Veteran PTSD rating

Understanding PTSD Ratings for VA Disability Claims: What Every Veteran Should Know

When applying for VA disability benefits for PTSD, it’s crucial to understand both the process of establishing a service connection (nexus) and how the VA assigns ratings for PTSD symptoms. These ratings, which range from 10% to 100%, are designed to reflect the severity of your symptoms and their impact on your life. However, transparency about your worst symptoms is key to ensuring you receive the correct rating.

In this article, we’ll walk you through how to establish a nexus for your PTSD claim, explain how the VA assigns ratings, discuss how the VA determines effective dates, and explore common mistakes and appeal options.

Establishing a Nexus for PTSD Claims

Before the VA can assign a disability rating, you must first establish a service connection, also known as a nexus, between your PTSD and your military service. A strong nexus is essential for your condition to be considered “service-connected” by the VA, allowing you to receive compensation. There are three primary criteria you need to meet:

  1. A Current PTSD Diagnosis: You must have an official diagnosis of PTSD from a qualified healthcare provider, such as a psychiatrist, psychologist, or other mental health professional.
  2. In-Service Stressor: You need to provide evidence of a specific event or series of events that occurred during your military service and contributed to your PTSD. These stressors could include combat exposure, witnessing traumatic events, or experiencing personal trauma (such as an assault or life-threatening situation). Common examples include:
    • Combat veterans who witnessed the death of fellow soldiers or were in life-threatening situations.
    • Non-combat veterans who experienced severe accidents, military sexual trauma (MST), or witnessed traumatic events during training exercises.
  3. Medical Evidence Linking the Stressor to PTSD: The third criterion is a medical opinion, often referred to as a nexus letter, which directly links your in-service stressor to your current PTSD diagnosis. This letter should be from a medical professional who has reviewed your records and can clearly explain how your service experiences caused or contributed to your PTSD.

Failing to establish any one of these elements can lead to a denial of your claim. To strengthen your case, it’s critical to provide detailed documentation, including service records, medical reports, and, if applicable, statements from fellow service members who can corroborate the traumatic event.

PTSD Ratings: How the VA Assigns Them

Once the nexus is established, the VA will assign a rating based on the severity of your PTSD symptoms and how they affect your ability to function in everyday life. PTSD ratings range from 10% to 100%, depending on the extent of your symptoms. Understanding how the VA determines these ratings can help ensure your claim reflects the full scope of your condition.

Why Transparency Matters

One of the most important factors in receiving the correct rating is being completely transparent about your worst symptoms. Veterans sometimes minimize their experiences, which can result in a lower rating. The VA tends to average symptoms across rating levels. For example, if your symptoms fall into the 30%, 50%, and 70% ranges, the VA might assign a 50% rating. However, your rating should be based on the highest level of symptoms, not an average. If you have severe symptoms at the 70% level, your rating should reflect that level of severity.

PTSD Rating Levels

  • 10% Rating: At this level, symptoms are mild and cause only occasional interference with work or social activities. Anxiety or brief periods of stress may occur, but they are not significantly disruptive.
  • 30% Rating: Veterans with this rating may experience symptoms such as occasional panic attacks, mild memory loss, and moderate depression. These symptoms can impact relationships and work but allow for reasonable functioning most of the time.
  • 50% Rating: This level reflects more frequent or severe symptoms such as panic attacks occurring more than once a week, difficulty maintaining personal or professional relationships, and mood disturbances that significantly disrupt daily life.
  • 70% Rating: At this level, veterans may have symptoms like suicidal ideation, near-continuous panic or depression, and difficulty adapting to stressful situations. Relationships and employment become extremely challenging to maintain. Even if suicidal thoughts are “fleeting” or without intent, they still qualify you for a 70% rating.
  • 100% Rating: The most severe rating, 100%, is for veterans who are completely unable to work or maintain social relationships due to the severity of their PTSD symptoms. This level is for veterans who experience total occupational and social impairment.

Effective Dates: When Benefits Start

Once the VA determines your PTSD rating, they will assign an effective date, which is the date your benefits will begin. Typically, the effective date is either the date you filed your claim or the date the VA determines your PTSD symptoms worsened—whichever is later.

For instance, if you filed your claim on January 1, 2023, and your PTSD symptoms worsened on June 1, 2023, the VA would likely assign June 1, 2023, as your effective date. This means your back pay and benefits would start from that date.

Common Mistakes with Effective Dates:

  • Late Filing: Veterans often wait to file a claim, which delays their effective date. It’s important to file as soon as possible once you begin experiencing symptoms or if your symptoms worsen.
  • Failure to Appeal on Time: If you disagree with your rating or effective date, you have the right to appeal, but missing the appeal deadlines can lock you into a lower rating or later effective date than you deserve.
  • Inadequate Documentation: Without solid medical evidence, the VA may assign an effective date that does not reflect when your symptoms first impacted your ability to function. Be sure to include detailed medical records and supporting statements in your claim.

