Hospice for Veterans: Complete Guide to Benefits, Eligibility & How to Apply

Veterans who served our country deserve specialized care at the end of their lives. If you’re a veteran facing a terminal illness, or you’re caring for one, you need to know about the hospice benefits available through the Department of Veterans Affairs. These benefits provide comprehensive end-of-life care at no cost to eligible veterans.

This guide covers everything you need to know about hospice for veterans, including what’s covered, who qualifies, how to apply, and how to coordinate VA benefits with other care options. Whether you’re a veteran, family member, or caregiver, this information will help you access the support and dignity your loved one deserves.

Understanding Hospice Benefits for Veterans

Hospice care focuses on comfort and quality of life for people with terminal illnesses. The VA provides comprehensive hospice services to eligible veterans, recognizing that those who served our country deserve specialized attention during their final journey.

What Makes Veteran Hospice Care Different?

Veterans face unique challenges at the end of life. Many carry physical and emotional wounds from their service, including post-traumatic stress disorder, traumatic brain injuries, chronic pain, and survivor’s guilt. Traditional hospice care may not fully address these service-related issues.

Hospice for veterans includes specialized training for care teams to understand military culture, combat-related trauma, and the specific needs of those who served. Many programs offer veteran-to-veteran volunteers who can relate to the patient’s experiences in ways that civilian volunteers cannot.

The care also addresses presumptive diseases linked to military service, such as conditions related to Agent Orange exposure, Gulf War syndrome, or burn pit exposure. Healthcare professionals who work in hospice care receive special training to recognize and treat these service-connected conditions with the attention they require.

The History of VA Hospice Care

The VA began offering hospice benefits in the 1970s, recognizing that veterans needed end-of-life care that honored their service. Over the decades, the program has expanded significantly. The VA MISSION Act of 2018 further improved access by allowing eligible veterans to receive hospice care from community providers when VA facilities are too far away.

Why Veterans Deserve Specialized End-of-Life Care

Military service demands sacrifice, discipline, and courage. Many veterans spent years putting their lives on the line for our country. At the end of life, they deserve care that acknowledges this service and addresses the lasting impacts it may have had on their physical and mental health.

Specialized hospice care for veterans honors their sacrifice while providing medical, emotional, and spiritual support designed around their unique experiences. This includes everything from pain management for service-related injuries to emotional support for combat trauma.

Complete List of Veteran Hospice Benefits

Eligible veterans receive comprehensive hospice care at no cost through the VA. Understanding what’s included can help you make informed decisions about your loved one’s care.

Medical Services Covered 100%

The VA covers all medical services related to the terminal illness and comfort care. This includes visits from nurses, physicians, and other healthcare professionals. Hospice nurses provide skilled nursing care, monitor symptoms, manage medications, and coordinate with your physician to ensure comfort.

Medical services include:

• Regular nursing visits to monitor condition and provide care
• Physician oversight and home visits when needed
• 24/7 on-call nursing support for emergencies
• Crisis care when symptoms become difficult to manage at home
• Respite care to give family caregivers a break
• Short-term inpatient care for symptom management
• Physical therapy, occupational therapy, and speech therapy as needed

Medications and Equipment Included

All medications related to your terminal illness and comfort care are provided at no cost. This includes pain medications, anti-anxiety medications, and any other drugs needed to manage symptoms and improve quality of life.

Medical equipment and supplies are also fully covered:

• Hospital beds and pressure-relieving mattresses
• Wheelchairs and walkers
• Oxygen equipment
• Commodes and bathroom safety equipment
• Wound care supplies
• Personal care supplies
• Any other durable medical equipment needed for comfort

Support Services for Veterans and Families

Hospice care extends beyond medical treatment to address emotional, social, and spiritual needs. Support services include:

• Social work services to help with practical concerns and emotional support
• Chaplain services for spiritual care, regardless of religious affiliation
• Volunteer support for companionship and respite
• Home health aide assistance with bathing, dressing, and personal care
• Bereavement counseling for family members during and after the veteran’s death
• Music therapy, pet therapy, or massage therapy when available
• Dietary counseling

Family members receive grief support for up to 13 months after the veteran’s death, helping them cope with their loss and adjust to life without their loved one.

Special Programs: We Honor Veterans

Many hospice providers, including Suncrest Hospice, participate in the We Honor Veterans program. This national initiative, created through a partnership between the National Hospice and Palliative Care Organization and the Department of Veterans Affairs, trains hospice teams to provide veteran-centered care.

We Honor Veterans programs offer:

• Veteran-to-veteran volunteer visits
• Recognition ceremonies honoring military service
• Pinning ceremonies where veterans receive a special pin acknowledging their service
• Military history documentation to preserve the veteran’s story
• Support groups specifically for veterans and military families
• Assistance with accessing additional VA benefits

Eligibility Requirements for Veteran Hospice Care

Not all veterans automatically qualify for VA hospice benefits. Understanding the eligibility requirements helps you determine if you or your loved one can access these services.

Who Qualifies for VA Hospice Benefits

To receive VA hospice care, veterans must meet three main criteria:

1. Be enrolled in VA healthcare
2. Have a terminal illness with a life expectancy of six months or less
3. Choose comfort care over curative treatment

Veterans must already be enrolled in the VA healthcare system to access hospice benefits. If you’re not enrolled but believe you’re eligible, you should apply for VA healthcare before seeking hospice services.

