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how often does the va reduce benefits

by Euna Torp Published 3 years ago Updated 2 years ago
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After 10 years, the benefit can no longer be terminated, but it can be reduced if the VA can document substantial sustained health improvements. After 20 years at that rating, your benefit can no longer be reduced below its lowest rating or terminated (unless there is proof of fraud).

VA usually reevaluates veterans' service-connected disabilities on two occasions: Six months after leaving military service; and. Between two and five years from the date of the decision to grant VA disability benefits.Sep 30, 2019

Full Answer

Can the VA reduce my benefits?

However, the VA does sometimes reduce benefits. Below are some reasons why the agency can reduce your benefits. Generally, the VA can reduce your monthly disability benefit if you have what is called an "unprotected rate," and if your medical condition has improved.

Can a VA disability rating be reduced after 10 years?

Basically, if you have had a VA service-connected disability rating for 5 years or more, the VA must prove your condition has improved on a sustained basis before they can reduce or terminate your disability rating. After 10 years, the VA can only reduce your rating; they cannot terminate it (absent proof of fraud).

How much will VA disability benefits be reduced in 2020?

On average, veterans' benefit would be reduced by about $320 per month in 2020, increasing to a reduction of $385 per month in 2028. The largest source of uncertainty in the estimate of savings over the next 10 years involves determining the number of new disability beneficiaries who will be 67 after January 2020.

How much would the VA retirement plan save the military?

By the Congressional Budget Office's estimates, the savings from this option would be about $11 billion between 2020 and 2028. CBO estimates that the number of veterans age 67 and older who would no longer receive their full preretirement disability compensation from VA would increase from 60,000 in 2020 to about 470,000 in 2028.

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Does the VA ever reduce compensation?

The VA can reduce compensation when a veteran is in any local, state or federal jail or prison for more than 60 days. On day 61, the VA can reduce the benefits; if the Veteran was receiving benefits of 20% or more, the VA can reduce the benefit to 10% (this is the current law, and could change).

Why did my VA benefits decrease?

In most cases, the VA can reduce your rating if: There has been a notable improvement in your disability that allows you to live and work effectively. Your entire service-connected disability medical history has been reviewed. You have been sentenced to serve time in prison.

Can the VA take away my benefits?

The VA cannot terminate these benefits unless you committed fraud or unless the VA made a "clear and unmistakable error" in granting you benefits (CUE).

Can the VA reduce your rating after 5 years?

The VA disability rating 5-year rule states that the U.S. Department of Veterans Affairs (VA) cannot reduce a veteran's disability rating if it has been in place for five years or more unless the condition shows sustained improvement over time. In this situation, the veteran's rating is considered a stabilized rating.

At what age does VA disability stop being reduced?

Veterans who are already collecting disability compensation as of January 2020 would see no reduction in their VA disability benefits when they reach age 67.

What is the VA 10 year rule?

The VA disability 10-year rule states that the U.S. Department of Veterans Affairs (VA) cannot eliminate a disability rating that has been in place for at least 10 years unless there is evidence of fraud. This 10-year period is calculated from the effective date of VA's original grant for service connection.

How often are VA Reexaminations?

Between two and five yearsVA usually reevaluates veterans' service-connected disabilities on two occasions: Six months after leaving military service; and. Between two and five years from the date of the decision to grant VA disability benefits.

How can the VA take away my disability?

The U.S. Department of Veterans Affairs (VA) can take away your disability rating if it determines you received your rating fraudulently, or if it determines it made a “clear and unmistakable error” when issuing your rating.

Can my VA disability be reduced?

VA can reevaluate and reduce a total rating if there is evidence of material improvement in your condition. Here, VA must provide evidence that your condition has improved such that there has been an observable change in your ability to function under the conditions of daily life. You have a permanent disability.

Does VA disability last for life?

Most veterans of the United States Armed Forces who have a disability connected to their service are eligible for veterans disability benefits. Generally speaking, as a veteran, you can receive disability benefits for the rest of your life, as long as you remain disabled.

At what age does VA disability become permanent?

The “disability from disease is permanent in character and of such nature that there is no likelihood of improvement;” You are over 55 years of age, although some exceptions may apply; The rating you received is the prescribed minimum rating; or. If a lower rating would not affect your combined disability rating.

Can the VA lower my sleep apnea rating?