Common Mistakes in PTSD Claims and Appeal Options

Veterans often face obstacles in the claims process, especially when it comes to PTSD. Here are a few common mistakes veterans make and how to avoid them:

  • Not Being Transparent About Symptoms: Minimizing or downplaying the impact of PTSD symptoms can result in an incorrect rating. Be open about your worst days, even if the symptoms aren’t daily occurrences.
  • Inadequate Nexus Letters: Failing to provide a strong nexus letter can lead to a denial. Work with a knowledgeable mental health professional who can clearly link your PTSD to your military service.
  • Overlooking Secondary Conditions: PTSD often leads to other conditions like anxiety, depression, or substance abuse. Failing to list these conditions as secondary claims can limit your overall rating.

If you believe your claim was denied unfairly or you received a lower rating than you deserve, you have options. Veterans can file an appeal through the VA’s review system, including requesting a Higher-Level Review or submitting new evidence for a Supplemental Claim. You may also request a hearing with the Board of Veterans’ Appeals.

How Disability Law Group Can Help

At Disability Law Group, we specialize in helping veterans secure the benefits they’ve earned. Our team understands the complexities of VA disability claims and specializes in advocating for veterans with PTSD. We work to ensure that your symptoms are properly documented, your nexus is clearly established, and that the VA assigns the correct rating based on the severity of your condition.

If you’re struggling to receive the correct PTSD rating, need help establishing a nexus, or want to appeal a decision, we’re here to help. Contact us today for a free consultation and let us guide you through the process of securing the benefits you deserve.

Veteran Mental Health Claims

A Guide to Filing Mental Health Claims Through the VA (Non-PTSD Conditions)

Mental health conditions can have a profound impact on veterans, affecting their ability to work, maintain relationships, and enjoy everyday life. While PTSD is one of the most commonly recognized mental health conditions among veterans, many also face challenges with other conditions like depression, anxiety, and bipolar disorder. The VA does offer disability compensation for these conditions, but the process can be confusing and full of potential missteps.

In this guide, we’ll explore how to establish a connection between your mental health condition and military service, understand the VA’s rating system for non-PTSD conditions, and avoid common mistakes that veterans often make. We’ll also share some statistics, explain why these mistakes happen, and highlight the types of evidence that can strengthen your claim.

Establishing a Nexus for Non-PTSD Mental Health Conditions

To qualify for VA disability benefits for a mental health condition, the first step is to establish a nexus—a clear link between your condition and your time in service. This connection is essential to prove that your condition is service-related and, therefore, eligible for compensation.

Here’s how you can establish a nexus for non-PTSD mental health claims:

  1. A Current Diagnosis: First, you need an official diagnosis from a qualified healthcare provider. The VA recognizes a variety of non-PTSD mental health conditions, including:
    • Depression: Chronic sadness or hopelessness that affects day-to-day functioning.
    • Anxiety Disorders: Includes Generalized Anxiety Disorder (GAD), Panic Disorder, and Social Anxiety Disorder, which can cause persistent worry, fear, or panic attacks.
    • Bipolar Disorder: This condition involves extreme mood swings between manic and depressive states.
    • Schizophrenia: A serious mental disorder affecting how a person thinks, feels, and behaves, often causing difficulty in distinguishing reality.
  1. Service-Related Event or Stressor: You also need to show that your condition was caused or aggravated by an event that occurred during your time in the military. This could be a result of:
    • Combat-related stress, even without developing PTSD.
    • Stress from difficult or traumatic work conditions, harassment, or personal trauma.
    • Physical injuries sustained during service that led to feelings of depression or anxiety.
  1. Medical Evidence Linking Your Condition to Service: The final step in establishing a nexus is providing a nexus letter from a healthcare professional that connects your diagnosis to the events or stressors you experienced in service. This letter should explain how your time in the military contributed to or exacerbated your mental health condition.

Veterans sometimes struggle to provide the necessary evidence, which can lead to denials or low ratings. Gathering medical records, service records, and even statements from fellow service members can significantly support your case.

VA Ratings for Non-PTSD Mental Health Conditions

Once the nexus is established, the VA assigns a disability rating based on the severity of your mental health condition. These ratings range from 0% to 100%, depending on how much your condition affects your ability to function.

While some veterans may feel uncertain about how their symptoms compare to these ratings, it’s important to provide as much detail as possible about your daily struggles. The VA looks for specific symptoms at each rating level, so transparency in your claim is critical.

Here’s how the VA typically rates non-PTSD mental health conditions:

  • 0% Rating: You have a diagnosed condition, but it does not cause any noticeable impairment in work or social functioning. While you won’t receive compensation at this level, you are still eligible for VA healthcare.
  • 10% Rating: Symptoms may cause mild or occasional interference with work or social activities. Veterans at this level might experience anxiety, trouble sleeping, or mild depression, but can generally manage these issues.
  • 30% Rating: Symptoms such as frequent anxiety attacks, depression, or difficulty concentrating become more noticeable and begin to impact relationships and work performance.
  • 50% Rating: This rating is given when symptoms become more frequent and severe, such as regular panic attacks, impaired judgment, and difficulty maintaining personal or professional relationships.
  • 70% Rating: At this level, symptoms such as near-continuous panic or depression, suicidal ideation, or extreme difficulty adapting to stressful situations make it nearly impossible to function in daily life or maintain employment.
  • 100% Rating: The most severe rating is reserved for veterans who are completely unable to work or engage in social activities due to their mental health condition. Symptoms might include hallucinations, delusions, or an inability to care for oneself.

