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The benefit is underpaid at an average rate of 4.3 percent, according to a report by the National Audit Office. Auditors looked at DWP accounts and found that some £230million in total could be due to claimants.
This means that Attendance Allowance has the highest rate of underpayment of all benefits.
Some 1.4 million people across the UK receive the support of £61.85 or £92.40 a week.
Almost all of the underpayments were classified as claimant error.
Claimants who are due back payments could be missing out on some £3,800 each.
The report found that 2.2 percent of claimants were affected by overpayments, with a total of £120million overpaid.
This is the lowest rate of overpayment for all benefits, excluding the state pension.
Claimants who believe they have been underpaid can contact the Attendance Allowance helpline on 0800 731 0122 for more information.
Attendance Allowance helps older Britons with extra costs if they have a physical or mental condition which affects their daily living.
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Some 3.4 million pensioners could be missing out entirely on the help, experts have suggested.
The support includes a lower rate of £61.85 for those who need help either during the day or at night.
Those who need help throughout the day, or who are terminally ill, can get the higher rate of £92.40 a week.
The benefit is not means tested and could entitle a claimant to other support, such as Pension Credit, Housing Benefit or a Council Tax reduction.
To qualify for the support, claimants must:
- Be over state pension age
- Have a type of disability or illness, including sight or hearing impairments, or mental health issues such as dementia
- Benefit from help with personal care, such as getting washed or dressed, or supervision to keep you safe during the day or night
- Have needed help for at least six months (if claimants are terminally ill, the benefit can be claimed straight away)
To access an Attendance Allowance form, people can either call the helpline on 0800 731 0122 or download the form from the Government website.
Applicants are urged to be very clear about the impact of the illness or disability and to attach supporting information such as GP letters or prescription lists.
Once the form is submitted, the DWP may get in contact for more information or to arrange a visit to the doctors.
Claimants will then receive a letter confirming whether or not the benefit will be allocated.
Express.co.uk has contacted the DWP asking for comment.
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