Caring for Our Veterans

Most of us want to stay in our homes as we get older. For veterans who want to remain in the comfort of their own home as they age or manage health conditions, the Department of Veterans Affairs (VA) covers a variety of in-home health care services. These programs are designed to support veterans who need assistance with daily activities, medical care, and overall wellness, helping them live independently while receiving the care they need.

Here’s a breakdown of what in-home health care services the VA provides for veterans.

1. Home-Based Primary Care

If you have complex health needs that make regular visits to a VA clinic difficult, the Home-Based Primary Care (HBPC) program can bring medical care to your doorstep. Under this program, a VA doctor or nurse practitioner coordinates your care in the comfort of your home. They work closely with you, your family, and a team of health care professionals to manage your health and treatment plan. This service is especially helpful for veterans who are housebound due to physical or mental health issues.

2. Skilled Home Health Care

For veterans needing specialized medical care at home, the VA offers Skilled Home Health Care Services. These services are provided by licensed professionals such as nurses, physical therapists, or occupational therapists. The care may include:

• Wound care
• Physical therapy
• Medication management
• IV therapy
• Oversight of chronic conditions like diabetes or heart disease

These services are typically short-term and designed to help a veteran recover from an illness or surgery, or to stabilize your condition.

3. Homemaker and Home Health Aide Care

If you need help with day-to-day activities such as bathing, dressing, cooking, or cleaning, the Homemaker and Home Health Aide Program can provide personal care assistance in your home. These caregivers are trained to support veterans with activities of daily living, allowing them to stay independent while receiving the necessary support. This service is especially helpful for veterans who may not need full medical care but could benefit from extra help with household tasks and personal care.

“Aid and attendance is a specific benefit used for activities of daily living (ADLs) or respite care for family caregivers. Right at Home Northwest Houston is a contracted provider for that care. The VA pays us directly to assist family caregivers so that veterans can age in place,” says Sandi Heintz, owner of Right at Home Northwest Houston.

4. Respite Care

Caregiving can be demanding, and the VA recognizes that family members and loved ones who provide care for veterans need a break from time to time. Respite Care is available to give family caregivers a temporary break while ensuring the veteran continues to receive the care they need at home. This service can be provided in-home or in a VA facility and is available for up to 30 days per year. It’s a great way to relieve caregiver stress while maintaining high-quality care for the veteran.

5. Hospice and Palliative Care

For veterans facing terminal illness or chronic pain, the VA offers Hospice and Palliative Care services. This in-home care provides comfort-focused treatment, pain management, and emotional support for veterans and their families. The goal of hospice and palliative care is to ensure veterans are comfortable and supported as they navigate the challenges of serious illness.

Who is eligible?

Eligibility for these programs depends on several factors, including the veteran’s overall health, the level of care needed, and whether the veteran is enrolled in VA health care. In general, veterans who have a service-connected disability or who meet the VA’s income and health criteria may be eligible for in-home care services.

The Harris County Veterans Services Office supports veterans and their dependents by guiding them through the application process for benefits such as compensation, pensions, hospitalization, and more. The office also provides information and referral services as part of its comprehensive intake process.

Not all VA in-home care services are available in every location, so it’s a good idea to contact your local VA office to learn what’s offered in your area.

“If a veteran or their family members don’t know where to start, we encourage people to come to us and learn about what is available,” Sandi explains.

To apply for in-home health care, start by talking to your VA primary care provider. They will assess your health needs and help determine which services are appropriate for you. In the Houston area, The Michael E. DeBakey Department of Veterans Affairs Medical Center offers a robust range of health care services for veterans as well as clinics to help first-time enrollees get started with their care. You can also contact the VA’s Caregiver Support Line or visit the VA’s website for more information about available programs.

Another resource Sandi recommends is The Living Legacy Center. This organization helps connect veterans transitioning from service or experiencing homelessness with community or governmental assistance programs for which they qualify.

In-home health care services are a valuable resource for veterans who want to maintain their independence while receiving the support they need. Whether you require medical care, personal assistance, or simply a little extra help around the house, these programs can make a big difference in your quality of life.