Veterans Home Care New Hampshire
Veterans in New Hampshire have several home care options. The VA Aid and Attendance benefit provides a monthly pension supplement for wartime Veterans and surviving spouses who need help with daily activities at home. VA Community Care Network (CCN) connects eligible Veterans with in-home care services. The New Hampshire Veterans Home in Tilton offers residential care for those who can no longer live independently.
| Item | Details |
|---|---|
| Primary Benefit | VA Aid and Attendance (A&A) |
| Eligibility | Wartime Veteran or surviving spouse needing help with daily activities |
| Income Limits | Net worth limit: $159,240 (2025); medical expenses deductible |
| Application | VA Form 21-2680; online, by mail, or in person |
| Processing Time | Varies; claims processed in order received |
| Official Agency | U.S. Department of Veterans Affairs (VA) |
| Required Forms | VA Form 21-2680; VA Form 21-0779 if in nursing home |
| Updated For | 2026 |
What Is VA Aid and Attendance?
VA Aid and Attendance (A&A) is a special monthly pension benefit paid in addition to the basic VA pension. It is for wartime Veterans and surviving spouses who need regular help with daily activities like bathing, dressing, or eating, or who are housebound or in a nursing home .
This benefit helps cover the cost of in-home care, assisted living, or nursing home care. It is tax-free and does not need to be reported on your tax return .
A&A is an “enhanced” or “special monthly” pension benefit. This means you must first qualify for the basic VA pension before you can receive A&A payments. The additional monthly payment is added to your regular pension amount .
Who Qualifies for VA Aid and Attendance in New Hampshire?
To qualify for A&A in New Hampshire, you must meet the same eligibility rules as all other states. You must be a wartime Veteran or surviving spouse who receives a VA pension and needs help with daily activities .
Basic Pension Eligibility Requirements
You must first qualify for VA pension benefits :
Wartime service: At least 90 days of active duty, with at least one day during a wartime period
Discharge: Under conditions other than dishonorable
Age or disability: Age 65 or older, OR totally and permanently disabled, OR a patient in a nursing home, OR receiving Social Security Disability Insurance or Supplemental Security Income
Income and net worth: Below VA limits
Care Requirements for A&A
You must meet at least one of these requirements :
Need help with daily activities: Another person must help you bathe, feed, dress, use the bathroom, or protect you from hazards
Bedridden: Your disability requires you to stay in bed (except for prescribed treatment)
Nursing home patient: You are in a nursing home due to mental or physical incapacity
Vision limitation: Corrected visual acuity of 5/200 or less in both eyes, or visual field contraction to 5 degrees or less
Housebound Benefits
Veterans May Qualify for Extra Benefits
Check available financial assistance, healthcare programs and other opportunities that may apply to you.
Check EligibilityIf you spend most of your time in your home because of a permanent disability, you may qualify for Housebound benefits instead. You cannot receive A&A and Housebound benefits at the same time .
Income Limits and Net Worth for A&A
For 2025, the VA net worth limit for pension and A&A benefits is $159,240. This includes your assets and annual income, but excludes your primary residence, one vehicle, and basic household items .
Important: Even if your income appears above the limit, you may still qualify. VA deducts unreimbursed medical expenses from your countable income. This includes the cost of in-home care, assisted living, or nursing home care. These deductions can bring your income below the threshold and make you eligible .
2025 Maximum A&A Payment Rates
| Recipient Type | Maximum Monthly Payment |
|---|---|
| Veteran with no dependents | $2,311 |
| Veteran with one dependent | $2,744 |
| Veteran with two dependents | $3,029 |
| Two veterans married to each other | $2,744 |
| Surviving spouse with no dependents | $1,511 |
| Surviving spouse with one dependent | $1,802 |
These are maximum rates. Your actual payment depends on your income and medical expenses. VA pays the difference between your countable income and the maximum rate .
How to Apply for VA Aid and Attendance in New Hampshire
You can apply for A&A benefits online, by mail, or in person at a VA regional office. You must complete VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance) .
