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VA Aid and Attendance, 2026

Current maximum annual pension rates, the net worth limit, and why care costs can make a veteran eligible despite moderate income.

HomeCosts & PayingVA Aid and Attendance, 2026

VA Aid and Attendance, 2026

Short answer

VA Aid and Attendance is a federal pension benefit for wartime veterans (and surviving spouses) who need help with daily activities. Unreimbursed medical expenses, including senior care costs, offset countable income, which is how moderate-income veterans often still qualify. VA

SituationMaximum annual rateApproximate monthly
Veteran, no dependents, Aid and Attendance$29,093$2,424 per month
Veteran, no dependents, Housebound$21,313$1,776 per month
Veteran with 1 dependent, Aid and Attendance$34,488$2,874 per month
Two veterans married to each other, both Aid and Attendance$46,143$3,845 per month
Surviving spouse, no dependents, Aid and Attendance$18,697$1,558 per month
Surviving spouse, no dependents, Housebound$14,298$1,191 per month

Net worth limit: $163,699 (both pension types)

VA Aid and Attendance is a federal pension benefit for wartime veterans (and surviving spouses) who need help with daily activities. Unreimbursed medical expenses, including senior care costs, offset countable income, which is how moderate-income veterans often still qualify. VA pays the gap between countable income and the Maximum Annual Pension Rate (MAPR) -- MAPR is a ceiling, not a flat payment.

Monthly figures above are approximate (annual rate divided by 12). These rates are federal and apply nationwide -- not specific to New York or Staten Island. A 3-year look-back applies, with penalty periods up to 5 years, running parallel to but separate from Medicaid's look-back. Rates effective December 1, 2025 through November 30, 2026 (2.8% COLA).

Source: VA veterans pension rates

Source: VA survivors pension rates

Questions families ask

Is ACA Medicaid expansion the same thing as long-term care Medicaid for seniors?

No. New York fully expanded Medicaid under the ACA effective January 1, 2014, covering adults 19-64 up to 138% of the federal poverty level with no asset test. Long-term care Medicaid for seniors uses a completely separate pathway -- the non-MAGI aged/blind/disabled test -- which is asset-tested and has its own spousal protection rules.

What is New York's nursing home Personal Needs Allowance, and why is it so low?

New York's nursing home resident Personal Needs Allowance (PNA) is $50 per month -- unchanged since the 1980s, and among the lowest in the country; 33 states pay more, in a $52-$200 range. A 2024 state senate bill proposed raising it to $128, but it has not been enacted, and the PNA remains $50/month.

What are New York's 2026 spousal impoverishment protections?

For 2026, New York's Community Spouse Resource Allowance runs from a state minimum of $74,820 up to a federal maximum of $162,660 (the community spouse keeps the greater of the state minimum or half of countable resources, up to the federal max), with a Minimum Monthly Maintenance Needs Allowance of $4,066.50/month, per NYSDOH GIS 26 MA/03.

What is the NYC-region MLTC special income standard, and does it apply to Staten Island?

Yes -- the NYC-region MLTC special income standard for housing expenses is $1,790/month, effective January 1, 2026, per NYSDOH GIS 26 MA/03. This applies to Staten Island because Richmond County is part of the New York City region for MLTC purposes, distinct from Long Island's separate $1,701 figure.

What does assisted living cost on Staten Island?

There is no published Staten Island-specific figure. The 2025 CareScout Cost of Care Survey publishes a New York STATE median of $7,110/month for a private one-bedroom assisted living unit -- a statewide figure, not a New York City or Staten Island number, and local pricing in the city likely runs higher.

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