Why Veterans Make Mistakes in Mental Health Claims

It’s common for veterans to make errors during the claims process, but understanding why these mistakes happen can help avoid them. One reason is that many veterans downplay their symptoms, either out of discomfort in discussing mental health or a belief that their condition isn’t “bad enough” to warrant compensation. Transparency is vital—sharing even your worst days can make a difference in your rating.

Another common issue is failing to gather sufficient evidence. Veterans may not realize the importance of medical records, service records, and even statements from family members or friends who have witnessed the impact of their mental health condition. This evidence helps paint a full picture of how the condition affects your life and can bolster your claim.

Effective Dates: When Benefits Begin

After the VA assigns a rating, they’ll determine an effective date, which establishes when your benefits will begin. Typically, the effective date is either the date you filed your claim or the date the VA determines your condition worsened—whichever is later.

However, many veterans miss out on back pay and benefits because of delays in filing or a misunderstanding of how effective dates work. Filing as soon as you recognize your condition is critical, and keeping detailed records of any changes in your condition can help establish an earlier effective date if your symptoms worsen over time.

Common Mistakes with Effective Dates:

  • Filing Late: The longer you wait to file, the later your effective date will be. Filing early ensures that you don’t lose out on potential benefits.
  • Inaccurate Documentation: Providing thorough documentation of when your condition began or worsened can prevent an incorrect effective date.
  • Missing Appeal Deadlines: If you disagree with the effective date assigned by the VA, you must appeal within a certain timeframe. Missing the deadline can leave you locked into a less favorable effective date.

Common Mistakes in Non-PTSD Mental Health Claims (And How to Avoid Them)

Navigating a VA claim can be tricky, especially for non-PTSD mental health conditions. Here are some common mistakes veterans make and how you can avoid them:

  • Downplaying Symptoms: Veterans often don’t fully explain the severity of their mental health symptoms, resulting in a lower rating. Be honest and open about how your condition affects your daily life, even if it’s uncomfortable to discuss.
  • Incomplete Evidence: Medical records, service records, and personal statements from people who have witnessed your struggles are all critical pieces of evidence. Without these, the VA may not fully understand the impact of your condition.
  • Missing Out on Secondary Claims: Mental health conditions can often lead to other issues, such as substance abuse or sleep disorders. These secondary conditions can be added to your claim to increase your overall rating.

If your claim is denied or you receive a lower rating than expected, remember that you have options. You can request a Higher-Level Review, submit new evidence in a Supplemental Claim, or even request a hearing with the Board of Veterans’ Appeals. Filing an appeal within the required timeframe is essential to ensuring you get the correct rating and effective date.

Mental Health Among Veterans: The Statistics

Mental health conditions are more common among veterans than the general population, often due to the unique stressors of military service. Here are some relevant statistics:

  • 12% of Gulf War veterans suffer from depression and anxiety disorders.
  • 30% of Vietnam veterans have experienced depression at some point in their lives.
  • Veterans are 21% more likely to develop serious mental health conditions than the general population, according to VA studies.

Despite the prevalence of mental health conditions, many veterans struggle to receive the proper compensation and care they deserve. This is why seeking professional guidance can make all the difference.

How Disability Law Group Can Help

At Disability Law Group, we understand the difficulties veterans face when filing mental health claims with the VA. Our team of dedicated attorneys is experienced in handling non-PTSD mental health claims, and we work tirelessly to ensure that your condition is properly evaluated and rated. Our team also handles PTSD Ratings for VA Disability Claims.

If you’re struggling to establish a service connection, need assistance gathering evidence, or want help appealing a decision, we’re here for you. Contact us today for a free consultation and let us help you get the benefits you deserve.

Military Sexual Trauma

What Should I Expect as Compensation for Military Sexual Trauma VA Disability?

Military sexual trauma (MST) is a serious and disturbing issue in the U.S. armed forces, affecting numerous service members of all genders and across all branches. According to USNI News, one in ten female sailors and 2.1 percent of male sailors experienced unwanted sexual contact in one recent fiscal year, according to Department of Defense sexual assault reports. The Marine Corp. had higher rates of women experiencing unwanted sexual contact, accounting for 13.4 percent of women in this branch. Overall, 8.4 percent of female service members and 1.5 percent of male service members experienced unwanted sexual contact that year.