If you have sleep apnea that you think began in or is related to your military service, file your claim for service connection NOW if you haven't already. For disabilities that were service-connected before a change in ratings policy, VA is not allowed to reduce a rating based on the policy change.

Why The VA Reexamines Veterans With A Service-Connected Disability Rating

The why is easy to answer. Not all medical conditions are permanent. Some injuries heal over time, at least to some degree. The VA wants to ensure...

Notice of Reexamination Letter

The VA must send you a reexamination letter before they can change your service-connected disability rating. It’s essential that you attend this ap...

When The VA Will Not Schedule You For A Reexamination

The VA will typically not request to reexamine your rating under the following conditions: 1. The veteran is over age 55. 2. The disability is stat...

Protected VA Disability Ratings

Certain VA disability benefits are considered Protected Ratings, according to the VA (though others say the term “protected” is a misnomer). This i...

Reducing Your Disability Rating – VA Must Prove Change in Condition

The VA needs to establish substantial evidence of a change in condition before any change can occur to your service-connected disability rating. Th...

A Reexamination Is Not The End of The World

A Notice of Reexamination can actually result in an increased disability rating if the situation warrants it. The VA will not go out of their way t...

Where to Get Help If You Receive A VA Reexamination Notice

Note: I have received many inquiries relating to specific disability ratings and medical conditions. I am not medically trained and I am not author...

Why is age 55 important for VA?

Age 55 is significant because it represents an age at which the VA assumes the veteran is too old to reasonably reenter the workforce (keep in mind VA disability ratings represent your ability to perform work at the level you were able to before you had the injury while you were serving in the military).

What is a 100% VA rating?

Most veterans with a 100% rating have one or more major service-connected medical conditions, and possibly additional multiple less-severe injuries. The VA must prove the veteran is able to perform substantial work even with this assortment of medical conditions.

Why does the VA want to reexamine you?

The VA wants to ensure they are compensating you for your injuries at an appropriate rate. When you are assigned a disability rating , the VA also determines if they will want to reexamine you in the future. This typically only happens for injuries that have a reasonable expectation of improving over time.

What is protected rating VA?

Protected VA Disability Ratings. Certain VA disability benefits are considered Protected Ratings, according to the VA (though others say the term “protected” is a misnomer ). This is where it helps to be able to find and read the appropriate regulations or find an expert who can help you through the task.

What happens if you don't attend a VA appointment?

If you don’t attend the appointment or provide supporting evidence for your case, the VA can reduce or terminate your benefits. The Notice of Reexamination should include contact information where you can reschedule your appointment if necessary.

How long does it take to get a VA disability hearing?

You have 30 days to request a hearing if you wish to contest the VA decision, and you have up to 60 days to submit evidence that a reduction in your rating is not warranted. Keep in mind, the VA cannot reduce your service-connected disability rating without first sending you notice.

When does the VA send a notice of reexamination?

The VA may send a Notice of Reexamination at pre-scheduled interval (such as the aforementioned two to five years), or when they have material evidence there has been a change in your medical condition. This could be evidence that your situation has improved or disappeared.

What is 100% rating VA?

100% Ratings. The VA can reduce a total impairment -- a 100% rating -- only if there is a "material improvement" in the veteran's condition. "Material improvement" is more than a subsistence of symptoms or temporary remission of a chronic condition. To find that there has been a "material improvement," the VA must compare the exam ...

What is a stabilized rating VA?

A VA "stabilized rating" occurs when the veteran's disability, and the rating that the VA assigns to it, have continued for five or more years at the same level. A stabilized rating may not be reduced unless the VA can show a "sustained improvement" in the veteran's disability.

How long can a veteran be in jail?

Jail. The VA can reduce compensation when a veteran is in any local, state or federal jail or prison for more than 60 days. On day 61, the VA can reduce the benefits; if the Veteran was receiving benefits of 20% or more, the VA can reduce the benefit to 10% (this is the current law, and could change).

Does the VA reduce veterans compensation?

Many veterans make the mistake of thinking their fight is over when the VA starts sending them disability compensation checks -- but it isn't. The VA can and will reduce veterans' disability compensation ratings. In this article, I hope to explain the rules on when the VA may or may not reduce a veteran's compensation for a service-connected disability.

Does the VA reduce veteran disability benefits?

