VA Aid and Attendance in West Virginia is a federal pension benefit that adds money to a wartime veteran's monthly check when they need regular help with everyday tasks like bathing, dressing, or eating. For a veteran with a spouse, it can reach $2,874 a month ($34,488 a year) in 2026. It's one of the most underused VA benefits, and many West Virginia veterans and surviving spouses who qualify never apply because they don't know it exists.

This guide walks through who qualifies, how much you can receive, how to apply, and where to get free help filing in West Virginia, including from the West Virginia Department of Veterans Assistance and its accredited veteran service officers.

In This Guide

What Is Aid and Attendance?

Aid and Attendance (A&A) is an enhanced VA pension benefit for wartime veterans and their surviving spouses who need help with everyday activities. It isn't a separate program. It's an extra amount added on top of the base VA pension when you need regular care.

You may qualify if you need help with daily activities such as:

  • Bathing or showering
  • Dressing and undressing
  • Eating or preparing meals
  • Using the toilet
  • Adjusting prosthetic devices
  • Protecting yourself from everyday hazards

You can also qualify if you're bedridden, spend a large part of the day in bed because of illness, live in a nursing home due to mental or physical incapacity, or have severely limited eyesight (5/200 or less in both eyes).

A&A is tax-free, and the money can go toward any purpose, including in-home care, assisted living, or nursing home costs. That flexibility is part of what makes it so useful for West Virginia families piecing together long-term care.

Not sure whether your parent qualifies for Aid and Attendance? Check with Brevy's care navigator at brevy.com.

Do You Qualify?

To receive Aid and Attendance, you have to meet all four of these requirements.

1. Wartime service. The veteran must have served at least 90 days of active duty with at least one day during a recognized wartime period. Qualifying periods include World War II, the Korean War, the Vietnam War, and the Gulf War (which includes all post-9/11 service). Gulf War veterans need 24 months of continuous active duty, or the full period they were called up.

2. Age or disability. The veteran must be 65 or older, or permanently and totally disabled.

3. Need for assistance. The veteran or surviving spouse must need regular help with daily activities, be bedridden, be in a nursing home, or have severely limited eyesight as described above.

4. Net worth under $163,699. This is the 2026 limit. It counts your assets plus your annual income combined. Your primary home, one personal vehicle, and basic household items don't count.

Surviving spouses qualify too. If the veteran has passed away and the surviving spouse needs help with daily activities, they can apply for the Survivors Pension with Aid and Attendance, worth up to $1,558 a month in 2026.

2026 Aid and Attendance Rates

The VA calculates your payment as the difference between your countable income and the Maximum Annual Pension Rate (MAPR) for your category. If your income is low enough, you receive the full amount. These rates are federal, so they're the same in West Virginia as anywhere else.

Category Annual Rate Monthly Rate
Veteran, no dependents $29,093 $2,424
Veteran with spouse $34,488 $2,874
Two veterans married to each other (both A&A) $46,143 $3,845
Surviving spouse $18,697 $1,558
Veteran, no dependents (Housebound) $21,313 $1,776
Veteran, no dependents (basic pension) $17,441 $1,454
Each additional child +$2,984 +$249

Here's how the math works. If a veteran with a spouse has $12,000 in annual countable income and qualifies for A&A, the VA pays the difference: $34,488 minus $12,000 leaves $22,488 a year, or about $1,874 a month. Out-of-pocket medical expenses, including what you pay for care, reduce your countable income, which raises your benefit.

The Net Worth Limit and 3-Year Lookback

The 2026 net worth limit is $163,699. This combines your assets (savings, investments, and property other than your home) with your annual income.

What counts: bank accounts, stocks, bonds, investment property, IRAs, and other financial assets, plus your annual income.

What doesn't count: your primary residence, one personal vehicle, and basic household goods. The house you live in doesn't push you over the limit, which matters for the many West Virginia veterans who own their homes outright but live on a modest fixed income.

The 3-Year Lookback Rule

The VA reviews any assets you transferred for less than fair market value in the three years before you file your claim. If you gave away or sold assets below market value to get under the net worth limit, the VA may impose a penalty period of up to five years during which you won't receive pension benefits.

This rule exists to stop people from simply giving away savings to qualify. If you're thinking about transferring assets, talk to a VA-accredited attorney or an elder law attorney first. The penalty can be steep, so it's worth getting advice before you move money.

How to Apply for VA Aid and Attendance in West Virginia

The application takes two forms and a medical exam.

Step #1: Get a medical examination. Your doctor fills out VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance), documenting which daily activities you need help with and why. Be thorough. The more detail about specific limitations, the stronger the claim.

Step #2: Complete the pension application. If you're not already receiving VA pension, submit VA Form 21P-527EZ (Application for Veterans Pension), which covers your service history, income, net worth, and medical conditions.

Step #3: Submit everything. You can file online at va.gov, mail the forms, or file through an accredited representative such as a West Virginia veteran service officer. Filing online lets you save your progress and track the claim.

Step #4: Wait for a decision. The VA processes claims in the order received. Expect 3 to 6 months, sometimes longer. A complete application with strong medical documentation moves faster. Incomplete submissions are the most common reason for delays.