The Department of Defense report that USNI News references shows that sexual assault cases are up, reports are down, and trust in the military’s ability to resolve the issue is at an all-time low. Many of our country’s heroes have experienced traumatizing sexual experiences that continue to affect their lives today. MST encompasses experiences of sexual harassment or assault during military service and can leave lasting mental and physical impacts.

Recognizing the gravity of this issue, the VA has taken significant steps in recent years to improve how it handles MST-related disability claims. The Veterans Benefits Administration (VBA) has reported a marked increase in approval rates for post-traumatic stress disorder (PTSD) claims involving a nexus (link) to MST.

If you experienced MST, you have the right to file a VA disability claim to seek compensation for physical and mental health conditions related to MST conditions, such as PTSD, depression, or anxiety. Whether this is your first time filing a claim or you are appealing a previous denial, you now have a much better chance of securing the benefits you need.

The VA has improved its training and review processes to ensure only experienced and compassionate staff handle MST claims. The VA encourages all veterans who have experienced MST to come forward and file a claim, and if their previous claims resulted in denials, they should request decision reviews.

Possible VA Disability Compensation

MST-related VA disability compensation awards are based on the disability rating you receive, taken together with your marital and family status. The VA assigns a disability rating between 0 and 100 percent, depending on the severity of your condition. The most common condition related to MST is PTSD, which the VA rates according to specific symptoms and how they affect your daily life.

Once the VA assigns your disability rating, it calculates your monthly VA disability benefits based on this rating and your family situation. For example, a veteran with a 30 percent disability rating and no dependents currently receives $524.31 per month. However, if you have a spouse or children, your compensation increases accordingly. The disability compensation rates also adjust annually to account for changes in the cost of living, so your benefits maintain their value over time.

What Evidence Do I Need to Prove Military Sexual Trauma?

You will need to provide various types of evidence to prove MST and support your VA disability claim. The strongest evidence for MST-related claims includes service treatment records (STR) or military personnel records (MPR) that document the MST, as well as Department of Defense (DOD) reporting forms or investigative reports related to the incident. The VA also accepts direct and indirect evidence for claims involving PTSD.

Direct evidence can include statements from chaplains, counselors, healthcare providers, or fellow service members with whom you discussed the incident. Reports from civilian police, medical records from non-military providers, and personal diaries can also serve as direct evidence.

If direct evidence is unavailable, you can submit indirect evidence. This includes documentation of changes in your behavior, such as issues with work performance, relationship difficulties, or problems with substance abuse. Symptoms like anxiety, depression, panic attacks, or suicidal thoughts can also support your military sexual trauma claim.

Contact a VA Disability Attorney

If you experienced MST and need help with your VA disability claim, contact the Disability Law Group today. Our team can explain your rights and secure the benefits you deserve. Our distinguished law firm includes attorneys listed among Crain’s Detroit Notable Women in the Law and multiple partners selected for the prestigious 40 Under 40 awards. We stand together with you and are ready to demand the accountability you deserve after suffering traumatic events during your time of service. We offer a confidential, free initial consultation to discuss your case and how we can support you. Call us now to take the first step toward getting the compensation and care you need.

Disabled Veteran

How Does the VA Decide the Effective Date of a Veteran’s Service-Connected Disability Compensation Claim?

Veterans seeking disability compensation from the U.S. Department of Veterans Affairs (VA) often have questions about how the VA decides the effective date of their service-connected disability. In this article, we at Disability Law Group discuss the key factors the VA considers when determining the effective date of a veteran’s disability claim. We also explain what to do if you disagree with the VA’s decision concerning your disability benefits.

Direct Service Connection

A direct service connection links a veteran’s illness or injury directly to their military service. To establish a direct service connection, the veteran must show that the condition began or worsened during active duty.

Examples of a direct service connection disability include:

  • Hearing loss from constant exposure to jet engines
  • Combat injury, such as an amputated leg from shrapnel
  • PTSD after witnessing traumatic events during deployment
  • Chronic back pain from heavy lifting

To establish a direct service connection, the veteran must show that the condition started or worsened during active duty. The VA usually sets the effective date as the later of two dates: the date they received the disability claim or the date the condition appeared after discharge. For example:

  • If a veteran files a claim for VA disability benefits on June 1, 2024, and the condition starts on January 1, 2024, while still in service, the effective date will likely be June 1, 2024.
  • However, if the veteran files on the discharge date, the effective date could be the day after discharge.

Presumptive Service Connection

The VA presumes certain conditions are related to military service due to their nature and circumstances, and refers to such conditions as having a presumptive service connection.

Examples of presumptive service connections include:

For presumptive conditions, the VA sets the effective date to when the disability claim was filed or the date the condition appeared, whichever is earlier. This process often results in an earlier effective date than direct service connections, allowing for retroactive disability compensation.

What to Do If You Disagree with the Service-Connection Date

If you disagree with the VA’s decision on the effective date of your VA disability benefits, you may take the following steps to file an appeal:

  • Submit new and material evidence to support an earlier effective date.
  • Request a review by a Decision Review Officer (DRO) or a Board of Veterans’ Appeals (BVA) hearing.
  • Provide comprehensive evidence, like service and private medical records, witness testimonials, and expert opinions.

