What are the Out-of-Pocket Costs for VA-Funded Home Care?
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What are the Out-of-Pocket Costs for VA-Funded Home Care?

Published On
September 14, 2025
If you’re caring for a parent who served in the military, you may be exploring how VA-funded home care can help them age safely and comfortably at home. 

Understanding the out-of-pocket costs for VA-funded home care is essential, especially when your parent has given so much for their country and deserves the best support possible. 

At BrightStar Care of Springfield/Bloomington, we’re committed to guiding local families, especially women, in balancing caregiving, work, and family life through every step of this process.

What Does VA-Funded Home Care Cover?

VA-funded home health care, also called in-home care for veterans, can be a lifeline for families.

The VA offers robust support, including:
  • Personal care (bathing, dressing, toileting, feeding).
  • Mobility support and transfers.
  • Medication management.
  • Skilled nursing care (wound care, injections, chronic disease management).
  • Physical, occupational, or speech therapy.
  • Respite care for family caregivers.
These services are available through various VA programs, including: 
  • VA Health Care.
  • Community Care Network (CCN).
  • VA Aid and Attendance.
  • Housebound Allowance. 
Eligibility, coverage level, and out-of-pocket costs vary depending on your parents’ disability status, income, and benefit program.

For more details on our services for veterans, visit our Veterans In-Home Care page.

Who is Eligible? Understanding the Basics

To access these benefits, your parent must:
  1. Be honorably discharged from any branch of the U.S. Armed Forces (including reserves, if active-duty requirements are met).
  2. Have a demonstrated need for care, such as assistance with “Activities of Daily Living” (ADLs) like dressing, toileting, or mobility.
  3. Be enrolled in VA health care or another qualifying VA benefit program.
  4. Reside in an area where VA-contracted providers, like BrightStar Care, are available.
  5. Meet clinical and sometimes financial criteria confirmed through a VA assessment.
Understanding eligibility is the first step to controlling costs and maximizing benefits. If you need a hand, our team is ready to help guide you through the application process.

Learn more about day-to-day veterans’ care needs in our daily assistance overview.

What Determines Out-of-Pocket Costs?

When it comes to how much you might pay out of pocket, three key factors come into play:

1. Service-Connected Disability Rating

  • Veterans with a 70%+ service-connected disability rating typically pay no copay for in-home care services. That’s a game-changer for many families.
  • Those with a 10%+ disability rating may also be exempt from some or all copays, especially for outpatient and inpatient care.
  • Veterans in Priority Group 1 (such as those with a 50%+ rating, Medal of Honor recipients, or those unable to work due to service-related disability) receive full cost coverage for almost all types of VA care.

2. Income and Financial Need

  • VA uses a combination of income, certain allowed expenses, and assets (evaluated on VA Form 10-10EC) to determine eligibility for free or reduced-cost care and for calculating copayments.
  • Veterans with high medical expenses compared to their annual income, or low income, may qualify for reduced copays or full coverage.

3. Program Qualifications

  • VA Health Care, CCN, and Skilled Nursing: Direct billing to VA with little or no out-of-pocket cost for most qualifying veterans. Room and board in assisted living is usually not covered.
  • Aid and Attendance Benefit: This program adds funds (up to $2,358/month for a single veteran as of 2025) to the pension for veterans or surviving spouses needing daily care. The benefit can be applied to costs not paid directly by VA.
  • Housebound Allowance: For veterans who must remain at home due to a permanent disability, providing additional monthly payments on top of the regular pension.

FAQs: VA Home Health Care Costs

Q: Are all services always free for veterans?

A: No, coverage and copays depend on rating, income, type of service, and eligibility for specific programs like Aid and Attendance or Housebound.

Q: Will home care cost more if my parent lives in an assisted living facility?
A: VA benefits typically don’t cover room and board in assisted or independent living, but may cover home care if medically necessary.

Q: Can family caregivers get help?
A: Yes! The VA Caregiver Support Program offers training, respite, and even monthly stipends for eligible families. Find out more about caregiver support on the VA Caregiver Program page.

Q: What if my parents’ needs change?
A: Home care plans are flexible. A reassessment by the VA or BrightStar Care team ensures services can be adjusted as health needs evolve.

Contact BrightStar Care of Springfield/Bloomington!

BrightStar Care of Springfield/Bloomington's team of professionals will assist you in finding the right caregiver for your loved one. Contact us today to learn more about caregiving services! Our office is at 801 S MacArthur Blvd, Springfield, IL 62704. You may also call us at (217) 318-3396. We look forward to hearing from you!