Service Requirements Explained

To be eligible for VA healthcare (and therefore hospice), veterans generally must have served in active duty in the U.S. military, naval, or air service. The length of service requirements vary based on when you served:

• If you enlisted after September 7, 1980, or entered active duty after October 16, 1981, you must have served 24 continuous months or the full period for which you were called to active duty
• If you were discharged for a disability that was caused or made worse by your active military service, you may not need to meet the minimum service requirements
• If you served before these dates, different requirements may apply

Discharge Status Guidelines

Your discharge status affects your eligibility for VA benefits. Generally, you must have been discharged under conditions other than dishonorable. Acceptable discharge statuses include:

• Honorable discharge
• General discharge
• Medical discharge
• Entry-level separation

If you received a dishonorable discharge, you typically cannot access VA benefits, including hospice care. However, the VA may make exceptions in certain cases, so it’s worth contacting them to discuss your situation.

Medical Eligibility Criteria

The medical requirements for hospice are the same for veterans as for civilians. You must have a terminal illness with a prognosis of six months or less if the disease follows its natural course. A physician must certify this prognosis.

Common terminal illnesses that qualify veterans for hospice include:

• Advanced cancer
• End-stage heart disease
• Chronic obstructive pulmonary disease (COPD)
• End-stage kidney disease
• Advanced liver disease
• End-stage dementia (learn more about hospice criteria for dementia)
• ALS (Lou Gehrig’s disease)
• Advanced Parkinson’s disease

Veterans with dementia should understand that specific criteria must be met for hospice eligibility. For those concerned about a loved one with memory loss, recognizing the signs that death may be near in dementia patients can help families know when to consider hospice care.

Special Cases: National Guard and Reserves

Members of the National Guard and Reserves face slightly different eligibility rules. You may be eligible for VA healthcare and hospice if:

• You were called to active duty by a federal order
• You completed the full period for which you were called
• You were discharged or released under conditions other than dishonorable

National Guard members who served only for state activations (not federal orders) generally do not qualify for VA benefits unless they have a service-connected disability.

How to Apply for Veteran Hospice Benefits (Step-by-Step)

The application process for veteran hospice benefits can seem complicated, but breaking it down into clear steps makes it manageable. Here’s exactly what you need to do.

Step 1: Gather Required Documents

Before starting the application, collect these essential documents:

• DD-214 form (Certificate of Release or Discharge from Active Duty)
• Photo identification
• Medical records documenting your terminal diagnosis
• Current medication list
• Information about your current healthcare providers
• Insurance information (including Medicare card if applicable)
• Social Security number
• Income information (required for some veterans to determine copay requirements for non-hospice services)

If you don’t have all these documents, don’t let that stop you from starting the process. The VA can help you obtain missing paperwork, especially your DD-214.

Step 2: Contact Your VA Healthcare Team

If you’re already enrolled in VA healthcare, contact your VA primary care provider or the social worker at your local VA medical center. Tell them you want to discuss hospice care options. They can:

• Assess your eligibility
• Explain your hospice options
• Provide information about VA hospice facilities
• Help you choose between VA hospice and community hospice providers
• Start the referral process

If you’re not currently enrolled in VA healthcare but believe you’re eligible, call 1-877-222-VETS (8387) or visit your local VA medical center to begin enrollment. You can find your nearest VA facility at VA.gov/find-locations.

Step 3: Complete the Hospice Care Request

Your physician (either VA or private) must certify that you have a terminal illness and a life expectancy of six months or less. This certification is required by law for anyone entering hospice care, not just veterans.

The VA will need:

• A completed hospice election form where you formally choose hospice care
• Physician certification of terminal illness
• A plan of care outlining your symptoms and care needs
• Your choice of hospice provider (VA hospice or a community provider)

You’ll also need to indicate that you’re choosing comfort care over curative treatment. This doesn’t mean giving up—it means focusing on quality of life and symptom management rather than attempting to cure the illness.

Step 4: Choose Your Hospice Provider

Veterans have two main options for receiving hospice care:

VA Hospice Care: Provided directly by the VA at a VA medical center or in your home through VA home hospice services. This option is fully covered for eligible veterans with no out-of-pocket costs.

Community Hospice Care: Provided by Medicare-certified hospice agencies in your community. Under the VA MISSION Act, you may be eligible to receive care from a community provider if:

• You live more than 30 minutes from a VA hospice program
• VA hospice services are not available in your area
• The VA cannot provide the specific care you need

Many veterans choose community hospice providers because they can receive care at home or in familiar facilities near their families. Suncrest Hospice works with veterans to coordinate VA benefits with our comprehensive hospice services.

Step 5: What Happens After You Apply

Once your application is submitted:

1. The VA reviews your eligibility and medical documentation
2. A hospice team member contacts you to schedule an initial assessment
3. A nurse visits your home to evaluate your needs and develop a care plan
4. Your hospice care team is assigned
5. Services begin, typically within 24-48 hours of approval

The hospice team creates a personalized care plan addressing your physical, emotional, social, and spiritual needs. This plan is reviewed regularly and adjusted as your condition changes.

