Veterans – You might be surprised at what you are missing. You and the US Department of Veterans Af

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Feb 03, 2017

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Many older Veterans never look into their VA Healthcare benefits, believing they are reserved primarily for the most disabled veterans or those with the least amount of money. Please dont make that mistake.
Talk to your fellow Veterans at the VFW, The Legion or to the VSO at your town hall or senior center. The VSO, your local Veterans Service officer, is an added benefit for Massachusetts Veterans (See article on why you should contact your VSO.)
For a second opinion, seek out Veterans who get their care at the VA. The VA can provide access to an entire Primary Care Team. That team will communicate with each other on a regular basis about YOUR care and how to help you reach your health goals. You can go to the VA and still continue with your community based Primary Care Provider or choose to get all your medical needs from the wide assortment of services available at the VA Boston.

According to the 2012 U.S. Census, there are in excess of 12.4 million Veterans age 65 or older. As Veterans age, the VA is ready to address a variety of issues including your changing health risks. Veterans, like most older Americans, wish to stay in their home independently as long as safely possibly. The VA has resources focused on making this a reality, including:
Home Based Primary Care, intended for Veterans that have difficulty keeping and maintaining their medical appointments, is a unique benefit that brings the entire Primary care team to your home to provide medical care.
Telehealth, a great option for Veterans that have cardiac concerns in addition to other medical issues, is a daily monitoring of vital signs through a nurse who keeps in telephone contact with you providing support and guidance if there is a change in your blood pressure, weight or blood sugar.
Mail order medications
In home respite and in patient respite.

The VA will pay for attendance at an Adult Day Program with other Veterans in the community contracted by the VA. This gives Veterans socialization opportunities and provides respite for caregivers to attend to their own needs while their loved one is getting care.

The VA also provides glasses, hearing aids, orthotic shoes and medical equipment such as scooters, wheel chairs walker, canes, a life alert button that when pressed calls 911 and possibly a chair lift, if eligible.

The VA has a robust Mental Health clinic for older Veterans. As people retire many look back on their life and make meaning of it or try to resolve things that have been troubling them. The VA has several time limited groups and longer term groups on Brain Health, Insomnia, Acceptance, and Commitment Therapy and Mindfulness. These groups are a great way to meet other older Veterans, retired and living at home looking to meet other people and find healthy activities.

The Brockton VA has an awarding winning Creative Arts Studio where participants can take art or music lessons or participate in Yoga.

. You might be surprised at what you are missing. Come and check out your options at the VA Boston Healthcare System.

Submitted by Gayle Clark, LICSW, Geriatric Mental Health Outpatient Clinic, US Dept. of Veterans Affairs, VA Boston Healthcare System. For more information, contact David Hencke, VA Boston Outreach Coordinator, at 857-3364-5934

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16 Veterans Benefits, Programs, and Services for Seniors

