For veterans, understanding the Department of Veterans Affairs (VA) rating system is crucial for accessing deserved benefits. The VA rating system assesses disability extent and determines compensation. This guide explains what a VA rating is, how it’s determined, and how to appeal a rating decision.
What is a VA Rating?
A VA rating is a percentage the VA assigns to a veteran’s service-connected disability, reflecting its severity and impact on work and daily activities. Ratings range from 0% to 100% in 10% increments.
Purpose of VA Ratings
VA ratings compensate veterans for average earning capacity loss due to service-connected disabilities. Higher ratings signify more severe disabilities and result in higher compensation.
Types of Disabilities Covered
VA ratings cover:
- Physical Injuries: Loss of limbs, back injuries, hearing loss.
- Mental Health Conditions: PTSD, depression, anxiety.
- Chronic Illnesses: Diabetes, heart disease, respiratory conditions.
How VA Ratings are Determined
Determining a VA rating involves filing a claim, medical exams, and a VA decision.
Filing a Disability Claim
Veterans file claims online through the VA’s eBenefits portal, by mail, or at a VA regional office. Claims should include:
- VA Form 21-526EZ (Application for Disability Compensation)
- Medical records and evidence supporting the disability
- Service records linking the disability to military service
VA Medical Examination
The VA may schedule a Compensation and Pension (C&P) exam with a VA healthcare provider to assess the disability. The exam includes:
- Review of medical history
- Physical or mental health evaluations
- Diagnostic tests if needed
The Rating Decision
After the C&P exam, the VA reviews all evidence and makes a rating decision, including:
- Assigned percentage rating
- Effective date of the rating
- Reasons for the rating
Rating Schedule and Criteria
The VA uses the Schedule for Rating Disabilities (VASRD) to evaluate disabilities, with criteria for different rating percentages.
Understanding Your VA Rating
After receiving a rating decision, understand what the percentage means for your benefits.
Compensation Based on Rating Percentage
As of 2024, monthly compensation amounts are:
- 10%: $165.92
- 20%: $327.99
- 30%: $508.05
- 40%: $731.86
- 50%: $1,041.82
- 60%: $1,319.65
- 70%: $1,665.43
- 80%: $1,933.15
- 90%: $2,172.39
- 100%: $3,621.95
These amounts may increase with dependents or additional benefits.
Combined Ratings
For multiple disabilities, the VA uses a formula to determine an overall rating, not a simple addition. For instance, a 50% and a 30% disability combine to a calculated rating using the VA’s combined ratings table.
Secondary Service-Connected Conditions
Secondary conditions arise from a service-connected condition, like arthritis from a knee injury. The VA assigns a separate rating, contributing to the overall combined rating.
Appealing a VA Rating Decision
Veterans can appeal if they disagree with a rating decision.
Initial Review and Higher-Level Review
First, request a review:
- Initial Review: Submit new evidence for a Supplemental Claim.
- Higher-Level Review: Request a senior VA claims adjudicator review without new evidence.
Board of Veterans’ Appeals (BVA)
If initial reviews are unsatisfactory, appeal to the BVA by:
- Submitting a Notice of Disagreement (NOD)
- Choosing an Appeal Lane (Direct Review, Evidence Submission, or Hearing)
- Awaiting a BVA decision
Court of Appeals for Veterans Claims (CAVC)
If the BVA denies the appeal, the case can go to the CAVC, which reviews for legal errors and can remand the case.
Legal Representation
Legal representation from accredited VSOs, attorneys, or claims agents can help in the appeals process.
Common Challenges in the VA Rating Process
Veterans may face challenges:
Inadequate Medical Evidence
Claims often fail due to insufficient medical evidence. Ensure thorough medical documentation.
Service Connection Issues
Provide detailed service records linking the disability to military service.
Complex Conditions
Conditions like PTSD may need detailed documentation and expert testimony.
Bureaucratic Delays
The VA process can be slow. Stay informed and follow up regularly.
Resources for Veterans
Resources to help navigate the VA rating process include:
Veterans Service Organizations (VSOs)
Groups like the American Legion, VFW, and DAV offer free claim and appeal assistance.
VA Regional Offices
VA offices provide in-person help for understanding benefits, filing claims, and navigating appeals.
Online Resources
The VA’s website and eBenefits portal offer information and tools for managing claims. Online forums and support groups provide peer support and advice.
Conclusion
Navigating the VA rating for IBS is complex, but understanding the process and knowing where to seek help can make a significant difference. Whether filing an initial claim, understanding your rating, or appealing a decision, having the right information and resources is crucial. With proper support and persistence, veterans can secure the benefits they deserve for their service-connected disabilities.
About the author: Leland D. Bengtson
As a journalist, Leland D. Bengtson dedicated most of his career to law reporting. His greatest
satisfaction is to convey legal matters to the public in a language that they can understand.
He is active on various platforms and media outlets, writing about common legal issues that
people confront every day. While medical malpractice is his strong suit, Leland covers
plenty of other topics, including personal injury cases, family law, and other civil and even
criminal legal matters.