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VA Pension Benefits

This PDF covers benefits provided by the Department of Veterans Affairs (VA) range from healthcare, compensation and adaptive housing grants for service-connected disabilities, needs-based pensions, education, vocational training, home loan guarantees, life insurance, and burial and memorial benefits. For additional information call 908-232-7400 or visit https://vanarellilaw.com/va-benefits/

This PDF covers benefits provided by the Department of Veterans Affairs (VA) range from healthcare, compensation and adaptive housing grants for service-connected disabilities, needs-based pensions, education, vocational training, home loan guarantees, life insurance, and burial and memorial benefits. For additional information call 908-232-7400 or visit https://vanarellilaw.com/va-benefits/

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NJ INSTITUTE FOR<br />

CONTINUING LEGAL EDUCATION<br />

A Lawyer’s Guide to the Law Affecting<br />

Veterans and the Military<br />

APRIL 25, 2017<br />

<strong>VA</strong> PENSION BENEFITS<br />

Presented by<br />

Donald D. Vanarelli, Esq.<br />

Accredited <strong>VA</strong> Attorney<br />

Certified Elder Law Attorney<br />

Founding Member, Assn. of Special Needs Planners<br />

Named to the NJ “Super Lawyer” list, 2007 – Present<br />

VanarelliLaw.com


<strong>VA</strong> <strong>Benefits</strong> in General<br />

<strong>Benefits</strong> provided by the Department<br />

of Veterans Affairs (<strong>VA</strong>) range from<br />

healthcare, compensation and<br />

adaptive housing grants for serviceconnected<br />

disabilities, needs-based<br />

pensions, education, vocational<br />

training, home loan guarantees, life<br />

insurance, and burial and memorial<br />

benefits.


<strong>VA</strong> <strong>Benefits</strong> in General<br />

(cont’d)<br />

Certain <strong>VA</strong> benefits are also<br />

provided to eligible dependents<br />

and survivors of veterans.


Veterans Health Administration<br />

(VHA)<br />

Purpose: To provide health<br />

care primarily for the benefit of<br />

veterans with service-connected<br />

disabilities, combat veterans,<br />

and low-income veterans.


Veterans Health Administration<br />

(VHA) (cont’d)<br />

Programs include:<br />

-- <strong>VA</strong> Hospitals (163 hospitals)<br />

-- <strong>VA</strong> Nursing Homes (137 nursing<br />

homes)<br />

-- Information Resource Centers<br />

-- Inpatient and Outpatient Clinics (850<br />

Outpatient Clinics)<br />

-- Domiciliary, Home Health, Adult Day<br />

Care, Residential/Respite Care<br />

Programs


Veterans <strong>Benefits</strong><br />

Administration (VBA)<br />

The VBA provides an integrated program<br />

of veterans’ benefits. The major benefits<br />

include:<br />

-- Compensation (for service -<br />

connected disabilities)<br />

-- Compensation for surviving<br />

spouses and dependents of<br />

deceased veterans<br />

-- Burial <strong>Benefits</strong>


Veterans <strong>Benefits</strong><br />

Administration (VBA) (cont’d)<br />

-- Rehabilitation assistance<br />

-- Home Loans<br />

-- Specially-adapted housing<br />

-- <strong>Pension</strong> (for non-service<br />

connected disabilities)


Overview of Major Disability<br />

<strong>Benefits</strong> Programs<br />

• Service-Connected Compensation<br />

Disability compensation is a monetary<br />

benefit for veterans who are disabled<br />

by an injury or disease that was<br />

incurred or aggravated during active<br />

service.


Overview of Major Disability<br />

<strong>Benefits</strong> Programs (cont’d)<br />

• Needs-Based <strong>Pension</strong><br />

<strong>Pension</strong> is a monetary benefit for<br />

veterans who (1) are disabled (2)<br />

have low income and resources, and<br />

(3) served during a period of<br />

wartime.


Non-Service Connected <strong>Benefits</strong>:<br />

<strong>VA</strong> Improved <strong>Pension</strong> Program<br />

• Not dependent upon service–connected<br />

disability to qualify.<br />

• Assists families who need additional<br />

monies to help care for ailing veterans<br />

who have low income and resources.<br />

• <strong>VA</strong>’s version of SSI benefits.<br />

• Spouse is not eligible if veteran is living.


