary care doctor or the primary care social worker. See what they can do directly first.
VFW Department Service Officer Norris Cotton Federal Building 275 Chestnut Street Manchester, NH 03101
Phone: 603 222-5780
Fax: 603 222-5783
E-Mail: [email protected]
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