Application Steps
Step 1: Gather required documents.
DD-214 or separation papers
Medical evidence showing your need for A&A
Financial information (income and assets)
VA Form 21-2680
Step 2: Complete VA Form 21-2680.
A medical examiner must fill out the examination information section .
Step 3: If in a nursing home, complete VA Form 21-0779.
This form is filled out by the nursing home official to verify your status .
Step 4: Submit your application.
Online: Apply through VA.gov
By mail: Mail completed forms to: Department of Veterans Affairs, Pension Intake Center, PO Box 5365, Janesville, WI 53547-5365
In person: Bring your information to a VA regional office
Step 5: Wait for decision.
VA processes claims in the order received, unless priority processing applies .
VA Community Care Network and In-Home Care in New Hampshire
The VA Community Care Network (CCN) connects eligible Veterans with in-home care services from approved providers in New Hampshire. Services may be covered by VA when eligibility requirements are met .
VA-authorized home care services may include :
Personal hygiene assistance (bathing, dressing, grooming)
Meal preparation and feeding
Mobility assistance and fall prevention
Homemaking and light housekeeping
Emotional support and companionship
Approved VA Home Care Providers in New Hampshire
Senior Helpers of Southern New Hampshire is an approved VA provider serving Veterans throughout Southern New Hampshire. They offer companion care and specialized care for Alzheimer’s, dementia, and Parkinson’s .
Guardian Home Care of NH works with the VA Community Care Network to coordinate in-home care for eligible Veterans. They help with VA benefits guidance, care coordination, and in-home support .
How CCN Works
VA reviews eligibility and approves the type and number of services
Provider coordinates with VA to confirm the care plan and schedule
In-home assessment is conducted to create a personalized care plan
Care begins based on the VA-approved plan
New Hampshire Veterans Home in Tilton
The New Hampshire Veterans Home (NHVH) in Tilton provides long-term residential, medical, and nursing care for honorably discharged Veterans. It is licensed for 250 residents and uses VA grant funding to offset costs .
NHVH Eligibility Requirements
To be eligible for NHVH :
Must have served on active duty in the U.S. Armed Forces, reserve units, or NH Army/Air National Guard
Must have been honorably discharged
Must have been a New Hampshire resident for at least one year before application (waivers available for Veterans whose home of record upon discharge was NH)
Services at NHVH
NHVH provides :
Nursing care
Assisted living
Domiciliary care
Day care
Dementia services
Chemical dependency services
Psychiatric services
NHVH Admission Process
The admission process has been reduced from one year to three to six months . As of March 2025, NHVH had 135 residents, with 6 approved Veterans waiting for an opening and 33 applications in process .
Contact: NHVH Admissions Office
Location: Tilton, NH
Comparison: Home Care Options for NH Veterans
| Option | Eligibility | Coverage | Application |
|---|---|---|---|
| VA Aid & Attendance | Wartime Veteran/surviving spouse needing daily help | Monthly pension supplement (up to $3,029 for Veterans) | VA Form 21-2680 |
| VA Community Care (CCN) | VA-enrolled Veterans with approved care needs | In-home care services through approved providers | VA referral |
| NH Veterans Home | Honorably discharged NH resident Veterans | Long-term residential and nursing care | NHVH application |
| Private Home Care | Any Veteran | Out-of-pocket or long-term care insurance | Direct with provider |
Common Mistakes to Avoid
Mistake 1: Assuming you are automatically enrolled in A&A when you receive a pension. A&A is not automatic. You must apply separately and provide evidence of your need for care .
Mistake 2: Thinking your income disqualifies you. Unreimbursed medical expenses (including home care costs) are deducted from countable income. Many Veterans qualify even with income above the threshold .
Mistake 3: Applying for both A&A and Housebound benefits. You cannot receive both at the same time. Choose the one that applies to your situation .
Mistake 4: Waiting too long to apply. VA processes claims in order received. Apply as soon as you need care.
