VA Disability Compensation
VA disability compensation is a tax-free monthly payment to Veterans who got sick or injured while serving in the military, or whose service made an existing condition worse. You don't need to have served in combat. You don't need to have been injured in a dramatic event. If your service caused or worsened a condition that affects your life now, you may be eligible.
Who Is Eligible
You may be eligible if all of these are true:
- You have a current physical or mental disability
- You experienced an event, injury, or illness during service that caused or worsened the disability
- There is a medical connection (called a "nexus") between your current disability and the in-service event
- You were not dishonorably discharged
What Counts as Service Connection
Direct service connection: Your disability was directly caused by your military service. Example: You injured your back during training and still have chronic back pain. Presumptive service connection: Certain conditions are automatically presumed to be connected to service if you served in specific locations or time periods. You don't need to prove the connection -- just that you served there and have the condition. (More on presumptive conditions below.) Secondary service connection: A new disability developed because of a condition that's already service-connected. Example: You have a service-connected knee injury that caused you to walk differently, and now you have hip problems. The hip condition may be service-connected as secondary to the knee.Disability Ratings
VA assigns a disability rating from 0% to 100% in 10% increments, based on how severe your condition is. Your rating determines your monthly compensation.
How Ratings Are Determined
VA bases your rating on:
- Medical evidence you provide (doctor reports, test results)
- Results of your VA claim exam (C&P exam), if needed
- Information from other sources (federal agencies, military records)
Combined Ratings
If you have multiple service-connected conditions, VA uses "whole person theory" to calculate your combined rating. This is not simple addition. Each successive rating is applied to your remaining non-disabled percentage.
Example: A 50% rating and a 30% rating don't add up to 80%. VA calculates: 50% disabled, leaving 50% "whole." Then 30% of that remaining 50% = 15%. Combined: 50 + 15 = 65%, which rounds to 70%.
The VA provides a combined ratings calculator at va.gov.
How to File a Claim
You can file in five ways:
- Online at va.gov/disability/file-disability-claim-form-21-526ez
- By mail using VA Form 21-526EZ
- In person at a VA regional office
- By fax at 844-531-7818 (U.S.) or 248-524-4260 (outside U.S.)
- With help from a Veterans Service Organization (VSO), accredited attorney, or claims agent
Intent to File
If you plan to file by mail, submit an intent to file form first. This locks in your effective date (the date from which back pay is calculated) while you gather evidence. If you file online, your effective date is set automatically when you start the application.
You have up to one year from the date VA receives your claim to submit supporting evidence.
Evidence That Helps
- VA and private medical records
- Service treatment records
- Buddy statements from people who witnessed your condition or the event that caused it
- Any documentation of how your disability affects your daily life and ability to work
The C&P Exam
After you file, VA may schedule a Compensation and Pension (C&P) exam. This is not a treatment visit -- it's a fact-finding exam to help VA rate your disability.
What to Expect
- The exam may be at a VA medical center or a contractor location
- It can last 15 minutes to over an hour
- The examiner may perform a physical exam, ask questions from a Disability Benefits Questionnaire (DBQ), or order additional tests
- The examiner will not tell you your results or make decisions about your claim
How to Prepare
- Arrive 15 minutes early
- Wear comfortable clothes
- Submit any new medical records before the appointment
- Be honest about your worst days, not your best
- You can bring a family member, but the examiner may ask them to wait outside
Scheduling Details
VA or a contractor will contact you by mail, phone, or email. Exam contractors include:
- Loyal Source (LSGS): 833-832-7077
- OptumServe (OSHS): 866-933-8387
- QTC Health Services: 800-682-9701
- Veterans Evaluation Services (VES): 877-637-8387
VA pays for travel to C&P exams at VA facilities. Contractors reimburse travel to their locations -- follow up within 14 days if you don't receive reimbursement.
Presumptive Conditions
For some conditions, VA presumes your service caused the disability based on where and when you served. You don't need to prove the connection.
PACT Act Presumptive Conditions
The PACT Act (2022) added more than 20 presumptive conditions for burn pit, Agent Orange, and other toxic exposures.
Presumptive cancers:- Brain cancer, glioblastoma
- Gastrointestinal, head, neck, pancreatic, reproductive, respiratory cancers
- Genitourinary cancer
- Melanoma
- Lymphoma and other hematologic/lymphatic cancers
- Asthma (diagnosed after service), chronic bronchitis, COPD
- Chronic rhinitis, chronic sinusitis
- Constrictive/obliterative bronchiolitis
- Emphysema, interstitial lung disease, pulmonary fibrosis
- Granulomatous disease, pleuritis, sarcoidosis
On or after September 11, 2001: Afghanistan, Djibouti, Egypt, Jordan, Lebanon, Syria, Uzbekistan, Yemen (and airspace above).
On or after August 2, 1990: Bahrain, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, Somalia, UAE (and airspace above), plus Arabian Sea, Gulf of Aden, Gulf of Oman, Persian Gulf, Red Sea, and the neutral zone between Iraq/Saudi Arabia.
If you were previously denied for a condition that is now presumptive, file a Supplemental Claim.
TDIU (Total Disability Individual Unemployability)
If you can't hold a steady job because of your service-connected disabilities but don't have a 100% rating, TDIU may get you compensated at the 100% rate.
Eligibility
- You can't maintain substantially gainful employment due to service-connected disabilities
- AND one of these is true:
- You have two or more service-connected disabilities with at least one rated at 40% and a combined rating of 70% or more
In exceptional cases (frequent hospitalization, etc.), you may qualify at lower ratings.
How to Apply
Submit two forms:
- VA Form 21-8940 (Application for Increased Compensation Based on Unemployability)
- VA Form 21-4192 (Request for Employment Information)
Back Pay and Effective Dates
When VA approves your claim, they assign an effective date -- the date your benefits start. Any compensation owed from that date forward is paid as a lump sum (back pay).
Key effective date rules:- If you file within one year of leaving service, the effective date can be the day after separation
- If you file more than one year after separation, the effective date is generally the date VA received your claim or the date the disability arose, whichever is later
- For presumptive conditions filed within one year of separation, the effective date can be the date you first got the condition
- Filing an intent to file can lock in an earlier effective date while you gather evidence
When Your Claim Is Denied
VA's appeals system has three lanes:
1. Supplemental Claim
Submit new and relevant evidence. VA will review your claim again. This is the right choice when you have additional medical records, buddy statements, or a nexus letter you didn't have before. Average processing time: about 62 days.
2. Higher-Level Review
A senior reviewer looks at the same evidence. No new evidence allowed. Choose this when you think VA made an error in applying the law or evaluating existing evidence.
3. Board Appeal
A Veterans Law Judge reviews your case. You can submit new evidence and request a hearing. This takes longest but gives you the most thorough review.
You can also hire a VSO, accredited attorney, or claims agent at any point in the process. Many work on contingency.
Key Contacts
- VA Benefits Hotline: 1-800-827-1000 (TTY: 711), Monday-Friday, 8am-9pm ET
- Online: va.gov/disability
- Check Claim Status: va.gov/claim-or-appeal-status
- Find a VA Regional Office: va.gov/find-locations
- Find a VSO: va.gov/get-help-from-accredited-representative
- Crisis Line: 988, then press 1
Related Programs
- SSDI -- You can receive both VA disability and SSDI simultaneously
- Vocational Rehabilitation -- VA Chapter 31 Voc Rehab is separate from state VR
- ABLE Accounts -- Tax-advantaged savings for disabled Veterans
