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VA Aid and Attendance Eligibility

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Quick answer

VA Aid and Attendance eligibility requires 90+ days of active duty with at least one day during a wartime period, an other-than-dishonorable discharge, a demonstrated care need, and income and net-worth within VA limits. Surviving spouses of qualifying veterans may also be eligible, per the VA.

Wondering if you qualify? Here are the four pillars of VA Aid and Attendance eligibility in 2026.

The service requirement

To be eligible, a veteran must generally have served at least 90 days of active duty, with at least one of those days falling during a VA-recognized wartime period such as World War II, Korea, Vietnam, or the Gulf War era. A discharge under conditions other than dishonorable is required. Combat service is not necessary; stateside or support roles during wartime can still satisfy the rule. Surviving spouses qualify based on the deceased veteran's service. If you are unsure whether your service dates fall within a wartime window, call 1-800-MEDIGAP and a licensed advisor can check for you.

The care-need and financial requirements

Beyond service, you must show a medical need, such as requiring help with bathing, dressing, eating, or medications, being bedridden, living in a nursing home, or having severely limited eyesight. You must also meet the VA's income and net-worth limits. Importantly, the VA subtracts unreimbursed medical and care expenses from your income, so many seniors with significant care costs qualify even with moderate income. A 36-month look-back period reviews asset transfers. Because these rules interact, professional guidance helps. Call 1-800-MEDIGAP to see where you stand.

More on VA Benefits for Seniors

Frequently asked questions

What wartime periods qualify for Aid and Attendance?+

VA-recognized wartime periods include World War II, the Korean War, the Vietnam War era, and the Gulf War era, among others. You need at least one day of active duty during such a period, plus 90+ total days of service. Call 1-800-MEDIGAP to confirm your dates qualify.

Is there an age requirement for Aid and Attendance?+

Pension applicants are generally eligible at age 65 or older, or at any age if permanently and totally disabled. Aid and Attendance itself is based on care need rather than age. Most recipients are seniors. Call 1-800-MEDIGAP to review your specific eligibility.

What disqualifies someone from Aid and Attendance?+

Common disqualifiers include insufficient wartime service, a dishonorable discharge, income or net worth above VA limits, or no qualifying care need. Asset transfers within the 36-month look-back can also create penalties. Call 1-800-MEDIGAP to identify and address any obstacles before you apply.

Can I qualify if I have a pension or 401(k)?+

Possibly. Retirement income counts toward the income test, but high unreimbursed medical and care costs are subtracted, which can bring countable income low enough to qualify. Net worth is also reviewed. Call 1-800-MEDIGAP to run the numbers for your household.

Does a surviving spouse meet eligibility on their own service?+

No. A surviving spouse qualifies based on the deceased veteran's wartime service, provided they were married at the time of death and have not remarried. The spouse must still meet care-need and financial limits. Call 1-800-MEDIGAP to check surviving-spouse eligibility.

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VA Aid and Attendance Eligibility Rules | 1-800-MEDIGAP