Timeline: How Long Does Approval Take?

Most veteran hospice applications are processed within 7-14 days. However, in urgent situations, care can often begin much faster—sometimes within 24-48 hours. If you’re facing an emergency situation, make sure to communicate this urgency to the VA and the hospice provider.

For veterans who need long-term hospice care, the VA allows continued services as long as you remain terminally ill, even if you live longer than the initial six-month prognosis. Your physician will recertify your eligibility periodically.

Required Documents for Veteran Hospice Application

Understanding which documents you need and how to obtain them prevents delays in accessing hospice care.

DD-214 Form (Certificate of Release or Discharge)

Your DD-214 is the most important document for proving your military service. This form shows your dates of service, discharge status, and other essential information the VA needs to verify your eligibility.

You should have received your DD-214 when you separated from the military. Many veterans keep it in a safe place with other important documents. If you’re applying for hospice care, you’ll need to provide a copy.

How to Get Your DD-214 If Lost

If you can’t find your DD-214, don’t panic. You can request a replacement through several methods:

Online: Use the National Archives eVetRecs system at archives.gov/veterans. This is the fastest method, and most requests are processed within 10 business days.

By Mail: Complete Standard Form 180 and mail it to the National Personnel Records Center. Download the form at archives.gov. Mail requests typically take 8-10 weeks.

By Fax: Complete SF-180 and fax it to 314-801-9195. Processing time is similar to mail requests.

In Person: Visit your local VA regional office with a photo ID. They may be able to help you request your records or provide temporary documentation while you wait for your DD-214.

Emergency Situations: If you need hospice care urgently and don’t have your DD-214, contact the hospice provider and the VA. They can often start services while you wait for documentation, especially if you can provide other proof of service such as veteran ID cards, discharge papers, or documentation from previous VA healthcare.

Medical Records and Physician Certification

Your physician must certify that you have a terminal illness and a life expectancy of six months or less. If you’ve been receiving care from a VA doctor, they will have access to your medical records and can provide this certification.

If your primary care comes from a private physician, they’ll need to complete the certification and provide relevant medical records to the hospice program. These records should document:

• Your diagnosis and prognosis
• Current medications
• Recent test results
• Current symptoms and their severity
• Treatments you’ve tried
• Your decision to focus on comfort care

Additional Documentation Needed

Other helpful documents include:

• Medicare card (if you have Medicare)
• Other insurance cards
• Advance directives or living will
• Durable power of attorney for healthcare
• Contact information for family members and caregivers
• List of current medications with dosages

VA Hospice vs Medicare Hospice: Understanding Your Options

Many veterans are eligible for both VA hospice benefits and Medicare hospice benefits. Understanding the differences helps you choose the best option for your situation.

When to Choose VA Hospice

Choose VA hospice if:

• You want to avoid all out-of-pocket costs, including medication copays
• You’re already receiving care at a VA facility and want continuity
• You live near a VA hospice program
• You want access to VA-specific veteran services and programs
• You prefer care from providers trained specifically in veteran healthcare

When Medicare Hospice Might Be Better

Consider Medicare hospice if:

• You live far from VA facilities (more than 30 minutes)
• You want to choose from a wider range of community hospice providers
• You have an established relationship with a local hospice agency
• Your family prefers a specific hospice provider
• The small copays won’t create financial hardship

Can You Use Both?

This is one of the most common questions veterans ask. The answer is yes—but not at the same time for the same services. Here’s how it works:

If you’re receiving hospice care through the VA, you cannot simultaneously receive hospice benefits through Medicare for the same condition. However, you can receive VA hospice care while using Medicare for other healthcare needs not related to your terminal illness.

You can also switch between VA hospice and Medicare hospice if your needs or preferences change. Many veterans start with one option and later switch to the other based on their experience and circumstances.

Concurrent Care for Veterans: Using VA Benefits with Hospice

One of the least understood but most valuable options for veterans is concurrent care—receiving curative treatment alongside hospice services.

What Is Concurrent Care?

Traditionally, hospice required patients to stop curative treatment and focus solely on comfort care. However, the Affordable Care Act created a special provision for children receiving hospice through Medicaid, allowing them to continue curative treatment while in hospice.

For veterans, concurrent care means you can receive both VA healthcare services and hospice care simultaneously. This is different from the traditional hospice model where you must choose one or the other.

How Veterans Can Receive Both VA Care and Hospice

Veterans enrolled in VA healthcare can access their regular VA benefits while also receiving hospice services. This might include:

• Continuing to see your VA primary care physician
• Receiving VA medications unrelated to your terminal condition
• Accessing VA mental health services
• Participating in VA rehabilitation programs
• Using VA home health services

At the same time, you receive hospice benefits for your terminal condition, including:

• Hospice nursing care
• Pain and symptom management
• Emotional and spiritual support
• Medical equipment and supplies
• Family caregiver training and support

Benefits of Concurrent Care

Concurrent care offers several advantages:

No forced choice: You don’t have to choose between your VA doctor and hospice care. You can maintain relationships with both healthcare teams.

Comprehensive coverage: Your hospice team manages your terminal illness while your VA providers handle other health concerns.

