The key concept to remember for VA Aid & Attendance is "reimbursement." The VA is looking to see that you are spending so much of your income for medical and care expenses, and they reimburse you for those expenses, up to the monthly Maximum Annual Pension Rate (MAPR) Category amounts .
Yes, The amount of Aid and Attendance depends on the veterans health, income and the amount of medical expenses. I believe there is a way to calculate approximate A&A on the VA website.
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www.benefits.va.gov/pension/current_rates_survivor_pen.asp
www.benefits.va.gov/pension/current_rates_veteran_pen.asp
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