VAFORMS.NET – VA Form 21-0779 – Request for Nursing Home Information in Connection with Claim for Aid and Attendance – The Department of Veterans Affairs offers a benefit to help offset the costs of long-term care for eligible Veterans and their spouses. The Aid and Attendance (A&A) benefit can be used to pay for in-home care, assisted living, or nursing home care. To apply for the A&A benefit, Veterans and their spouses must complete VA Form 21-0779, Request for Nursing Home Information in Connection with Claim for Aid and Attendance.
Download VA Form 21-0779 – Request for Nursing Home Information in Connection with Claim for Aid and Attendance
| Form Number | VA Form 21-0779 |
| Form Title | Request for Nursing Home Information in Connection with Claim for Aid and Attendance |
| Edition Date | June 2022 |
| File Size | 2 MB |
What is a VA Form 21-0779?
A VA Form 21-0779 is a form that can be used by veterans to request information about nursing homes. The form allows veterans to provide information about their medical condition and their need for nursing home care. The form also allows veterans to specify the type of care they need, and to provide contact information for their next of kin.
Where Can I Find a VA Form 21-0779?
If you need information about a nursing home for a loved one who is a veteran, you can find the VA Form 21-0779 online. This form is used to request information about a nursing home’s caregiving services, costs, and availability.
To find the form, go to the Department of Veterans Affairs website and search for “VA Form 21-0779.” Once you locate the form, you can download it and print it out.
If you have any questions about how to fill out the form or where to submit it, you can contact your local VA office for assistance.
VA Form 21-0779 – Request for Nursing Home Information in Connection with Claim for Aid and Attendance
Applicants applying for aid and attendance in a nursing home are required to submit VA Form 21-0779 – Request for Nursing Home Information in Connection with C. The form contains a number of important questions about the applicant’s care needs and nursing home charges. The form is a worthwhile effort as it helps the VA determine the most appropriate rate of payment. In the case of a spouse, the rate of payment can be significantly higher.
The form is a good place to start, but applicants will need to gather proof of their need for care services. For example, a spouse may be eligible for more than one Aid and Attendance benefit, as long as their income falls within the applicable limits. This may be a daunting task, but a professional VA planner can walk applicants through the process and help them make the most of their benefits.
The VA is not known for being a particularly friendly bureaucracy, but that does not mean that it does not try to help applicants. For example, the VA offers an aid and attendance assistance program for surviving spouses. This program pays the difference between the applicant’s countable income and the annual pension limit, in twelve equal monthly payments. Applicants can apply for this program by contacting their local VA office.
As with any VA benefit, applicants should consult a professional planner before they commit to a plan. For example, an attendant care worker may stay with the resident while the beneficiary’s spouse or other relative is at work. A good planner will also be able to assist the applicant in preparing the relevant documentation.
VA Form 21-0779 Example