VA Earlier Effective Date Process

The VA earlier effective date process involves reviewing the evidence submitted with the initial claim and any new evidence provided during the appeals process. The VA examines all relevant documents to determine if there is sufficient justification to assign an earlier effective date.

The attorneys at Disability Law Group bring decades of experience and knowledge to our work in helping veterans and their families secure the benefits and compensation they deserve. This includes dependency and indemnity compensation for survivors of veterans who died in active duty or as the result of service-connected illness or injury.

Disability Law Group specializes solely in disability benefit cases. We relentlessly pursue justice and champion the rights of those in need. Three of our partners have been honored as Super Lawyers Rising Stars for the last four years, placing them in the top 2.5% of attorneys practicing in Michigan. More importantly, we have consistent five-star ratings from our clients across all platforms, indicating our unwavering commitment to client service. If you would like to discuss your situation and learn how we can advocate for your rights, contact us today for a free, no-obligation consultation.

Most Common Disabilities for Veterans

How to File a New Claim for Service-Connected Disability Benefits in Michigan

Introduction Filing a new claim for service-connected disability benefits is a crucial step for veterans in Michiga6n who have honorably served our country. Disability Law Group understands the importance of this process and is committed to providing veterans with the guidance they need. This article outlines essential steps for filing a successful claim, enriched with insights from real-world examples, and highlights our team’s expertise as VA-accredited attorneys.

Step 1

Gather Necessary Documentation Before filing a claim, veterans should gather comprehensive documentation that supports their disability and its connection to military service. This includes military service records, medical records, and statements from healthcare providers. For instance, veterans may need to provide evidence of specific incidents during their service that led to their current condition, such as injuries sustained or exposure to hazardous materials. Disability Law Group assists veterans in organizing and presenting this documentation effectively to support their claims, ensuring all relevant details are included to avoid unnecessary delays.

  • Including Lay Statements: Veterans should consider including lay statements from themselves, family members, or colleagues who can provide firsthand accounts of how the disability has affected their daily life or observed its development over time.
  • Highlighting Continuity of Symptoms: It’s critical to highlight any continuity of symptoms from the time of service to the present day, as this strengthens the case for service connection and disability progression.

Step 2

Determine Eligibility Understanding the VA’s eligibility criteria is crucial. Veterans must demonstrate a clear link between their disability and military service to qualify for benefits. For example, veterans suffering from conditions like hearing loss or respiratory illnesses due to exposure during their service may need to provide detailed medical reports and service records. Our VA-accredited attorneys provide personalized guidance, helping veterans navigate complex eligibility requirements and ensuring their claims are supported by compelling evidence.

  • Importance of Buddy Statements: Veterans can benefit from obtaining buddy statements that corroborate their accounts of incidents or exposures during service, which can strengthen the connection between their disability and military duty.
  • Utilizing Independent Medical Opinions: In cases where the VA’s initial medical evaluation is inconclusive, veterans should consider obtaining independent medical opinions to provide additional clarity and support for their claim.

Step 3

Complete the Application Form Accurately completing the VA Form 21-526EZ is essential for a successful claim. Veterans must provide detailed information about their service history, medical conditions, and any relevant supporting documents. Errors or omissions on the form can lead to delays or denials. Disability Law Group supports veterans by reviewing their application forms thoroughly, ensuring all information is accurate and comprehensive before submission.

Step 4

Submitting the Claim Submitting the completed application and supporting documents promptly is crucial. Veterans can submit claims online through the VA’s eBenefits portal or by mail to the appropriate VA regional office. Disability Law Group assists veterans in tracking the status of their claims and ensures all documentation is organized and submitted correctly to minimize delays.

Step 5

Follow Up and Respond to Requests After submitting the claim, the VA may request additional information or schedule a Compensation and Pension (C&P) exam to evaluate the disability. Veterans should respond promptly to these requests and provide any necessary documentation or attend scheduled exams. Disability Law Group supports veterans throughout this process, ensuring they have the resources and guidance needed to respond effectively and timely.

Filing a new claim for service-connected disability benefits requires careful preparation and understanding of the VA’s procedures. At Disability Law Group, our commitment to veterans extends beyond filing claims; it encompasses guiding them through every step of the journey with compassion and expertise. We believe in personalized support tailored to each veteran’s unique circumstances, ensuring they feel empowered and informed throughout the process. By fostering a supportive environment and leveraging our extensive experience, we aim to alleviate the stress and confusion often associated with navigating VA procedures. Disability Law Group stands as a steadfast ally to veterans in Michigan, dedicated to securing their rightful benefits and honoring their invaluable service to our nation.

Are you a veteran in Michigan preparing to file a new claim for service-connected disability benefits? Contact Disability Law Group today to receive personalized support and guidance from our team of VA-accredited attorneys who understand your unique needs and challenges.

