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For families on VA Pension, Aid and Attendance, or Survivors Pension

Every medical bill you pay can count with the VA. Keep them all, without the shoebox.

The medical costs you pay can lower the income the VA counts, and that can mean a larger monthly payment. VetCareLog keeps every bill, drive, and caregiver hour in one place, and hands you the VA worksheet the day they ask.

  • No card needed
  • Works on the phone you already have
  • Your records are never held back, even if you stop paying

Built around VA Form 21P‑8416the Medical Expense Report

Receipts kept privateonly people you invite can see them

Not affiliated with the VAan independent record-keeping tool

Why a shoebox of receipts can be worth real money

VA Pension, Aid and Attendance, and Survivors Pension are based on income. But the VA doesn't count all of it. Medical costs you pay, and don't get paid back for, can be subtracted first.

So the more of those costs you can show, the lower the income the VA counts, and the more the pension can fill in. For a family paying for home care or assisted living, that can be the difference between a small check and a meaningful one.

The catch is proof. You report these costs on VA Form 21P‑8416, and the VA can ask to see receipts for years afterward. A bill you forgot, or can't prove, simply doesn't count.

Every family's situation is different. An accredited Veterans Service Officer (VSO) can tell you what your family may qualify for, and their help is free.

Income the family receives
Minus medical costs you paid and can prove
Income the VA counts

Lower counted income can mean a higher monthly VA payment.

Simplified picture of how the VA treats unreimbursed medical expenses. Not a calculation of any benefit.

Which one sounds like you?

You're his wife, his nurse, his driver, and his bookkeeper. The paperwork is the part that keeps you up at night.

You already pay for his prescriptions, his hearing aids, the Medicare premium that comes out of his check, and every drive to the VA clinic. Much of that can count. VetCareLog catches it as it happens, so none of it is lost by December.

  • Snap each receipt at the counter, in seconds
  • Drives to appointments turn into miles automatically
  • The Medicare premium goes in once as a monthly cost

From a shoebox to a record you're proud to hand over.

Drag the handle. On the left, a year of care the way most families keep it. On the right, the same months in VetCareLog.

Example with made-up numbers.

Three steps. No spreadsheets, no training.

  1. 1

    Snap the receipt

    Photograph it with your phone before it gets lost. Add what you paid and who the care was for.

  2. 2

    It's added to your year

    Bills, drives, premiums, and caregiver hours build one running record, with the total kept for you.

  3. 3

    Hand the VA exactly what it asks for

    Download a worksheet laid out box by box like VA Form 21P‑8416, plus a binder of every receipt to keep.

What counts, including the costs families forget

Costs you paid for the veteran, a surviving spouse, or family in the household, and were not paid back for. These examples come from the VA form itself.

  • Doctor, dentist, and hospital bills
  • Prescriptions and over-the-counter medicine
  • Glasses, hearing aids, and medical equipment
  • Health insurance premiums
  • In-home care, assisted living, adult day care, and nursing homes

Often missed

  • The Medicare premium taken out of a Social Security check each month. It's easy to forget because you never write the check.
  • Driving to appointments in your own car. The VA asks for the miles, and they add up.
  • Paying a family member to provide care, under a written care agreement with timesheets.

The VA decides what it allows. When you're not sure, record it with a clear description and ask your VSO.

A home health aide helps an older man stand from his armchair

Paying for care at home? That can be the biggest line of all.

Whether it's an agency aide or a daughter paid under a written agreement, VetCareLog keeps what the VA looks for in one place: the agreement, the hours worked, and every payment.

  • Log hours in seconds, in quarter hours
  • Record a payment, and the hours it covers are marked paid
  • The worksheet shows the rate and average hours per week the form asks for

When the VA letter comes, you'll be ready in minutes.

The VA asks pension families to report medical expenses, often for a full calendar year. Without a record, that means a weekend with a shoebox and a calculator. With VetCareLog, it's three steps.