<strong>VA</strong> Improved <strong>Pension</strong> Program:<br />

Three Tiers of <strong>Benefits</strong><br />

1. Low Income <strong>Pension</strong><br />

2. Housebound <strong>Benefits</strong><br />

3. Aid and Attendance <strong>Benefits</strong>


<strong>VA</strong> Improved <strong>Pension</strong> Program:<br />

Three Tiers of <strong>Benefits</strong> (cont’d)<br />

Housebound benefits and Aid and<br />

Attendance benefits are<br />

supplements paid in addition to<br />

the basic Low Income <strong>Pension</strong> to<br />

certain veterans to cover the<br />

additional costs of care for their<br />

added disabilities.


Basic Eligibility Criteria for <strong>VA</strong><br />

Improved <strong>Pension</strong> Program<br />

All of the following criteria must be<br />

met before a veteran or widow(er)<br />

of a veteran can receive Improved<br />

<strong>Pension</strong> benefits:<br />

a. The veteran must have served at<br />

least 90 days of active duty service,<br />

one day of which must have been<br />

during a wartime period;


Basic Eligibility Criteria for <strong>VA</strong><br />

Improved <strong>Pension</strong> Program (cont’d.)<br />

In general, wartime is:<br />

World War I<br />

World War II–Dec. 7, 1941 – Dec. 31, 1946<br />

Korean War–June 27, 1950 – Jan. 31, 1955<br />

Vietnam War – Aug. 5, 1964 – May 7, 1975<br />

Gulf War – August 2, 1990 through date to<br />

be set by law by Presidential Proclamation


Basic Eligibility Criteria for <strong>VA</strong><br />

Improved <strong>Pension</strong> Program (cont’d.)<br />

b. The veteran must have received a<br />

discharge other than dishonorable;<br />

c. The claimant must have limited<br />

income and assets; and,<br />

d. The claimant must be permanently<br />

and totally disabled, or be over age 65.


COUNTABLE INCOME<br />

“Countable” income for <strong>VA</strong> purposes<br />

(“I<strong>VA</strong>P”) includes income from most<br />

sources, including earnings, disability<br />

and retirement payments, interest and<br />

dividend payments from annuities, net<br />

income from farming or business, waived<br />

income and income from joint accounts<br />

(in proportion to ownership interest).


EXCLUDED FROM<br />

“COUNTABLE” INCOME<br />

Public assistance such as SSI, IRA<br />

interest, income tax refunds, loans<br />

(including reverse mortgages),<br />

insurance dividends, life insurance<br />

proceeds representing a return of<br />

premiums, and profit from the sale<br />

of property (other than from a<br />

regular business).


EXAMPLE<br />

As of December 1, 2016, the<br />

income eligibility limit ( “Maximum<br />

Annual <strong>Pension</strong> Rate” or “MAPR”)<br />

for a single veteran w/o children is<br />

less than $12,907. Medical<br />

expenses may be deducted from<br />

countable income if they exceed<br />

5% of the income limit ($645, for<br />

the single veteran w/o children).


Excess Income<br />

Although most veterans have income that<br />

exceeds the permissible family income limits,<br />

unreimbursed medical expenses paid by the<br />

claimant may be used to reduce the<br />

claimant’s countable income. Unreimbursed<br />

medical expenses that may reduce income include:<br />

doctor’s fees, dentist’s fees, prescription glasses,<br />

Medicare premium deductions and co-payments,<br />

prescription medications, health insurance<br />

premiums, transportation to physician offices,<br />

therapy, and funeral expenses.


Excess Income (cont’d)<br />

The most beneficial unreimbursed<br />

expenses that may reduce<br />

countable income are the costs of<br />

home health care, assisted living<br />

facilities, or nursing homes.


Net Worth: Standard<br />

The <strong>VA</strong> considers the net worth of the<br />

individual seeking benefits, excluding<br />

the value of the person’s home,<br />

furnishings, and car. The standard as to<br />

whether a person will be eligible for<br />

benefits is whether the person has<br />

“sufficient means” to pay for his or<br />

her care.


Net Worth: Standard (cont’d)<br />

Assets that are counted toward the<br />

“sufficient means” analysis include bank<br />

accounts, certificates of deposit, money<br />

market accounts, investment accounts,<br />

annuities, retirement accounts, life<br />

insurance cash surrender values, etc.


