The VA HISA Grant and Walk-In Showers: What It Is and What VA Asks For
If you're a veteran with a disability, VA's HISA benefit may help pay for a safer bathroom. HISA stands for Home Improvements and Structural Alterations. It runs through VA health care and pays for medically necessary changes to your primary home, and VA lists roll-in showers among its examples. For veterans with certain severe service-connected disabilities, larger programs exist too: the Specially Adapted Housing (SAH) and Special Housing Adaptation (SHA) grants.
This is a real benefit, but it comes with rules. Whether it applies to you depends on your situation, and nothing here is a promise of coverage. Think of this article as a map of the steps, in the order they need to happen. Amounts and rules can change, so confirm the current details with your local VA office.
What HISA Can and Can't Pay For
VA's HISA page lists what the benefit is for. In a bathroom, that means using essential lavatory and sanitary facilities, with roll-in showers given as the example, and making bathroom sinks and counters reachable, such as lowering them. It can also cover plumbing or electrical work made necessary by home medical equipment.
VA also lists what HISA does not pay for, including spa, hot tub and Jacuzzi-type tubs, new construction and routine home repairs. Every HISA project has to be medically justified for the disability it addresses.
How Much HISA Provides
HISA is a lifetime benefit, and VA lists two amounts on its HISA page (last updated February 2025):
- $6,800 for a service-connected disability, for a disability treated as service-connected, or for any disability if you have a service-connected rating of at least 50 percent.
- $2,000 for a disability not covered above.
Your local Prosthetic and Sensory Aids Service can tell you how much of your lifetime benefit is still available.
What VA Asks For in a HISA Application
VA's HISA page lists what a complete application package includes:
- A prescription written or approved by a VA physician, describing the change, why it's medically needed and the area of the home it involves.
- A completed and signed VA Form 10-0103.
- A written, itemized estimate of costs for labor, materials, permits and inspections.
- A color photograph of the area before the change.
- For renters, a signed and notarized statement from the owner allowing the work.
VA may also inspect the site.
Why It's Usually a Shower, Not a Walk-In Tub
If you've been looking at walk-in tubs, this may surprise you. VA's list of things HISA does not pay for includes spa, hot tub and Jacuzzi-type tubs, while roll-in showers are named as an example of what it does cover. A shower you can walk or roll into is the kind of change HISA describes. Your VA physician's prescription is what decides what's medically needed for you. If you still want a tub, that's your choice; just plan on it being outside the benefit.
Complete the Approval Steps Before Any Work Starts
Order matters here. Start with your VA physician about medical need and the prescription. Then contact your local Prosthetic and Sensory Aids Service about the HISA application. Get the answer from VA before construction begins. If you install first and ask later, you risk paying for the whole job yourself. Waiting can feel slow, but it's the step that protects you.
If you need something sooner, simple fixes can make an existing tub or shower safer in the meantime, such as a transfer bench, clamp-on grab bars and a handheld showerhead.
Where Love Your Bath Fits In
Love Your Bath is a Jacuzzi® Bath Remodel dealer, and our own installation crews build walk-in showers, tub-to-shower conversions, grab bars and built-in seats. Our installers are primarily W-2 employees, and every job comes with a lifetime warranty on the product and the workmanship. Most jobs take as little as one day. If you're applying for HISA, tell your designer at the design visit what VA has asked you for.
Picture the everyday difference. You step into the shower instead of climbing over a tub wall. You sit on a built-in seat while you wash. You reach for a grab bar that stays put. Whether VA benefits apply depends on you, and we'll never promise otherwise. You've earned a bathroom that's safe and comfortable, and there's help getting there.
Summary Checklist
- Talk to your VA physician about medical need and the prescription.
- Ask your local Prosthetic and Sensory Aids Service about HISA and how much of your lifetime benefit is available.
- Gather what VA asks for: the prescription, VA Form 10-0103, an itemized estimate and a photo of the area.
- Wait for VA's answer before any work starts.
- Schedule a free in-home design visit with Love Your Bath.


