Well, I'm a little upset for my parents. Mom and I completed the form in total. She went to the VA office in her area, Naples Florida, and they said that we did everything right. Today Mom got a letter stating that they are only paying $20 a month. Here are some of the tidbits directly from the letter: They consider the gross amount per month for social security, not the net. They do not consider medical expenses that are not recurring. "We generally do not consider prescription co-pays and doctor visits as predictable expenses". These are complete out of pocket expenses. To claim family medical expenses we now have to complete another form, VA Form 21-8416. "We may consider family medical expenses you paid after June 16, 2011". They cite Medicare/health Insurance Premiums, prescriptions and Medical/dental expenses. But what about all of the prescriptions that they pay for now out of pocket. Some of my Dad's meds are not covered by Part D. What about everything we put down in Section X of the form? That says to put down all family medical expenses that you paid for out of pocket. Then, of course, there are 4 pages of appeal information. My Mom is having cataract surgery and is having a hard time reading all of these forms. Can I call the number on the letter and talk with them? My Mom just wants to give up at this point. Thank you for your guidance. I'm so disappointed for them.