Tuesday, December 20, 2016

PTSD Claims & Combined Ratings



BLT 1/3 Vietnam 1967



PTSD Claims & Combined Ratings

  When you file a claim for PTSD, you believe combat stressors have altered your life. Combat stressors are the key to the original rating. The VA admits you experienced events that changed your life forever. When you apply for an percentage increase, the increase is not based on additional stressors. You don't need additional stressors when you apply for an increase.

  Some veterans believe the more stressors they submit during the course of the claim, the higher their percentage. After the initial service connection, your percentage is based on your ability to function and support yourself in the work force. 

  Most combat veterans mistrust authority, which can make life difficult when you job search or try to hold a job. Many veterans who had a position of authority in the service suffer from extreme survivor guilt over troops they lost. They often do not want to be put in a position of responsibility for others again. When you add drinking, drug addiction, paranoia, startle response, lack of sleep, and inability to feel emotions, it results in a bad case of PTSD.

  Some veterans can mask it for awhile, but others fall apart sooner. A severe employment handicap covers any increase beyond initial service connection. So if you put in for a increase, you must stress the problems you have at work if you are working or with a past employer if you no longer work. Don't bring up additional stressors unless they directly relate to your job. Many PTSD combat veterans prefer to work isolated so they don't have to deal with other people. This can result in job problems or self-employment, sometimes in a family business. The VA cannot penalize veterans for being self-employed

Combined Ratings
  When a veteran has more than one disability the VA combines them, based on the principle that a veteran can never receive more than 100% disability. I’ve met veterans with up to five distinct 100% disabilities, but there is no way to go past 100% for compensation without receiving an additional letter award for loss of use or missing limbs.

  The VA and service organizations use a rather complicated numerical formula involving fractions to combine percentages, but there is a simple way to do it that will be accurate 99% of the time, if not all the time. I call it the Disabled-Wellness Formula.

  I will use a veteran with three disabilities received in this order: 30% for back  injury, 10% for hearing  loss, and then 30% for PTSD.
  Added up they total  70%, but they will actually combine out to 60%. The veteran will lose 10% in the process. This is how it works:
  
  The 30% back injury service connection makes the veteran 30% disabled but leaves the veteran 70% wellness (functional).

  When the veteran receives an additional 10% for hearing loss, you multiply 70 x 10 (you multiply the new percentage by the amount of wellness and drop the zeroes on the end.)
  
  This leaves a total of 7. Any result below 5 means no increase. A result of 5 or above means going to the next higher percentage.
  
  In this case, a 7 means going up to a 10% disability. The veteran loses nothing and will now have a 30% back injury rating plus a 10% hearing loss rating for a total of 40%.
  
  The veteran has a 40% disabled and 60% wellness. But the veteran now receives a PTSD service connection rated at 30%. When you add them all together, it equals 70%, but due to the combined formula, it doesn’t turn out that way.

   You multiply the  new 30% by the wellness 60% and drop the zeroes for a total of 18.
  
   Since the 8 is above a 5, you go up to the next higher percentage. In this case, the 18 goes up to a 20. The veteran receives and additional 20% disability rating, even though he was granted 30%.
  
  The veteran now combines out at 60% even though he is 70% disabled and only 30% well.
  
  We can take it even further. Say the veteran gets another 50% for a brain tumor. Multiply the 60% by the 30% wellness and drop the zeroes. In this case, it’s a total of 18.
  
  Since it’s 5 or above, the 18 goes up to 20%. The veteran would get a combined rating of 80%, even though he is now 120% disabled.
  
 This combined 80% rating would leave the veteran a 20% wellness, meaning he would have to obtain another 50% disability to get another 10% on the combined percentage.
  
  To obtain enough percentage to actually reach 100% combined, the veteran would need two more 50% disabilities, leaving him actually 220% disabled to receive 100%.
  
  This probably wouldn’t be necessary by then because the veteran would probably be rated unemployable and get the 100% for unemployability.

  
  I imagine there are one or two instances where this formula could be wrong, but for most circumstances, it will work when a veterans want to figure their own combined rating.