Veteran meeting with attorney to understand his VA benefits.

Common Mistakes Veterans Make When Applying for VA Disability Benefits

Applying for VA disability benefits is a critical process for veterans who have bravely served our country. Disability Law Group understands the challenges veterans face and is committed to providing expert guidance. This article explores common mistakes veterans make during the application process, drawing insights from real-world examples, and offers practical advice to navigate these pitfalls successfully.

Mistake 1

Incomplete Medical Documentation One of the primary reasons for VA disability claim denials is inadequate medical evidence. For instance, veterans may overlook the importance of detailed medical records that show the progression and impact of their condition since their service. For example, a veteran suffering from PTSD may need to provide documentation detailing specific incidents during their service that contributed to their condition’s development and severity. Disability Law Group’s VA-accredited attorneys specialize in helping veterans compile comprehensive medical evidence to strengthen their claims, ensuring all relevant details are included to avoid unnecessary delays.

  • Failure to Include Specialist Reports: When applying for benefits, it is often forgotten to include specialist reports or evaluations that provide deeper insights into the severity and specific nature of their condition, such as reports from psychologists or psychiatrists detailing the psychological impact of combat experiences.
  • Lack of Nexus Statements: Another common oversight is the absence of nexus statements linking their current condition to specific incidents or exposures during military service. These statements are crucial in establishing a direct connection between the disability and military service, thereby supporting the claim effectively.

Mistake 2

Not Understanding Eligibility Criteria Many veterans mistakenly assume automatic qualification for benefits if they have a disability. For instance, veterans may fail to provide sufficient evidence linking their current condition to incidents during their service, such as exposure to combat situations or hazardous environments. Our team of experienced attorneys, some of whom are veterans themselves, provides personalized guidance to ensure veterans meet the VA’s stringent eligibility requirements, thereby enhancing their chances of a successful claim.

  • Insufficient Documentation of Service Connection: Some veterans struggle to gather enough documentation to clearly demonstrate how their condition is connected to their military service. This could include overlooking unit records, deployment logs, or buddy statements that corroborate their exposure to specific hazards or traumatic events.
  • Inadequate Explanation of Functional Impairment: Another common pitfall is not adequately explaining how the disability impacts daily life and limits occupational functioning. Providing detailed accounts or diaries of how the disability affects activities of daily living can significantly strengthen the claim.

Mistake 3

Missing Deadlines Timeliness is crucial in the VA disability claims process, as missing deadlines for submitting forms or attending medical exams can lead to delays or denials. For example, veterans may not realize the importance of responding promptly to requests from the VA for additional information or scheduling a Compensation and Pension (C&P) exam. Disability Law Group supports veterans by helping them stay organized with deadlines and ensuring all required documentation is submitted on time. This proactive approach minimizes the risk of claim denials due to missed timelines.

Mistake 4

Filing a Claim without Professional Assistance Navigating the VA claims process alone can be daunting and increases the likelihood of errors. Veterans who work with our team of VA-accredited attorneys benefit from our extensive experience and understanding of the complexities involved. For example, our attorneys assist veterans in interpreting communication from the VA, such as decision letters and examination reports, to ensure all nuances are understood and appropriately responded to. Statistics consistently show that claims represented by attorneys have a higher success rate than those filed without professional assistance.

Applying for VA disability benefits requires careful preparation and understanding of the VA’s procedures. At Disability Law Group, our mission is deeply rooted in ensuring veterans receive the benefits they rightfully deserve. Beyond correcting common application errors, we are committed to empowering veterans with knowledge about their rights and entitlements. Our team goes beyond mere representation; we educate veterans on the intricacies of VA disability claims, fostering a partnership that prioritizes their well-being. By advocating for transparency and fairness in the claims process, Disability Law Group strives to uphold veterans’ dignity and honor their service with the recognition and support they are owed.

If you’re a veteran in Michigan seeking assistance with your VA disability benefits claim, contact Disability Law Group today. Our team of VA-accredited attorneys is ready to provide the personalized support and expertise you need to secure the benefits you deserve.

Veteran disability attorney sitting with veteran

Is My VA Disability Rating Permanent?

If you’re a veteran receiving VA disability benefits, you might wonder if the disability rating determining the value of your benefits is permanent. The truth is that most VA disability ratings can change. The VA regularly reviews these ratings to see if a recipient’s condition has improved. This can sometimes result in a reduction of benefits. Therefore, it’s important to understand what factors the VA considers when reviewing your rating and what steps you can take to protect your benefits.

When Can the VA Reevaluate Your Disability?

The VA can reevaluate your disability at any time unless you have had your rating for 20 years. However, there are times that the VA is more likely to review your case. For example, if you’ve had your rating for less than five years, the VA might check to see if your condition has improved. The VA also tends to review cases when evidence suggests a change in your health, such as if you report an improvement in your condition or a routine examination indicates progress.

On the other hand, the VA is less likely to review your disability if you’ve had a static rating for over five years and your condition hasn’t shown signs of significant improvement. Additionally, if your disability is considered permanent and total, the VA typically won’t conduct further reviews.

