Veterans' Respite Care: Eligibility and Benefits

Page Reviewed / Updated - Feb. 2014

Definition

Respite Care from the Veteran's Administration is a program that provides trained caregivers that attend to the individual in need of care to give the primary caregiver time to relax and attend to his or her own needs. Depending on geographic location and the recipient's preference, care can be provided in the home or in a VA medical or community living center.

Alone, respite care is not a long term solution for care, but when combined with other program and cost reductions such as tax credits, LIHEAP and transportation assistance, respite care might make the difference that enables a family to choose between residential and home care.

 

Qualifications for Veterans' Respite Care

Respite care is a covered benefit for all veterans who are enrolled in the VA health care system and meet the following requirements. In rare cases, certain veterans may be eligible for VA health care without having to enroll in the VA health care program.

Age

There are no age requirements to be eligible for VA Health Care. However, one's age impacts other eligibility criteria.  As an example, individuals 75 or older have less restrictive disability qualifications than do veterans of a younger age.

Disabilities / Health

Veterans must have chronic illness or condition that results in a need for the level of care typically provided in a nursing home. However, it is not a requirement that the condition be related to their military service. Older or clinically depressed individuals have less restrictive disability requirements.

Marital Status

Marital status does not play in a role in determining their eligibility for VA respite care.  Most commonly spouses are the recipients of respite care, but there is no requirement that the individual be married.

Financial Requirements

A veteran's financial resources are only considered if they have been assigned to a higher number (but lower priority) Priority Group. Higher Priority Group assignment generally means they do not have disabilities resulting from their military service.

A veteran's resources are defined as the sum of the veteran and their spouse liquid and fixed assets and their income minus their allowances, such as medical bills. Veterans having resources in excess of the maximums are evaluated case by case to determine their need.

A very general rule of thumb is veterans can have up to $80,000 in resources or up to $30,000 in annual income. Married veterans can deduct $100,000 from their total resources as “spousal resource protection”. However, there are many exceptions and these amounts change based on the veteran's county of residence. Veterans with resources beyond the maximum allowable amounts here should consult directly with the VA or veterans' benefits consultant to determine if they are eligible.

Veteran's Service and Discharge

Veterans are required to have 24 months of continuous active duty military service and a discharge status other than Bad Conduct or Dishonorable to be eligible for VA Health Care (and therefore VA Respite Care). There are exceptions to the 24 month rule for:

  • Reservists or National Guard members that were called to Active Duty and completed their terms.
  • Persons requiring treatment for a service-connected condition or disability.
  • Persons discharged or released from active duty for a hardship or an "early out".

Geographic / Place of Residence

The veteran's geographic location does not affect eligibility directly but the maximum allowable amount of resources changes depending on in which county the veteran resides. 

Veterans must be living at home and have a primary caregiver in that environment. Those who reside in a VA medical center or community living center are already receiving care and therefore are not eligible for respite care.

 

Benefits

VA respite care is provided up to 30 days a year. A day is defined by a maximum of 6 hours when the respite care is provided at home, but a day is 24 hours when the respite is provided in a veterans community living center.  The VA may offer an extension to the 30 day rule in the case where the primary caregiver to the veteran passes away.

Families do not receive a cash payout for respite care. They will either receive a caregiver directly or a voucher to receive respite care.  Provided there are not waiting lists to receive VA respite care, appointments can typically be scheduled a few weeks in advance.

 

Costs

The cost of respite care is covered by the basic veteran's Medical Benefits Package.  A co-payment may be required dependent on one's service-connected disability status and financial resources.

 

How to Apply

To apply for VA respite care, one should contact their local VA administrator or one can learn more about the program here.   Alternatively, one can call the Health Benefits Service Center at 877-222-8387.