Hi, Allen here! If you’re a veteran living with PTSD, navigating the VA disability claims process can feel like an overwhelming challenge. You’ve served your country, and now it’s time to make sure you’re getting the support and benefits you deserve.
In this guide, I’ll walk you through the steps to increase your VA disability rating for PTSD. Whether you’re starting from scratch or appealing a decision, I’ll break it down to help you understand the process and maximize your rating. Let’s get started.
Understanding VA Ratings for PTSD
The VA rates PTSD based on the severity of your symptoms and how they affect your ability to work and function in daily life. Ratings typically fall into these percentages:
- 0%: PTSD is diagnosed, but symptoms don’t impair functioning.
- 10%: Symptoms cause mild or occasional issues.
- 30%: Symptoms moderately impact daily life and relationships.
- 50%: Symptoms cause significant disruptions in social and occupational functioning.
- 70%: Symptoms severely impair life activities, including work and relationships.
- 100%: Total occupational and social impairment due to PTSD.
If you feel your rating doesn’t accurately reflect your condition, there are steps you can take to have it reviewed.
Step 1: Gather New Evidence
The first step to increasing your PTSD rating is to gather new, compelling evidence that supports your claim. This can include:
- Updated Medical Records: Document worsening symptoms or new diagnoses.
- Lay Statements: Ask family, friends, or colleagues to write statements detailing how PTSD has impacted your life.
- Work Impact Evidence: Provide records showing how PTSD has affected your job performance, including attendance records or employer statements.
- Nexus Letters: A strong nexus letter from a qualified medical professional linking your worsening symptoms to your military service can be a game-changer.
Step 2: File for an Increase
Once you have your evidence, you’ll need to file a request for an increase in your disability rating. Here’s how:
- Submit VA Form 21-526EZ: This form is used to file for an increase. Be thorough and ensure all required fields are completed.
- Attach Supporting Documents: Include the new evidence you’ve gathered.
- Explain Symptom Changes: Clearly describe how your PTSD symptoms have worsened and how they impact your daily life.
Step 3: Attend a Compensation & Pension (C&P) Exam
The VA will likely schedule a C&P exam to evaluate your current condition. Here are some tips to prepare:
- Be Honest: Don’t downplay or exaggerate your symptoms. Share how they truly affect you.
- Focus on Daily Impact: Explain how PTSD impairs your ability to work, maintain relationships, and handle everyday tasks.
- Bring a List: Write down examples of your symptoms beforehand so you don’t forget anything during the exam.
Step 4: Consider Secondary Conditions
Many veterans with PTSD also develop secondary conditions related to their primary diagnosis, such as:
- Depression
- Anxiety
- Sleep apnea
- Chronic pain
Filing claims for these secondary conditions can increase your overall combined rating. For example, if your PTSD rating is 50% and you’re granted an additional 30% for sleep apnea, your combined rating will increase.
Step 5: Appeal if Necessary
If the VA denies your request for an increase or doesn’t grant a higher rating than you expected, don’t give up. You have the right to appeal. Options include:
- Requesting a Higher-Level Review: A senior reviewer will reassess your claim.
- Submitting a Supplemental Claim: Include new evidence not previously considered.
- Appealing to the Board of Veterans’ Appeals: This is a more formal process but may yield a favorable outcome.
Tips to Strengthen Your Claim
- Keep Detailed Records: Track your symptoms, medical visits, and medications.
- Seek Treatment: Regular therapy or counseling sessions can serve as evidence of ongoing PTSD management.
- Work with a Professional: A VA-accredited representative or attorney can guide you through the process.
Why You Deserve the Right Rating
Living with PTSD is challenging enough—you shouldn’t have to struggle to get the compensation you deserve. Increasing your VA disability rating can make a real difference, providing the financial support and recognition for the sacrifices you’ve made.
Let’s Work Together
At Gumps VA Compensation, we’re here to help you navigate the VA claims process and fight for the benefits you’ve earned. If you’re ready to take the next step, reach out today or visit our website at gumpslegal.com.
By Allen Gumpenberger from Gumps VA Compensation