Documents to Gather First

  • DD-214 (discharge papers) showing wartime service dates
  • Medical records documenting the need for daily help
  • Income documentation (Social Security and pension statements)
  • Asset information (bank and investment statements)
  • Marriage certificate, if claiming as a veteran with a spouse
  • Death certificate, if applying as a surviving spouse

Free Help in West Virginia: WVDVA Veteran Service Officers

You don't have to file this claim alone, and you should never pay to file an initial VA claim. Free, accredited help is available across West Virginia.

The West Virginia Department of Veterans Assistance (WVDVA)

The West Virginia Department of Veterans Assistance, known as the WVDVA, is the state agency that connects veterans and their families to the federal, state, and local benefits they earned, including federal VA pension benefits like Aid and Attendance. The WVDVA doesn't decide your VA claim itself (the federal VA does that), but its accredited veteran service officers (VSOs) prepare and file claims and can represent veterans before the Veterans Benefits Administration, all at no cost. The department operates roughly 14 benefits offices across the state, plus a claims office in Huntington. A West Virginia VSO can prepare and submit your claim, develop the evidence the VA needs, and represent you on an appeal, all free of charge.

West Virginia's State Veterans Facilities

The WVDVA also runs two state veterans facilities, and it's worth knowing the difference because they serve very different needs.

  • The West Virginia Veterans Home in Barboursville is a residential (domiciliary) facility for veterans who are ambulatory and independent in their daily activities. It is not a treatment facility and does not provide skilled nursing or daily medical care. Residents contribute half of their monthly income as a maintenance fee, and the home also runs a Project-214 program offering temporary 60-day residency for homeless veterans at no cost.
  • The West Virginia Veterans Nursing Facility in Clarksburg, which opened in 2008, is a 120-bed skilled nursing home providing round-the-clock nursing care, with a 20-bed unit reserved for residents who need specialized Alzheimer's or dementia care.

For a veteran weighing in-home care, assisted living, or nursing care, an A&A award can help cover costs whether they stay at home or move into one of these facilities. You can apply to either through any WVDVA benefits office.

West Virginia's Veteran Population

West Virginia is home to a substantial veteran population numbering in the tens of thousands, reflecting the state's high rate of military service per capita, according to the VA's National Center for Veterans Analysis and Statistics. With that many veterans, it's worth contacting a veteran service officer early rather than waiting until a care crisis forces the issue.

A word of caution: be wary of companies that charge fees to help with VA claims. VA-accredited attorneys may charge for appeals, but the initial claim filing should be free through the WVDVA, an accredited veteran service officer, or a Veterans Service Organization like the VFW, American Legion, or DAV.

Need help finding a veterans service officer near you? Ask Brevy's care navigator at brevy.com.

How Aid and Attendance Works with West Virginia Medicaid

Aid and Attendance and West Virginia Medicaid are run separately, by different agencies and under different rules. West Virginia administers Medicaid, including long-term-care Medicaid, through the Department of Human Services and its Bureau for Medical Services. A veteran can often receive both at the same time, but the two count money differently, so a few points are worth understanding.

  • A&A income doesn't automatically disqualify you from West Virginia Medicaid. VA pension income is generally counted when a needs-based program looks at your finances, but the portion offset by unreimbursed medical and care expenses can be deducted. The supplemental A&A amount is commonly treated differently from the base pension.
  • The two programs cover different things. A&A can pay for costs Medicaid often doesn't, such as room and board in assisted living, while Medicaid may cover the care services themselves and long-term nursing care.
  • A nursing-home stay on Medicaid can reduce the A&A amount. Under a long-standing federal rule (38 U.S.C. 5503), a single veteran with no dependents who receives Aid and Attendance and then resides in a Medicaid-funded nursing home generally has the pension reduced to a small federal cap, commonly cited at $90 per month.
  • Timing matters. Because the exact income treatment varies by program and case, the order in which you apply can affect eligibility for one or both. Confirm with West Virginia's Bureau for Medical Services and a free accredited veteran service officer before you rely on any single rule.

For the bigger picture of how to protect assets and plan for long-term care, start with our guide to Medicaid planning strategies.

Frequently Asked Questions

The maximum depends on your situation. A veteran alone gets up to $2,424 a month, a veteran with a spouse gets up to $2,874 a month, and a surviving spouse gets up to $1,558 a month. These are federal rates, identical in West Virginia. Your actual payment is reduced by your countable income, and out-of-pocket medical expenses can lower that income and raise your benefit.

Contact the West Virginia Department of Veterans Assistance, which operates roughly 14 benefits offices across the state plus a claims office in Huntington. Its accredited veteran service officers prepare and submit VA claims for free and can represent you before the Veterans Benefits Administration. You should never pay to file an initial claim.

Often, yes. VA pension income is generally counted for Medicaid, but unreimbursed medical expenses can be deducted, and the programs can complement each other, with A&A covering costs Medicaid doesn't, like assisted living room and board. Note that a single veteran in a Medicaid-funded nursing home generally has the A&A amount reduced to about $90 a month. Talk to a benefits counselor before applying, because timing can affect eligibility.

Usually 3 to 6 months, though complex claims can take longer. The most common cause of delay is an incomplete application, so have your doctor be detailed on VA Form 21-2680 and submit all supporting documents at once.

Learn More

Find personalized help applying for VA Aid and Attendance in West Virginia at brevy.com.

The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.

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Brevy Care Team

Expert eldercare guidance from Brevy's team of healthcare professionals and researchers.