When Your VA Disability Rating Is Protected from Change

Certain VA disability ratings are protected from reductions, providing veterans with more financial stability. One type of protection is for disabilities rated at the same level for five years or more, often called stabilized ratings. The VA must show sustained improvement over time to reduce these ratings, not just temporary or one-time improvements.

If a veteran has had the same disability rating for ten years, the VA cannot terminate the service connection for that condition, except in cases of fraud. However, it can still reduce the rating if there is evidence of improvement.

Similarly, veterans with the same rating for twenty years or more are also protected. The VA cannot reduce these ratings below their original level (unless there is evidence of fraud).

Finally, if the VA deems a veteran’s disability permanent and total, rating specialists will most likely not schedule further examinations, meaning the veteran should have a permanent rating. This protection helps ensure that veterans with severe, unchanging conditions have long-term financial support.

What Happens at a Revaluation?

During a VA revaluation for a proposed rating reduction, you’ll undergo a new Compensation & Pension (C&P) examination. A doctor will assess your condition to see if it has improved. The doctor should review your medical history and current health status. The goal is to determine if your condition warrants a reduced disability rating. If the VA finds sustained improvement in your ability to function under everyday conditions, it may lower your disability rating.

However, you have the right to appeal this decision. If you disagree with the revaluation results, you can submit new medical evidence or request a hearing. The VA must prove that your condition has significantly improved over time before reducing your benefits.

Disability Law Group Can Help with Your Disability Rating

The Disability Law Group has helped many veterans appeal a reduced VA disability rating to protect their disability benefits. Contact us today if you’ve received a rating reduction and need help fighting for your benefits. Let’s stand up for your rights together.

 

Veteran who suffers from anxiety.

Triumph for Justice: WWII Veteran’s 4-Year Retroactive Benefits Victory

In a recent triumph for justice, Disability Law Group proudly shines a spotlight on Partner Mandy Kelly’s extraordinary success in securing four years of retroactive benefits for a 96-year-old World War II veteran. This heartwarming victory unveils the challenges faced by veterans of that era, particularly the obstacles encountered in obtaining their rightful benefits.

The Case:

The 96-year-old World War II veteran, despite demonstrating valor in his service, encountered difficulties accessing the benefits rightfully owed to him. Veterans from this generation often faced challenges in seeking treatment, resulting in undiagnosed conditions later used against them in benefit claims.

Post-Traumatic Stress Disorder (PTSD) emerged as a significant factor in this case. Many WWII veterans, lacking proper treatment or diagnosis, found themselves without the necessary evidence to support benefit claims. The VA had denied the veteran’s PTSD claim, citing a lack of medical documentation—a consequence of the veteran’s struggle to access treatment during a time of limited mental health awareness.

Our Attorney’s Dedication:

Partner Mandy Kelly, a fervent advocate for veterans’ rights, accepted the challenge. Recognizing the unjust denial, she went above and beyond to assist the veteran in obtaining a private medical evaluation. This evaluation contradicted the VA’s stance, providing crucial evidence of the veteran’s PTSD that had gone unrecognized for decades.

The Victory:

Mandy Kelly’s unwavering commitment to justice paid off, as Disability Law Group successfully secured four years of retroactive benefits for the 96-year-old veteran. This victory not only acknowledges the veteran’s sacrifices but also establishes a precedent for challenging systemic barriers faced by many World War II veterans in their pursuit of rightful benefits.

Not Just Another Veterans Attorney:

Disability Law Group remains steadfast in advocating for veterans’ rights and individuals facing disability challenges. If you or a loved one struggles to obtain the benefits deserved, do not hesitate to reach out. Our experienced team is here to fight for you. Contact Disability Law Group today at 800-838-1100, and let us be the voice that ensures justice prevails. We are committed to making a difference in the lives of those who have served our country with honor and valor.

Case for veteran's benefits won

Case Spotlight – November 2023

Disability Law Group recently received a decision approving our client’s case for Social Security Disability (‘SSD’) benefits. He is a veteran from Troy, Michigan, currently receiving service-connected VA disability benefits, rated at 100% Permanent & Total. Due to the combination of his service-connected and non-service-connected conditions, he has been unable to work since 2009. However, like many people, he did not know that he could file for SSD benefits, and he was unsure of whether he could be eligible for VA service-connected disability benefits and also other forms of disability benefits at the same time.

He called Disability Law Group and spoke with our team, who answered all of his questions, assuring him that he can be eligible for both his service-connected VA disability benefits as well as SSD payments at the same time, without any offset between the two. However, because he waited so long to file for SSD, he would be limited as to the retroactive SSD benefits he would be entitled to under the law. Additionally, since he had not worked in roughly 15 years, he would be up against a large hurdle in the process: his work credits had expired in March of 2011. This means that in order for him to be eligible for SSD benefits at all, he would need to prove disability all the way back to that timeframe, more than a decade ago. To make matters worse, most medical facilities do not keep medical records back that far.