Mistake 5: Not using VA Form 21-0779 if in a nursing home. This form is required for nursing home patients to verify status and determine payment rate .
Common Questions
What is VA Aid and Attendance?
VA Aid and Attendance is a special monthly pension benefit for wartime Veterans and surviving spouses who need help with daily activities like bathing, dressing, or eating. It is paid in addition to basic VA pension. The benefit helps cover the cost of in-home care, assisted living, or nursing home care .
Who qualifies for A&A in New Hampshire?
You must be a wartime Veteran or surviving spouse receiving VA pension, and you must need help with daily activities, be bedridden, be in a nursing home, or have severely limited vision. You must also meet income and net worth limits. The rules are the same in all states .
How much does A&A pay in 2025?
For 2025, the maximum monthly payment for a Veteran with no dependents is $2,311. A Veteran with one dependent can receive up to $2,744. A surviving spouse with no dependents can receive up to $1,511. Your actual payment depends on your income and medical expenses .
What form do I need to apply for A&A?
You need VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance). A medical examiner must complete the examination section. If you are in a nursing home, you also need VA Form 21-0779 .
Where do I mail my A&A application?
Mail completed forms to: Department of Veterans Affairs, Pension Intake Center, PO Box 5365, Janesville, WI 53547-5365. You can also apply online through VA.gov or in person at a VA regional office .
Does VA provide in-home care in New Hampshire?
Yes. The VA Community Care Network (CCN) connects eligible Veterans with in-home care services from approved providers like Senior Helpers of Southern New Hampshire and Guardian Home Care of NH. Services may be covered by VA when eligibility requirements are met .
What is the New Hampshire Veterans Home?
The New Hampshire Veterans Home in Tilton is a state-operated long-term care facility for honorably discharged Veterans. It provides nursing care, assisted living, dementia care, and other services. It is licensed for 250 residents .
How do I apply to the NH Veterans Home?
Contact the NHVH Admissions Office in Tilton. An application is completed by the Veteran or a representative. The process takes three to six months. Required documentation includes your DD-214 and proof of NH residency .
Can surviving spouses get A&A benefits?
Yes. Surviving spouses of wartime Veterans may qualify for A&A if they need help with daily activities and meet income limits. The maximum monthly payment for a surviving spouse with no dependents is $1,511 in 2025 .
What is the net worth limit for A&A?
The 2025 VA net worth limit is $159,240. This includes assets and annual income but excludes your primary residence, one vehicle, and basic household items. Unreimbursed medical expenses are deducted from countable income .
Key Takeaways
VA Aid and Attendance is a monthly pension supplement for wartime Veterans and surviving spouses who need help with daily activities
2025 maximum payment for a Veteran with no dependents is $2,311 per month; surviving spouse is $1,511
Net worth limit for 2025 is $159,240; medical expenses reduce countable income
Apply with VA Form 21-2680; nursing home patients also need VA Form 21-0779
VA Community Care Network connects NH Veterans with in-home care providers
New Hampshire Veterans Home in Tilton provides long-term care for eligible Veterans
A&A is not automatic—you must apply and provide evidence of need
You cannot receive A&A and Housebound benefits simultaneously
NH residency required for the state Veterans Home (waivers available for some)
Call 800-827-1000 for A&A application assistance
Official Resources
VA.gov Aid and Attendance: https://www.va.gov/pension/aid-attendance-housebound/
VA Form 21-2680: https://www.va.gov/forms/21-2680/
VA Form 21-0779: https://www.va.gov/forms/21-0779/
VA Benefits Hotline: 800-827-1000
New Hampshire Veterans Home: Tilton, NH
NH Department of Military Affairs and Veterans Services: https://www.dmavs.nh.gov
Veterans Crisis Line: 988 (press 1), Text 838255
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📌 Information provided as of June 2026. Always verify current eligibility and rules with official .gov sources.
This site is not affiliated with the U.S. Department of Veterans Affairs or any government agency. All information is for educational purposes only. Please visit VA.gov for official information.
