Understanding Total Combined Disability and Permanent Status
Many veterans struggle to understand what their total combined disability rating means, especially regarding its permanence. The VA could make this clearer, particularly for those classified as permanent and total (P&T). Here’s what you need to know.
What is Total Combined Disability?
Total combined disability refers to your overall disability rating, which determines your benefit compensation. You’ll find this term on VA documentation, whether your rating is 30%, 60%, or 100%. However, this designation alone does not confirm whether your condition is considered permanent.
What Does Permanent and Total (P&T) Mean?
Permanent means the condition is not expected to improve. Total means you are fully disabled for that condition. If you are rated at 100% but are not considered P&T, it’s likely that at least one of your conditions is not static.
How to Determine If Your Condition is Permanent
To check if your condition is considered permanent, review your VA rating code sheet. Look for:
- Your diagnostic codes and whether they are marked as static.
- Indications of a routine future examination.
- A statement in your decision letter mentioning eligibility for CHAMPVA or Dependents’ Educational Assistance (DEA), which often confirms P&T status.
How to Request a P&T Determination
If you believe your condition should be considered permanent, you can submit a request using VA Form 21-4138 (Statement in Support of Claim). Attach medical evidence supporting your claim that your condition has remained unchanged for several years.
VA Resource Link
For more information on VA disability ratings and benefits, visit the official VA page:
VA Disability Benefits / VA combined disability rating calculator