Continuity of care: If you’ve been receiving VA care for years, you don’t have to give up those relationships when you need hospice.

Access to more resources: You benefit from both VA services and hospice expertise, giving you the most comprehensive support possible.

How to Coordinate Between Providers

Good communication between your VA team and hospice providers is essential for concurrent care. Here’s how to facilitate coordination:

• Inform both your VA doctor and hospice team that you’re receiving care from both sources
• Sign releases allowing the teams to share information with each other
• Keep an updated medication list that both teams can access
• Clarify which team is managing which aspects of your care
• Attend appointments with both teams, bringing caregivers when possible
• Report any changes in your condition to both teams promptly

Most hospice providers and VA facilities have experience with concurrent care and can help establish these communication channels.

The VA MISSION Act and Community Hospice Care

The VA MISSION Act, signed into law in 2018, significantly expanded veterans’ access to community healthcare, including hospice services.

What the MISSION Act Means for Veterans

The MISSION Act consolidated several VA community care programs into one comprehensive system. For hospice care, this means eligible veterans can receive services from Medicare-certified hospice agencies in their communities rather than traveling to VA facilities.

This expansion recognizes that many veterans live in rural areas or far from VA medical centers. The act ensures veterans can receive quality hospice care close to home, surrounded by family and familiar surroundings.

Expanded Access to Community Providers

Under the MISSION Act, veterans may be eligible for community hospice care if:

• The VA cannot provide the care you need
• You live in a state without a full-service VA medical facility
• VA care would require you to travel an unreasonable distance
• It’s in your best medical interest to receive community care
• The specific care you need is not available through VA providers

Distance Requirements (30 Minutes/60 Minutes Rule)

One of the most significant provisions of the MISSION Act relates to drive time to VA facilities:

• If you live more than 30 minutes from a VA primary care facility, you may qualify for community care
• If you live more than 60 minutes from a VA specialty care facility, you may qualify for community care

For hospice services, if your nearest VA hospice program is more than 30 minutes away, you may be eligible to receive hospice care from a community provider like Suncrest Hospice, with the VA covering the costs.

Drive times are calculated based on the shortest route from your home to the facility, accounting for traffic patterns and road conditions.

Special Programs for Veterans in Hospice

Several programs exist specifically to honor veterans and address their unique needs during hospice care.

We Honor Veterans Program Explained

We Honor Veterans is a national campaign helping hospice programs recognize and serve veterans better. The program, developed through a partnership between the National Hospice and Palliative Care Organization and the VA, provides training and resources to hospice agencies.

Hospices earn different levels of recognition (Partner, Level 1, Level 2, Level 3, or Level 4) based on their commitment to veteran-centered care. Higher levels indicate more comprehensive veteran services.

Participating hospices receive training on:

• Military culture and values
• Combat trauma and its effects
• End-of-life issues unique to veterans
• How to conduct veteran recognition ceremonies
• Resources available through the VA

Veteran-to-Veteran Volunteer Program

One of the most valuable services in veteran hospice care is the veteran-to-veteran volunteer program. These volunteers are veterans themselves who provide companionship, support, and understanding to hospice patients with military backgrounds.

Veteran volunteers can:

• Share stories and experiences from military service
• Provide companionship and emotional support
• Help the patient process difficult memories or experiences
• Offer respite to family caregivers
• Assist with understanding and accessing VA benefits
• Provide a sense of camaraderie that civilians may not fully understand

Many veterans find it easier to open up to someone who has walked a similar path. The shared experience of military service creates an instant bond that can be deeply comforting.

Honor Ceremonies and Recognition

Many hospice programs hold special ceremonies to honor veterans’ service. These recognition events acknowledge the sacrifices veterans made for their country and help bring closure to their military service.

Common elements of honor ceremonies include:

• Reading of the veteran’s military history
• Presentation of certificates or plaques
• Family members sharing memories
• Military music or taps
• Flag presentations
• Salutes from veteran volunteers

Pinning Ceremonies

Pinning ceremonies are special events where veterans receive a commemorative pin acknowledging their military service. These simple but meaningful ceremonies often include:

• A special pin designed for veterans
• A certificate of appreciation
• Recognition in front of family and friends
• An opportunity for the veteran to share their story
• Photos to preserve the memory

For many veterans, especially those who may not have received much recognition during or after their service, these ceremonies provide important validation and honor.

Memorial Services

Hospice programs often hold annual memorial services to honor veterans who have passed away. These services bring together families, staff, and community members to remember and celebrate the lives and service of deceased veterans.

Memorial services might include:

• Reading of names of veterans who died during the year
• Military honors
• Guest speakers
• Music and reflection
• Opportunities for families to share memories
• Placement of flags or wreaths

Unique Healthcare Needs of Veteran Patients

Veterans often face health challenges directly related to their military service. Understanding these conditions helps hospice teams provide better care.

Post-Traumatic Stress Disorder (PTSD) Care

PTSD affects many veterans, especially those who experienced combat. At the end of life, PTSD symptoms may worsen or resurface, even if they’ve been well-managed for years. The stress of serious illness, medications, and declining cognitive function can trigger traumatic memories.