How Much Does <strong>VA</strong> Pay?<br />

<strong>VA</strong> pays the difference between the<br />

maximum annual pension rate<br />

(MAPR), a yearly limit set by<br />

Congress, and the veteran’s countable<br />

family income. This difference is<br />

generally paid in 12 equal monthly<br />

payments rounded down to the<br />

nearest dollar.


Planning For<br />

<strong>VA</strong> <strong>Pension</strong> Eligibility<br />

• Retitle assets to joint names (joint owner not in<br />

veteran’s household)<br />

• Gift assets (donee not in veteran’s household)<br />

• Transfers with retained life estate not recognized<br />

• Assets in SNT are countable<br />

• Personal Services Contract<br />

• Caveat: Medicaid transfer rules are different!


Look-Back Period For<br />

<strong>VA</strong> <strong>Pension</strong> Eligibility<br />

• Currently, there is no look-back<br />

period.<br />

• GAO recently recommended that<br />

Congress establish asset transfer<br />

look-back period, with associated<br />

penalties, for non-service connected<br />

pension applicants.


<strong>VA</strong> Improved <strong>Pension</strong> Program:<br />

Housebound <strong>Benefits</strong><br />

<strong>Pension</strong> benefits with a<br />

Housebound supplement are<br />

available to a veteran or widow(er)<br />

of a veteran who is disabled (or<br />

over age 65), confined to the home<br />

and financially eligible.


<strong>VA</strong> Improved <strong>Pension</strong> Program:<br />

Aid and Attendance<br />

• Available to eligible veterans and<br />

surviving spouses who require the<br />

regular attendance of a person to assist<br />

them in eating, dressing, undressing or<br />

taking care of the needs of nature.<br />

• Also includes individuals who are<br />

blind, in a nursing home because of<br />

mental or physical incapacity.


<strong>VA</strong> Improved <strong>Pension</strong> Program:<br />

Aid and Attendance<br />

To qualify medically, a veteran or<br />

surviving spouse must meet one<br />

of the following conditions:<br />

1. Is bedridden, or<br />

2. Requires the aid of another<br />

person to perform activities of<br />

daily living


<strong>VA</strong> Improved <strong>Pension</strong> Program:<br />

Aid and Attendance (cont’d)<br />

3. Is a nursing home resident,<br />

as a result of a mental or<br />

physical incapacity, or<br />

4. Is blind or nearly blind in<br />

both eyes.


The Medicaid Effect<br />

Since both Housebound and A&A<br />

<strong>Benefits</strong> are supplements to the basic<br />

Low Income <strong>Pension</strong>, the supplemental<br />

benefits are exempt when determining<br />

the veteran’s eligibility for ALF<br />

Medicaid. Low Income pension may<br />

be exempt in determining Medicaid<br />

eligibility when UMEs exceed the Low<br />

Income <strong>Pension</strong> benefit amount.


The Medicaid Effect (cont.)<br />

If a claimant is in a NH or ALF<br />

receiving Medicaid, the <strong>VA</strong> pension<br />

benefits payable is reduced to $90<br />

per month.


Accreditation by the <strong>VA</strong><br />

As of June 23, 2008, the <strong>VA</strong> began<br />

REQUIRING that ANYONE who assists<br />

a veteran or family member with the<br />

preparation, presentation and<br />

prosecution of a claim for benefits be<br />

accredited by and through the <strong>VA</strong><br />

BEFORE they can legally provide<br />

assistance.


Who Can Charge Fees,<br />

and When?<br />

Veterans may obtain free assistance<br />

with completing an application for<br />

benefits from accredited veteran<br />

services organizations and others who<br />

are accredited. No organization nor<br />

individual, including lawyers, can<br />

charge for the preparation,<br />

presentation, and prosecution of an<br />

initial claim.


Who Can Charge Fees,<br />

and When? (cont’d)<br />

But, if a claim is denied or<br />

approved for fewer benefits than<br />

are expected, a claimant may hire<br />

and pay an accredited attorney or<br />

other accredited representative to<br />

assist with an appeal after a<br />

Notice of Disagreement has been<br />

filed.


Who Can Charge Fees,<br />

and When? (cont’d)<br />

Only accredited agents and<br />

attorneys may receive fees<br />

from claimants for services<br />

provided in connection with<br />

representation.


THANK YOU FOR ATTENDING<br />

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