The U.S. Department of Veterans Affairs (VA) offers several programs and services to help Veterans access the long-term care they need. From financial assistance programs to residential living options and services and programs that help Veterans who live at home, VA aims to support U.S. military Veterans in living comfortably and accessing the care they need. Here, we explain 16 Veterans benefits that senior Veterans can receive to maximize their quality of life, safety, and comfort whether they live at home or want to live in a long-term care facility.Financial assistance programs for VeteransVA offers various financial assistance programs to U.S. military Veterans. Some provide additional income to individuals who have significant health needs. Other programs offer loans to Veterans, and still others provide grants that allow Veterans to improve their homes without needing to repay the funds. 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The Veteran must require help with at least two activities of daily living, need to live in a facility to protect their safety due to a cognitive or other health issue, or have a vision impairment. The Veteran must also meet the net worth limit set by Congress.Veterans interested in applying can do so on their own through VA or work with a third party that can help them determine their eligibility and get assistance with the application.VA home loanAging in place, or living at home for as long as possible, is often the ideal situation for many people. However, doing so can require capital to purchase a home or improve its accessibility. Veterans needing funding assistance to make their homes safer and accommodate their care needs may qualify for a VA home loan.The U.S. government backs these loans, and the VA guarantees part of the loan to a lender. With the VA standing behind the Veteran in the loan, the lender often offers desirable terms. The borrowing Veteran could have a zero or low down payment, a lower interest rate, or a cap on closing costs, among other benefits.To qualify for a VA loan, the Veteran must meet certain service requirements and get a Certificate of Eligibility from VA.The Special Home Adaptation grantThe Special Home Adaptation (SHA) grant provides funding to qualifying Veterans who want to buy or modify a home to meet their needs due to a service-connected disability. The Veteran can use funds to buy or build a home or modify their existing home. In addition to meeting the health and disability requirements, the Veteran must also own or soon own the home they want to improve or purchase. Eligible individuals can apply online through eBenefits, by mail, or in person after filling out VA Form 26-4555.The Temporary Residence Adaptation grantHelp is also available to Veterans who temporarily live in a home that doesnt meet their accessibility needs. If a Veteran can qualify for the Special Home Adaptation (SHA) grant or the Specially Adapted Housing (SAH) grant but temporarily lives in a family members home, the Temporary Residence Adaptation (TRA) grant may be able to help fund necessary modifications to support the Veterans accessibility needs.The Veteran must meet disability criteria and not own the home they want to modify. Veterans can apply online through eBenefits, by mail, or in person after filling out VA Form 26-4555.The Home Improvements and Structural Alterations grantThis grant is for Veterans who are not trying to fund new construction but instead want to fund home modifications for greater accessibility in their homes. The Home Improvements and Structural Alterations grant can cover alterations to home entrances, installations of roll-in showers or walk-in bathtubs, adjustments to counter heights, and other similar accessibility improvements.To qualify for the grant, the Veteran must meet various criteria, including receiving a prescription written by a VA physician deeming the improvements necessary. The Veteran must also complete the application, submit a notarized statement from the owner (if the Veteran rents the home) approving the improvement, obtain an estimate of costs for the project, and submit a photo of the original unimproved space.Residential care facilities for VeteransSome Veterans may need significant assistance with activities of daily living, so moving to a residential community may be the best way to maintain comfort and a good quality of life. Others may opt to live in facilities because of the camaraderie, socialization, and round-the-clock access to care staff and professionals. While there are many senior living communities around the country, VA provides two types of communities that specifically serve U.S. military Veterans: VA nursing homes and state Veterans homes.VA nursing homesA nursing home is a residential long-term care facility that helps people who need significant assistance with personal care tasks, like bathing, dressing, eating, and other activities of daily living. These facilities also staff skilled nursing professionals, like registered nurses and other skilled care professionals. They can provide skilled care, like wound care, medication administration, and other nursing tasks. While there are many nursing homes around the U.S., VA runs its own nursing homes, also called VA Community Living Centers, that cater to U.S. military Veterans.In order to live at a VA nursing home, the Veteran needs to meet certain eligibility criteria, such as their service-connected status, level of disability, and income. The Veteran must also be enrolled in the VA health system and be medically and psychiatrically stable.Depending on the Veterans service-connected disability and financial status, they may be responsible for a copay. VA social workers and case managers can advise interested Veterans, and applicants can complete the Application for Extended Care Benefits (VA Form 10-10EC) to apply for residency.State Veterans homesState Veterans homes are residential communities that provide varying levels of care, like independent living, assisted living, memory care, skilled nursing, and adult day health care. The state where the facility is located owns and operates the community.A benefit of living at a state Veterans home is that most residents are U.S. military Veterans. Some state Veterans homes may admit non-Veteran spouses and Gold Star parents, while others may admit only Veterans. This allows residents to bond through having the common experience with the military, which can foster and support strong relationships. Not only do the residents better understand one another, but the staff are also trained on unique issues that Veterans may face, such as PTSD, depression, and other common challenges that can result from time served in the military.Interested Veterans must apply for residency. State Veterans homes are located throughout the country.Help at home for VeteransMany Veterans choose to live at home, but even if they do not live in a VA residential community or a senior living facility, they may still need care services and support to live independently. 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Respite care benefits both the individual and their caregiver because the individual receives care that the caregiver normally provides, allowing the family member to take a break from their usual caregiving responsibilities. VA respite care is convenient because Veterans and their families can access the services in a few ways. Veterans who live at home can have a respite caregiver travel to the home to provide services. The Veteran can also attend a VA adult day health care program if there is one in their area. For longer periods of care, the Veteran can receive respite care services at a nursing home. This option may be suitable for Veterans whose caregivers need to be away from the Veteran for a few days due to a trip or another responsibility. Veterans may qualify for VA respite care services if they meet the criteria and if these services are available near them. Services vary by location. 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VA case managers can help Veterans learn whether they meet the requirements and whether there is a program in their area.Skilled home health careSkilled home health care can be an important part of a Veterans recovery from an injury or hospitalization. The skilled home health care program provides skilled nursing services to Veterans transitioning home from a hospital or skilled nursing facility but still needing care at home.If a Veteran is eligible for community care and meets other criteria, they may qualify for the skilled home health care program. VA case managers can help determine eligibility and assist the Veteran in applying for the service.Homemaker and home health aide programIf a Veteran needs help with activities of daily living and maintaining their homes cleanliness, the VA homemaker and home health aide program may be a great fit for their situation. Through this service, the Veteran receives care through a VA-approved home care agency that sends caregivers to the Veterans home. Typically, these caregivers can help with light housekeeping, meal preparation, and assistance with bathing, dressing, and other activities of daily living.Veterans eligible for community care may qualify to participate in the homemaker and home health aide program. VA case managers can help Veterans determine whether they qualify and will have a copay in addition to helping them receive the services.Home hospice careVeterans can receive home hospice services during their final stage of life. As with typical hospice services, providers help manage the patients symptoms while the patient is no longer seeking curative treatments for their illness or condition. In addition to symptom management, the Veterans family and loved ones can receive grief counseling services.This service is part of the VHA Standard Medical Benefits Package. Enrolled Veterans are eligible for home hospice care if their physician determines theres a clinical need. Hospice care requires no copayments from the Veteran. Palliative careAlthough palliative care also aims to manage chronic conditions and maximize quality of life, it should not be confused with hospice care. The main difference is that patients can use palliative care services while receiving curative treatments, whereas those receiving hospice care cannot. Through the VA palliative care program, Veterans work with doctors, nurses, social workers, and other professionals to manage pain and other symptoms associated with one or more chronic conditions. The palliative care program is part of the VHA Standard Medical Benefits Package. A Veteran may be eligible if they demonstrate a medical need for it. 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Retirement Roulette: Easy Transition to Retirement

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