Hospice care for veterans with PTSD includes:

• Creating a calm, safe environment that doesn’t trigger traumatic memories
• Careful medication management to avoid drugs that worsen anxiety or cause hallucinations
• One-on-one counseling with professionals trained in PTSD
• Veteran-to-veteran support
• Family education about PTSD symptoms and triggers
• Coordination with VA mental health services

Staff members learn to recognize PTSD symptoms and respond appropriately, avoiding situations that might cause distress.

Traumatic Brain Injury (TBI) Management

Traumatic brain injuries from combat, accidents, or training incidents affect many veterans. TBIs can cause ongoing symptoms including headaches, cognitive problems, mood changes, and sensitivity to light and noise.

Hospice care for veterans with TBI includes:

• Pain management specifically addressing headaches
• Environmental modifications to reduce overstimulation
• Cognitive support and patience with communication difficulties
• Careful medication monitoring to avoid drug interactions
• Support for behavioral changes related to brain injury

Chronic Pain Treatment

Many veterans live with chronic pain from service-related injuries, repetitive strain from physically demanding work, or conditions that developed during deployment. Hospice teams understand that effective pain management is crucial for quality of life.

Pain management strategies include:

• Comprehensive pain assessment
• Appropriate pain medications adjusted to individual needs
• Non-medication approaches like massage, music therapy, or guided imagery
• Physical therapy or occupational therapy when beneficial
• Regular monitoring and adjustment of pain control methods

Veterans who have dealt with pain for years often develop stoic attitudes, making it harder to assess their true comfort level. Trained hospice staff know how to recognize subtle signs of pain in veterans who may be reluctant to complain.

Survivor’s Guilt and Emotional Support

Survivor’s guilt affects many veterans, particularly those who lost friends or witnessed traumatic events during service. At the end of life, these feelings may intensify as veterans reflect on their experiences and process unresolved emotions.

Emotional support includes:

• Individual counseling with mental health professionals
• Group support with other veterans
• Spiritual care addressing guilt, forgiveness, and meaning
• Family therapy to help loved ones understand these emotions
• Validation of feelings without judgment
• Help processing difficult memories in a safe environment

Substance Abuse and Recovery Support

Some veterans have dealt with substance abuse issues, often related to self-medicating for PTSD, chronic pain, or other service-related conditions. For veterans in recovery, end-of-life care requires special consideration around pain management.

Support includes:

• Consultation on alternative pain management approaches
• Careful medication choices that respect recovery concerns
• Continued access to addiction counseling services
• Coordination with addiction specialists
• Family education about medication management
• Honest discussions about pain control options

Service-Related Conditions (Agent Orange, Burn Pits, etc.)

Many veterans face health problems from environmental exposures during service:

Agent Orange Exposure: Vietnam veterans exposed to this herbicide face higher risks of certain cancers, heart disease, diabetes, and other conditions.

Gulf War Syndrome: Veterans from the Gulf War may experience chronic fatigue, pain, cognitive problems, and respiratory issues.

Burn Pit Exposure: Iraq and Afghanistan veterans exposed to burn pits face increased risks of respiratory problems and certain cancers.

Hospice teams trained in veteran care understand these conditions and can provide appropriate symptom management and support.

Additional Financial Benefits for Veterans

Beyond hospice care, veterans may be eligible for additional financial benefits that can help with end-of-life expenses and caregiver support.

Aid and Attendance Benefits

The VA’s Aid and Attendance benefit provides additional monthly payments to veterans who need help with daily activities. This benefit is separate from hospice services but can be used alongside them.

You may qualify for Aid and Attendance if you:

• Need help with activities of daily living (bathing, dressing, eating, etc.)
• Are bedridden
• Are blind or nearly blind
• Live in a nursing home due to physical or mental incapacity

The monthly benefit amounts vary based on your situation:

• Veteran with a spouse: Up to $2,266/month (2024 rates)
• Veteran without a spouse: Up to $1,911/month
• Surviving spouse: Up to $1,228/month

How Aid and Attendance Works with Hospice

You can receive Aid and Attendance benefits while receiving hospice care. The Aid and Attendance payment can help cover:

• Additional caregiver support beyond what hospice provides
• Household expenses during your illness
• Costs of assisted living or nursing home care
• Other expenses not covered by hospice benefits

Applying for Aid and Attendance

To apply for Aid and Attendance:

1. Complete VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance)
2. Have your physician complete the medical section
3. Submit the form along with evidence of your need for assistance
4. Wait for the VA to review your application (typically 3-6 months)

Applications can be submitted online, by mail, or in person at a VA regional office.

Pension Benefits for Veterans

Veterans with wartime service who meet income and net worth limits may qualify for Veterans Pension, a monthly payment to help with living expenses. If you’re receiving hospice care and meet the financial requirements, you may be eligible for this benefit in addition to your hospice services.

Veteran Burial Benefits and Planning

Planning for burial or memorial services is an important part of end-of-life care. Veterans are entitled to certain burial benefits.

What Burial Benefits Are Available

Veterans who meet the service requirements are entitled to:

• Burial in a national cemetery at no cost
• Opening and closing of the grave
• A grave liner
• Perpetual care of the gravesite
• A government headstone or marker
• A burial flag
• A Presidential Memorial Certificate

National Cemetery Eligibility

Veterans who die on active duty or who were discharged under conditions other than dishonorable are eligible for burial in a national cemetery. Spouses and dependent children may also be eligible for burial in the same plot.

