Firstly, thank you so much for this resource! It has been really helpful and informative along the process of obtaining A&A. My dad was an Air Force veteran that passed away in June of 2013. I'm doing this for my mom, the spouse. My dad was 100% service connected disabled. We filed for DIC and A&A a few months after his passing. She was approved for DIC and the VA wanted a VA form 21-2680 Examination for Housebound Status or Permanent need for Regular Aid and Attendance for the A&A to proceed. They eventually got the 21-2680 and approved my mother for the minimum amount. Under the direction of the AMVET we were told to leave the financial portion blank, among other things. But she did get approved for A&A so it seemed to work. With the DIC and A&A it came out to $1,538.75 monthly. With the current amount of total income she's receiving versus her care costs, she's going into the negative. She is fully disabled and bedridden nearly 24/7 relying on others for everything. So we sent in a VA Form 21-4138 Support of Claim to give the VA her income and medical costs. The VA's response back has me confused and hopefully you could shed some light on it for me. Here's their response: "After reviewing your file, along with the documents you sent us, we determined that no change is warranted to your VA benefits. You are receiving a benefit called Dependency and Indemnity Compensation (DIC), which is not income-based, and is therefore not affected by your income or medical expenses. As a result, we cannot increase your DIC benefits due to an increase in your medical expenses. You will continue to receive your current benefit, pending future adjustments." The bold part is where I'm having a hard time fully comprehending. She gets the DIC due to my fathers passing, and they awarded her the minimum A&A. The vet was 100% service connected so I thought the spouse could receive both DIC and A&A up to the maximum amount. Did I possibly word the 21-4138 wrong and they thought we were asking for an increase in DIC and not A&A? I assumed the purpose of the A&A program was to help with health care costs when the veteran/spouse reached end of life stages, but it appears the VA is saying otherwise? To get her proper care would be at least $4,000 a month. Way more than DIC can cover. Not to mention she's still living in her own home and paying to run that. Her medical costs alone are projected at $48,000 a year with an income of $39,600. I mean I can keep on working for free as I'm her son and would do that for her, someone else wouldn't, but at some point she may need to go into a living facility or if I get hurt and can't work, or even needed to move on with my life so I can make a living myself, she would have no way of paying for care giving. Is there a way to get the VA to see this or have I really misunderstood the A&A program? Thanks so much for your time and help!