How are va secondary conditions calculated
Introduction
When it comes to veteran disability benefits, the Department of Veterans Affairs (VA) uses a unique method for assessing and compensating for secondary conditions. These conditions are those resulting from or made worse due to service-related medical issues. Understanding how VA secondary conditions are calculated is crucial for veterans seeking benefits for their conditions, as they may be eligible for additional compensation.
What are Secondary Conditions?
A secondary condition is a health issue that arises or worsens due to a service-related disability. For example, if a veteran has a knee injury caused by their military service and develops back pain as a result, the back pain would qualify as a secondary condition. In this case, the primary condition (the knee injury) would be considered the root cause of the secondary condition (back pain).
How are Secondary Conditions Calculated?
To calculate VA secondary conditions, the VA follows these steps:
1. Confirm Service Connection: First and foremost, there must be evidence that the primary condition is directly related to military service. This documentation could include service medical records or a statement from a qualified doctor who can establish the connection between the primary disability and military service.
2. Establish Causality: Next, a direct link between the primary and secondary conditions must be demonstrated. This can be achieved through medical evidence proving that one condition led to or aggravated another. A professional medical opinion specifying that the primary condition was either proximately due to or aggravated by military service must be presented.
3. Evaluate Severity: The severity of both primary and secondary conditions is then evaluated by using the VA’s Schedule for Rating Disabilities (VASRD). The VASRD assigns each condition a percentage rating to reflect its severity levels, with higher percentages resulting in greater disabilities.
4. Combine Ratings: Once both primary and secondary conditions have been assigned respective ratings based on severity, these ratings are combined through a unique method instead of simply added together. For example, if a veteran has a 50% disability rating for a service-related knee injury and a 30% rating for the secondary back pain condition, the combined disability rating would not equal 80%. Instead, the VA uses this formula:
– 100 – 50 (primary condition rating) = 50
– 30 (secondary condition rating) x 0.5 (50% remaining after the primary condition) = 15
– 50 + 15 = 65
In this instance, the VA would combine the veteran’s ratings to equal a total disability rating of 65%.
Conclusion
Understanding how VA secondary conditions are calculated is essential for veterans seeking compensation for their related health issues. By establishing a direct link between primary and secondary conditions, assessing severity, and properly combining ratings using the VASRD, veterans can ensure they are receiving appropriate support and benefits for their disabilities.