There are more than 155 national cemeteries across the United States. To arrange burial, contact the National Cemetery Scheduling Office at 1-800-535-1117.

Military Funeral Honors

Veterans are entitled to military funeral honors, which include:

• At least two uniformed military personnel
• Folding and presentation of the American flag to the family
• Playing of Taps (live or recorded)

For veterans who served in active duty, additional honors may be available including a three-rifle volley, military pallbearers, and a color guard.

Financial Assistance for Burial Costs

The VA provides burial allowances to help cover funeral and burial costs:

• Service-connected death: Up to $2,000 for burial and funeral expenses, plus $869 for plot or interment
• Non-service-connected death: Up to $869 for burial and funeral expenses, plus $869 for plot or interment if death occurred in a VA facility

To claim these benefits, submit VA Form 21P-530 within two years of the burial.

Support for Veteran Caregivers and Spouses

Caring for a terminally ill veteran is emotionally and physically demanding. Support services help caregivers maintain their own health while providing care.

VA Caregiver Support Program

The VA offers comprehensive support for caregivers of veterans, including:

• Caregiver training on how to provide care safely
• Peer support mentoring
• Respite care to give caregivers breaks
• Counseling services
• Support coordination

The Program of Comprehensive Assistance for Family Caregivers (PCAFC) provides additional support including a monthly stipend for caregivers of veterans with service-connected disabilities.

Respite Care for Caregivers

Respite care gives family caregivers a break from caregiving duties. This temporary relief can be:

• A few hours for the caregiver to run errands or rest
• Several days for the caregiver to take a short trip or address personal needs
• Regular scheduled breaks to prevent caregiver burnout

Hospice provides respite care as part of standard benefits, with the veteran temporarily staying in a care facility while the caregiver rests. The VA covers these costs for eligible veterans.

Benefits for Surviving Spouses

After a veteran’s death, surviving spouses may be eligible for:

• Dependency and Indemnity Compensation (DIC) if the death was service-connected
• Survivors Pension if income and net worth meet requirements
• Continued healthcare through CHAMPVA if eligible
• Educational assistance
• Home loan benefits
• Burial in a national cemetery

Apply for survivors benefits by submitting VA Form 21P-534EZ.

Support Groups and Resources

Many organizations offer support groups specifically for veteran caregivers and families:

• VA Caregiver Support Line: 1-855-260-3274
• Local VA medical centers often host support groups
• National caregiver organizations with veteran-specific programs
• Online communities and forums
• Hospice bereavement groups

Service Era-Specific Considerations

Veterans from different eras of service face unique challenges based on when and where they served.

Vietnam War Veterans

Vietnam veterans face higher rates of certain conditions due to Agent Orange exposure, combat stress, and the challenging nature of their service. Many also experienced difficult homecomings that left lasting psychological impacts.

Specific considerations include:

• Presumptive service connection for certain cancers and diseases related to Agent Orange
• Higher rates of PTSD and combat-related trauma
• Potential for unresolved feelings about the war and how veterans were treated
• Respiratory problems from exposure to various chemicals

Gulf War Veterans

Gulf War veterans may experience Gulf War Syndrome—a cluster of unexplained chronic symptoms including fatigue, joint pain, headaches, and cognitive difficulties.

Specific considerations include:

• Presumptive service connection for chronic unexplained illnesses
• Exposure to depleted uranium and other toxins
• Respiratory issues from oil well fires
• Need for symptom management when standard treatments haven’t been effective

Post-9/11 Veterans

Veterans who served after September 11, 2001, in Iraq and Afghanistan face their own set of challenges:

• High rates of TBI from improvised explosive devices (IEDs)
• Exposure to burn pits and other environmental hazards
• Multiple deployments leading to accumulated stress
• Often younger when facing terminal illness
• May have young children and different family dynamics

Korean War and Earlier

Veterans from the Korean War, World War II, and earlier face age-related considerations:

• Typically in their 80s or 90s
• May have survived combat but have lived with lasting effects for decades
• Often less likely to discuss war experiences or ask for help
• May face multiple health conditions beyond the terminal illness
• Important to honor their era of service and what they endured

Common Challenges and How to Overcome Them

Navigating the VA system and accessing hospice benefits can present obstacles. Understanding common challenges and their solutions helps smooth the process.

What to Do If Your Application Is Denied

If your application for veteran hospice benefits is denied, don’t give up. Denials often result from incomplete paperwork or misunderstandings about eligibility, not actual ineligibility.

Common reasons for denial include:

• Missing documentation (especially DD-214)
• Insufficient proof of terminal diagnosis
• Not currently enrolled in VA healthcare
• Discharge status questions
• Incomplete medical records

Appeals Process Explained

If you disagree with a VA decision, you have the right to appeal:

Step 1: Review the Decision Letter
The VA will send a letter explaining why your claim was denied. Read this carefully to understand what evidence or information was missing.

