VA Form 21-2680-2025

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Housebound is a benefit paid in addition to the basic monthly pension to applicants who are housebound. If you are a veteran or a surviving spouse and you are substantially confined to your immediate premises because of permanent disability, you may be eligible for Housebound benefits.
The VA form 21-2680 is completed by a physician based on his/her medical evaluation of the patient. The importance of documenting the level of care is two-fold: To support a claim for additional pension above and beyond the base level AND. To support the need for certain medical expenses.
VA Pension Benefit Amounts and Limits for 2021 BASIC PENSION / HOUSEBOUND / AID AND ATTENDANCE MAPR FOR 2021 (EFFECTIVE 12/1/20) VETERAN FAMILY STATUSBASIC PENSION MAPRAid Attendance MAPR Veteran with no dependents $13,931 $23,238 Veteran with a spouse* or child** $18,243 $27,549 Surviving spouse / death pension* $9,334 $14,9341 more row
The physical loss of one or both eyes. The loss of sight or total blindness in one or both eyes. Being permanently bedridden (unable to get out of bed) Needing daily help with basic needs (like eating, dressing, and bathing), also called Aid and Attendance
You may apply for Aid and Attendance or Housebound benefits by filling out, or have your doctor complete, VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance) and mailing it to the Pension Management Center (PMC).
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NOTE: Examiner must be a Medical Doctor (MD) or Doctor of Osteopathic (DO) medicine, physician assistant or advanced practice registered nurse.

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