The award letter is the document VA acts on. A family may plan the aide schedule, the monthly budget, and the next conversation with the bank around one number on it, so read the letter as a record to check, not as a closing ceremony.

Local option: New Plan Care gives families in the St. Louis area in-home help so a parent can stay home: companionship, help with bathing and dressing, meals, and overnight care. Call (314) 405-0887.

What the letter should show

Look for the benefit type, the effective date, the monthly rate, the dependents VA counted, and the reason for the decision. Each of these should match something you submitted or can explain.

Line by line

Benefit type. Confirm that the letter names the aid and attendance add-on, not just a pension. A pension award without the add-on is a different decision and needs its own review.1

Dependents. Compare the spouse and any child listed with the dependency statement you filed on VA Form 21-686c.2 If you reported a dependent and the letter does not list one, ask why before anything else changes.

Income and net worth. Compare the figures VA used with the application you filed on VA Form 21P-527EZ.3 Use your own bank and income records, not memory. If a figure differs, the letter should say where it came from.

Medical finding. The aid and attendance need is decided from the examination on VA Form 21-2680.4 The letter should name the finding VA made. Check that it matches the examination summary you have, not the version in your head.

Rate. VA publishes the rate structure. If you cannot reproduce the monthly figure from the listed dependents and income, ask VA or a service officer to walk through the calculation.

Deadlines. The letter states how long you have to disagree and how to start a review. Write the deadline on the calendar that day. Do not rely on a general rule you heard elsewhere.

Before the budget moves

Confirm the monthly figure before you set the aide's weekly hours from it. If the figure changes on review, the budget should change with it, and the schedule should be set from the confirmed number, not the first one.

Who to call

A county or city veterans service officer or a VFW service officer can read the letter with you at no charge. The Local Help page lists St. Louis offices. Bring the letter, the application copy, the dependency statement, and your income records.

Notes

1 VA.gov, Veterans Pension Benefits, aid and attendance and housebound rate information.

2 VA.gov, VA Form 21-686c, Declaration of Status of Dependents.

3 VA.gov, VA Form 21P-527EZ, Application for Veterans Pension, and Survivors Pension, and Accrued Benefits.

4 VA.gov, VA Form 21-2680, Examination for Housebound Status or Permanent Need for Regular Aid and Attendance.