Step 2: Choose Your Appeal Option
You have three options under the Appeals Modernization Act:

1. Supplemental Claim: Submit new evidence supporting your claim
2. Higher-Level Review: Have a senior reviewer look at your case (no new evidence)
3. Board Appeal: Appeal to the Board of Veterans’ Appeals

Step 3: Submit Your Appeal
File your appeal within one year of the decision date. Use the appropriate VA form (20-0995 for Supplemental Claim, 20-0996 for Higher-Level Review, or 10182 for Board Appeal).

Step 4: Wait for a Decision
Appeal processing times vary. Supplemental claims are often faster (125 days average), while Board appeals can take much longer.

Getting Help from Veterans Service Organizations (VSOs)

Veterans Service Organizations provide free assistance with VA claims and appeals. Accredited VSO representatives know VA procedures and can help you navigate the system.

Major VSOs include:

• Veterans of Foreign Wars (VFW)
• American Legion
• Disabled American Veterans (DAV)
• AMVETS
• Vietnam Veterans of America

These organizations can help you:

• Gather necessary documentation
• Complete forms correctly
• File appeals
• Communicate with the VA on your behalf
• Understand your rights and options

Dealing with Delays

VA processing can sometimes take longer than expected. If you’re facing delays:

• Contact the VA regularly for status updates
• Document all communications
• Ask if your situation qualifies for expedited processing (serious illness often does)
• Reach out to your Congressperson’s office—they have liaisons who can inquire about delayed cases
• Consider working with a VSO to push your case forward

For hospice care specifically, emphasize the urgency of your situation. Terminally ill patients often receive priority processing.

State-by-State VA Hospice Resources

Accessing local VA resources makes the process easier and ensures you receive care close to home.

How to Find Your Local VA Medical Center

The VA operates medical centers in every state. To find your nearest facility:

• Visit VA.gov/find-locations
• Enter your ZIP code or city
• Filter for “Health” services
• Look for facilities offering hospice or palliative care

You can also call 1-800-827-1000 to find VA facilities near you.

Regional VA Contacts by State

Each state has at least one VA medical center with regional offices that can help you access hospice benefits. Contact your state’s main VA facility to connect with hospice services:

• VA facilities are located in all 50 states, Puerto Rico, and the U.S. territories
• Most major metropolitan areas have VA medical centers
• Smaller communities are served by VA clinics and community-based outpatient clinics

Community-Based Outpatient Clinics (CBOCs)

CBOCs provide VA healthcare in areas without full medical centers. While they may not offer hospice services directly, they can:

• Help you enroll in VA healthcare
• Coordinate referrals to hospice programs
• Provide documentation needed for hospice applications
• Connect you with VA social workers

There are more than 1,200 CBOCs nationwide, making VA care more accessible even in rural areas.

Frequently Asked Questions About Hospice for Veterans

Do veterans get free hospice care?

Yes, eligible veterans receive hospice care at no cost through the VA. This includes all medical services, medications, equipment, and support services related to the terminal illness. There are no copays, deductibles, or out-of-pocket expenses for VA hospice benefits. To qualify, you must be enrolled in VA healthcare and have a terminal diagnosis with a life expectancy of six months or less.

How do I apply for veteran hospice benefits?

To apply for veteran hospice benefits, contact your VA healthcare provider or call your local VA medical center. You’ll need your DD-214 form, medical records documenting your terminal illness, and physician certification of your prognosis. The VA will help you complete the necessary paperwork and determine your eligibility. The process typically takes 7-14 days, though urgent cases can be expedited.

Can veterans use VA benefits and private hospice together?

Yes, veterans can receive VA healthcare services for conditions unrelated to their terminal illness while receiving hospice care for the terminal condition. This is called concurrent care. However, you cannot receive VA hospice and Medicare hospice simultaneously for the same condition. You must choose one hospice benefit, though you can switch between them if needed.

What is concurrent care for veterans?

Concurrent care allows veterans to continue receiving certain VA healthcare services while in hospice. Unlike traditional hospice where you must stop curative treatment, concurrent care lets you maintain your relationship with VA providers for conditions unrelated to your terminal illness. You can see your VA doctor, receive VA medications, and access VA services while hospice manages your terminal condition.

What are the eligibility requirements for VA hospice?

To qualify for VA hospice, you must: (1) Be enrolled in VA healthcare, (2) Have served in active duty and been discharged under conditions other than dishonorable, (3) Have a terminal illness with a life expectancy of six months or less, and (4) Choose comfort care over curative treatment. National Guard and Reserve members must have been called to active duty by federal order and completed their full service period.

Does Medicare cover hospice for veterans?

Yes, veterans with Medicare Part A can choose to use their Medicare hospice benefit instead of VA hospice. Medicare hospice is nearly as comprehensive as VA hospice, with small copays for medications ($5 per prescription) and respite care (5% of the cost). Many veterans are eligible for both VA and Medicare hospice and can choose which benefit to use.

What’s the difference between VA hospice and private hospice?

VA hospice is provided directly by the VA or through approved community providers, with all costs covered for eligible veterans. Private hospice is provided by community hospice agencies and paid for by Medicare, Medicaid, or private insurance. The services are similar, but VA hospice includes veteran-specific programs like We Honor Veterans, and has no copays. Private hospice may offer more provider choices and availability in some areas.

