Understanding VA Permanent and Total Disability

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    Permanent and Total (P&T) disability is a phrase that carries a lot of weight to the veteran undergoing the system of veterans disability (VA). To everyone who is trying to understand a va permanent and total disability, the label influences the amount of compensation, as well as, their ability to receive benefits, the access to family assistance and long-term financial sustainability. Having clear knowledge about what P&T means, how it is calculated, and the process of seeking it can make a veteran’s life significantly better.

    Understanding VA Permanent and Total Disability

    What “Permanent and Total” Really Means

    The VA disability ratings are not always easy to understand, but the P&T designation has two different sections:

    Total Disability

    • A total disability rating implies that the VA regards the veteran as being 100% disabled because of service related conditions. This can be pegged on one very severe disability or a mix of ailments that when taken in combination are rated 100 percent according to VA standards.

    Permanent Disability

    • The concept of permanence implies that the VA believes that the disabling factors will not get better with time. This does not imply that a condition may never be medically improved, but instead on the basis of evidence, the VA identifies sustained stability or progressive deterioration.

    When these two definitions meet, then a veteran gets Permanent and Total disability.

    Advantages of Permanent and Total Disability Status

    P&T status provides a window of opportunity to various additional benefits in addition to regular remunerations.

    Dependent Educational Assistance

    • Educational assistance may be availed to children and spouses, and is commonly applied to vocational education, college or professional education.

    Healthcare Priority

    • The highest priority in VA medical care is frequently given to veterans with P&T status where they can have regular access to most of the services without a copay.

    State and Local Benefits

    Most states have other benefits including:

    • Property tax exemptions
    • Extinguished or discounted vehicle registration.
    • Dependent educational benefits.
    • Hunting, fishing or park fee reduction.

    These depend on state but could greatly limit family expenses.

    Life Insurance and Commissary Access

    • There are also those veterans that have extended life insurance options or can still use military commissaries which can reduce the price of necessities.

    The Process of Giving Veterans P&T Status.L

    No particular form is referred to as a P & T application. Rather, P&T decisions occur when there is a disability rating. Nevertheless, veterans can either ask to be reconsidered or provide evidence to prove permanence.

    Medical Evidence

    The VA is very dependent on the records of long-term prognosis. Examples include:

    • Specialist evaluations
    • Long-term treatment records
    • Notations that a condition is permanent or not likely to improve.
    • Irreversible physical disabilities.

    Age and Condition Stability

    • Provided that a condition has been the same over several years, particularly in older veterans, the VA may establish the rating as permanent.

    Secondary Conditions

    • There are veterans who are granted P&T status because of severe secondary conditions that deteriorate the overall disability image.

    What P&T Does Not Mean

    One of the myths is that while deployed veterans still can work, they are not allowed to do so once they are P&T. A veteran can continue to work unless the veteran is Total Disability based on Individual Unemployability (TDIU) which specifically requires a complete inability to engage in substantially gainful employment. P&T status will not limit employment.

    Reconsiderations and Security of Status

    Upon the assignment of P&T, the VA does not schedule subsequent examinations, as a rule. But, in very exceptional instances, reviews can be precipitated by errors or fraud. P&T is a long-term and stable designation with most of the veterans.

    Conclusion

    VA Permanent and Total disability status is a valuable provision that is supposed to assist those veterans whose service-related illnesses are not going to heal. Knowledge of the criteria, evidence required, and benefits that come with P&T can enable the veterans to navigate the system with more confidence and financial support that they need.