How a Social Security Disability Lawyer Can Help

Thankfully, Disability Law Group is known for taking on tough cases, and our track record for success despite bureaucratic red tape and the hard work required to win. We filed the SSD application on behalf of our client and helped him every step of the way, alleging disability began back in August of 2009, prior to when his work credits expired. Attorney Erika Riggs, partner at Disability Law Group, represented this client and worked with our team to ensure all medical records and supportive evidence were timely obtained and submitted. We prepared his case for a hearing scheduled for October 2023.

Prior to the hearing, Mrs. Riggs prepared a legal brief, outlining her theory for this case and how the combination of her client’s health problems following his discharge from military service should result in a finding of “disability” back to 2009. She carefully summarized the key components of his case, including his deployment to Afghanistan as a reconnaissance team sergeant, sustaining numerous injuries, primarily stemming from an enemy rocket attack which threw him back 15 feet. As a result of his service, and the TBI he sustained overseas, he continues to suffer from migraine headaches, memory loss, concentration problems, sleep problems, and Post-Traumatic Stress Disorder (PTSD). She pointed to the relevant evidence and medical research supporting her client’s symptoms and significant work-related limitations in support.

Ultimately, the Administrative Law Judge (‘ALJ’) agreed and issued a decision in just one week following the hearing! The decision found our client to be disabled as of August of 2009, before his work credits expired in 2011, resulting in more than $30,000.00 of past-due benefits, monthly payments, and immediate entitlement to Medicare. This decision was a major victory for this client in many ways, including the insurance he would now be entitled to that allowed him to see civilian doctors or receive private care, rather than limiting him to treatment at the VA.

Not Just Another Disability Attorney

Whether you have a physical, mental, or cognitive health condition, or a combination of health problems, you do not have to go through the process alone. At Disability Law Group, disability is all we do, and we will fight alongside you to help win every benefit deserved. Our Disability Attorneys are not only experts in the field of disability law, but we are also certified to handle veteran’s disability claims. At Disability Law Group, every client matters.

Family caregiver with man in wheelchair

VA Family Benefits

Are you a family caregiver of a Veteran who has suffered a severe injury in the line of duty? Or are you a Veteran who needs assistance with activities of daily living? If so, you may be eligible for the U.S. Department of Veterans Affairs (VA) Program of Comprehensive Assistance for Family Caregivers (PCAFC).

The PCAFC offers enhanced clinical support for caregivers of eligible Veterans who are seriously injured. The program has undergone some changes based on the new “Program of Comprehensive Assistance for Family Caregivers (PCAFC) Improvements and Amendments Under the VA MISSION Act of 2018” Final Rule, RIN 2900-AQ48, which became effective in October 2020. These changes include expanding eligibility for the PCAFC, establishing new benefits for designated Primary Family Caregivers of eligible Veterans, and making other changes affecting program eligibility and the VA’s evaluation of PCAFC applications.

How Can We Qualify?

To qualify for the program, a Veteran must have a serious injury (which now includes serious illness) incurred or aggravated in the line of duty in the active military, naval, or air service on or after September 11, 2001, or on or before May 7, 1975. The individual must also be in need of in-person personal care services for a minimum of six continuous months based on an inability to perform an activity of daily living or a need for supervision, protection, or instruction.

The family caregiver must be at least 18 years of age and either the eligible Veteran’s spouse, son, daughter, parent, stepfamily member, extended family member, or someone who lives with the eligible Veteran full-time or will do so if designated as a Family Caregiver. VA must initially assess the caregiver as being able to complete caregiver education and training, complete caregiver training, and demonstrate the ability to carry out the specific personal care services, core competencies, and additional care requirements.

What VA benefits am I eligible for?

As an eligible Primary Family Caregiver, you may qualify for a monthly stipend, which is paid at one of two levels based on the VA’s determination of whether the Veteran is “unable to self-sustain in the community.” If the Veteran meets all seven eligibility requirements and is “unable to self-sustain in the community,” the designated Primary Family Caregiver will receive the higher-level stipend payment. If the Veteran does not meet the “unable to self-sustain in the community” requirement, the caregiver will receive the lower-level stipend payment.

If you or a loved one meets the eligibility requirements for the PCAFC, contact your local Caregiver Support Coordinator by calling the Caregiver Support Line Expanded Hours at 1-855-260-3274 (Monday-Friday, 7:30 a.m. to 10 p.m. ET; Saturday 8:00 a.m. to 5:00 pm ET) toll-free or using the Caregiver Support Coordinator locator tool at www.caregiver.va.gov/support/New_CSC_Page.asp. Online applications will soon be available as well.

As Veterans Benefit Lawyers, We’re Here to Help

At Disability Law Group, navigating the VA system can be overwhelming, especially for those dealing with a serious injury or illness. Our team of experienced attorneys is here to help guide you through the process and ensure you receive the benefits and support you deserve. Contact us today to schedule a free consultation.