  1. Choose the dates the VA asked about.
  2. Download the worksheet. Each line is labeled with its box on the form.
  3. Copy it onto the official form, sign it, and send it. Keep the receipts binder.
Who entered whatToday
  1. AAnne added a receipt: Main Street Pharmacy, $89.40
  2. LLisa logged 3.5 caregiver hours
  3. AAnne added a drive to the VA clinic, 24.6 miles
  4. LLisa attached the March home care invoice

Example with made-up names

Caring is a family effort. The record can be too.

Invite a sister, a brother, or a trusted friend. Choose whether they can add receipts or only look. Everyone sees the same up-to-date record, and every entry shows who added it and when.

  • One plan covers the whole family
  • Invitations work only for the email you choose
  • Remove someone's access any time

Made for the people doing the caring

See the finished worksheet

Every line is labeled with the box it goes in on the VA form, so copying it over takes minutes, not a weekend. Recurring costs like a Medicare premium go on one line, as the form asks. Mileage is shown in miles, because that's what the VA wants.

VetCareLog is not affiliated with the U.S. Department of Veterans Affairs. The worksheet is not an official VA document; you fill in and sign the VA form yourself.

VetCareLog | Medical Expense Report worksheetSample

Claimant: Robert H. (Veteran) · amounts paid 01/01/2026 to 12/31/2026

Section V: Other medical expenses

5AMedicare Part B premium · Monthly from 01/03/2026$185.00
5BMain Street Pharmacy · One time · 03/12/2026$89.40
5CHearing aids, after $100 paid back · 05/01/2026$400.00

Section VI: Mileage

6AVA clinic (cardiology) · 03/15/202624.6 mi
Total documented, after reimbursements$2,727.24
Made-up numbers. Your worksheet uses your own records.

What families use today, and what they give up

FeatureShoeboxSpreadsheetVetCareLog
Receipt kept with each costSometimesNoYes
Mileage worked out for youNoIf you build itYes
Laid out like VA Form 21P‑8416NoNoYes, box by box
Family can help from their phonesNoHardYes
Easy to read at any ageYesNoYes

One simple price for the whole family

Less than a prescription copay each month, for a record that helps your family report every cost the VA may count.

Free for 30 days. No card needed.

Then $4.99 a month, or $39 a year.

  • Invite family at no extra cost
  • Cancel any time
  • If you stop paying, you can still see and download everything. Your records are never held back.
Start your free 30 days

Questions families ask

Is VetCareLog part of the VA?

No. VetCareLog is an independent record-keeping tool. It is not affiliated with the U.S. Department of Veterans Affairs. You still fill in, sign, and send the official VA form yourself.

Will this tell me if we qualify, or how much we'll get?

No. VetCareLog keeps records; it does not give legal or benefits advice, and it can't promise any amount. An accredited Veterans Service Officer (VSO), claims agent, or attorney can tell you what your family may qualify for. Help from a VSO is free.

Do I send my receipts to the VA?

No. The VA form says not to. It asks you to keep receipts for at least 3 years after a decision, because the VA may ask to see them. VetCareLog keeps them for you and makes a binder you can print.

The VA already sent a letter asking for expenses. Is it too late to start?

No. Enter what you paid during the dates in the letter, attaching receipts or statements as you find them. Pharmacies, doctors, and facilities can usually print a history of what you paid. Then download the worksheet for exactly those dates.

I'm paid to take care of my mother. Does that count?

Payments to a caregiver, including a family member, may count when there is a written care agreement and a record of the work and payments. VetCareLog keeps the agreement, timesheets, and payments together. Your VSO can confirm how the VA will treat your situation.

I'm not good with technology. Will I be able to use it?

It was designed for exactly that. Large text, big buttons, plain words, and one main thing to do on each screen. If you can take a photo with your phone, you can use VetCareLog. A family member can also help from their own phone.

Who can see our information?

Only you and the people you invite. Receipt photos are stored privately and open only for people with access. We do not sell your information.

What if I stop paying?

You keep full access to view and download everything you recorded. Adding new entries needs a plan.

Do I need to install an app?

No. It works in your phone's web browser. You can add it to your home screen so it opens like an app.

You're already doing the hard part. Let us keep the record.

Your first receipt takes less than a minute.

Start your free 30 days

No card needed.