How long does it take to get approved for veteran hospice?

Most veteran hospice applications are processed within 7-14 days. However, in urgent situations, approval can happen much faster—often within 24-48 hours. The VA prioritizes terminally ill patients. If you need expedited processing, communicate the urgency to your VA coordinator and the hospice provider. Care can sometimes begin while paperwork is being finalized.

What if I lost my DD-214?

If you lost your DD-214 form, you can request a replacement through the National Archives. The fastest method is to use the eVetRecs online system at archives.gov/veterans, which typically processes requests in 10 business days. You can also mail Standard Form 180 to the National Personnel Records Center (8-10 weeks), or visit your local VA office for help. In emergency situations, the VA and hospice providers can often start services while you wait for documentation.

Can veterans get hospice care at home?

Yes, most veteran hospice care is provided at home. VA hospice benefits include home nursing visits, medical equipment, medications delivered to your home, and support services—all allowing you to remain comfortable in familiar surroundings. Care can also be provided in assisted living facilities, nursing homes, or wherever you call home. Inpatient hospice is available when symptoms become too difficult to manage at home.

Are there hospice benefits for National Guard and Reserves?

Yes, National Guard and Reserve members can receive veteran hospice benefits if they were called to active duty by federal order and completed the full period of service. The activation must have been federal (not state) and you must have been discharged under conditions other than dishonorable. Weekend drills and annual training alone do not qualify you for full VA benefits.

What is the We Honor Veterans program?

We Honor Veterans is a national program developed by the National Hospice and Palliative Care Organization and the VA to improve hospice care for veterans. Participating hospices receive training on military culture, veteran-specific end-of-life issues, and how to provide veteran-centered care. The program includes veteran-to-veteran volunteers, recognition ceremonies, and specialized support for combat-related trauma and service-connected conditions.

Do veteran spouses get any hospice benefits?

While spouses don’t receive veteran hospice benefits directly, they receive extensive support as caregivers. This includes caregiver training, counseling, respite care to give them breaks, and bereavement support after the veteran’s death. Surviving spouses may also be eligible for VA benefits including Dependency and Indemnity Compensation, survivors pension, and burial benefits. The VA Caregiver Support Program offers additional assistance to spouses caring for veterans.

What happens if my veteran hospice application is denied?

If your application is denied, you have the right to appeal. First, review the denial letter to understand the reason—often it’s missing documentation rather than actual ineligibility. You can file a supplemental claim with new evidence, request a higher-level review, or appeal to the Board of Veterans’ Appeals. Veterans Service Organizations like VFW, American Legion, and DAV offer free help with appeals. Contact them immediately if you’re denied.

Can I get both Aid and Attendance and hospice?

Yes, you can receive Aid and Attendance benefits while in hospice. Aid and Attendance provides additional monthly payments (up to $1,911-$2,266 depending on your situation) to help cover costs beyond what hospice provides. This can help pay for additional caregiver support, household expenses, or facility costs. Apply using VA Form 21-2680, which your physician must help complete.

How Suncrest Hospice Honors Our Veterans

At Suncrest Hospice, we recognize the unique sacrifices veterans have made for our country. We’re committed to providing the highest quality end-of-life care that honors their service and addresses their specific needs.

Our Commitment to Veterans

We participate in the We Honor Veterans program and have trained our entire team in veteran-centered care. Our staff understands military culture, combat-related trauma, and the specific health challenges veterans face. We work closely with the VA to coordinate benefits and ensure seamless care.

Our commitment includes:

• Specialized training for all team members on veteran issues
• Veteran-to-veteran volunteer programs
• Recognition ceremonies honoring military service
• Coordination with VA healthcare providers
• Understanding of service-connected conditions
• Support for PTSD, TBI, and combat-related trauma

Veteran-Specific Services We Provide

In addition to comprehensive hospice care, we offer services specifically designed for veterans:

• Military history documentation
• Veteran pinning ceremonies
• Assistance accessing additional VA benefits
• Veteran support groups
• Specialized pain management for service-related injuries
• Trauma-informed care for PTSD and combat stress
• Coordination with VA mental health services
• Help obtaining military records and benefits documentation

Our hospice nurses receive special training in recognizing and managing conditions common among veterans. They understand that veterans may minimize pain or discomfort due to military training, and know how to provide appropriate care even when symptoms aren’t openly expressed.

For veterans with conditions like dementia, we provide specialized support. Understanding the signs that death may be approaching helps families prepare, while our team ensures the veteran remains comfortable. We recognize that veterans with dementia may experience changes in breathing patterns and other symptoms that require expert management.

Those interested in working in hospice care with veterans will find meaningful opportunities to serve those who served our country.

What Families Say About Suncrest Hospice

Contact Us for Veteran Hospice Support

If you’re a veteran or caring for one who may benefit from hospice services, we’re here to help. Our team can answer questions about eligibility, coordinate with the VA, and provide the compassionate, veteran-centered care your loved one deserves.

Contact Suncrest Hospice today to speak with a member of our team. We’re available 24/7 to provide information and support.

We’ll help you understand your options, navigate VA benefits, and ensure your veteran receives the dignified, comfortable care they’ve earned through their service to our nation.