Those listed here are the most common ways that the VA will reduce veteran disability compensation benefits. Second, when the VA proposes to reduce a veteran's compensation, it is vital that the veteran act immediately. Do these two things, without waiting. Do not miss the pre-reduction examination, as this alone can be a basis for ...

What happens to VA disability if you are in prison?

If you are in a federal, state, or local prison, your disability compensation will be reduced or terminated after your 61stday in prison. If you had a service-connected disability rated at 20% or higher before you were incarcerated, the VA may reduce your monthly benefit to the 10% rate. If you are receiving a VA pension, ...

Does the VA review doctor's examination?

The VA will review the doctor's examination report to determine if your medical condition has improved. If VA finds that your condition has improved, they will likely reduce your disability rating. For more information, see our article VA examinations to reduce disability benefits.

Does the VA reduce disability payments?

It is very frustrating, after years of fighting through all the headaches and finally obtaining disability benefits from the VA, to suddenly find that your disability benefits are going to be reduced. You may have believed that the monthly payment from the VA would continue indefinitely without changing. However, the VA does sometimes reduce benefits. Below are some reasons why the agency can reduce your benefits.

Can the VA reduce my disability?

Generally, the VA can reduce your monthly disability benefit if you have what is called an "unprotected rate," and if your medical condition has improved . (More on VA procedures to make a rate reduction below.) Who Has Unprotected Benefit Rates.

Can you get reduced unemployment if you have an unprotected rate?

Your benefits will likely be reduced if you have an unprotected rate and your medical condition has improved on more than a temporary basis.

Can you reduce VA benefits after 20 years?

Veterans who have been receiving benefits for more than 20 years. Protected benefit rates can still be reduced, but it is much more difficult for the VA to do lower protected rates. For example, to reduce benefits after you have been receiving benefits for 20 years, the VA would have to be able to prove that your initial disability claim was ...

Can you terminate your VA benefits?

If you have been receiving service-connected benefits for ten years or longer, your benefits receive special protection from termination. The VA cannot terminate these benefits unless you committed fraud or unless the VA made a "clear and unmistakable error" in granting you benefits (CUE).

Can you terminate your VA benefits if you have been receiving service connected benefits for less than ten years?

Even if you have been receiving service-connected benefits for less than ten years, it is still quite rare for the VA to terminate these benefits.

Can you get 100% disability rating?

In those cases, you are entitled to a 100% rating based on "individual unemployability."

Can the VA reduce your disability?

If your disability has been continuously rated at or above a certain rating level for 20 or more years, the VA cannot reduce your rating unless it finds the rating was based on fraud. This is a very high standard and it's unlikely the rating would get reduced.

Can you get reduced VA benefits if you go to jail?

If you go to jail, the VA can temporarily reduce your benefits. See Nolo's article on VA benefit reductions if you go to jail.

Can the VA reduce your rating after a reexamination?

If you do not have one of the protected rates, the VA still cannot reduce your rating after a reexamination unless:

When will VA disability benefits be reduced?

Veterans who are already collecting disability compensation as of January 2020 would see no reduction in their VA disability benefits when they reach age 67.

How much will the VA reduce in 2028?

By the Congressional Budget Office's estimates, the savings from this option would be about $11 billion between 2020 and 2028. CBO estimates that the number of veterans age 67 and older who would no longer receive their full preretirement disability compensation from VA would increase from 60,000 in 2020 to about 470,000 in 2028. On average, veterans' benefit would be reduced by about $320 per month in 2020, increasing to a reduction of $385 per month in 2028.

What is VA disability?

By law, VA's disability payments are intended to offset the average earnings that veterans would be expected to lose given the severity of their service-connected medical conditions or injuries, whether or not a particular veteran's condition actually reduced his or her earnings.

Do veterans get disability benefits?

For instance, the ratio of benefits from Social Security to average lifetime earnings is usually much less than 1 to 1. For workers who have earned relatively low wages over their career, the ratio is around one-half; for higher-income workers, it is around one-quarter or less. As a consequence, once veterans reach retirement age, the combination of their VA disability payments and Social Security benefits may be more than the income of comparable veterans without a service-connected disability. In 2016, about 87 percent of veterans who received VA's disability compensation and who were age 67 or older were out of the labor market.

What to do if you get reduced VA benefits?

A reduction in benefits can be frightening, especially if you’ve come to rely on your monthly payments. Your best bet is to take immediate action and contact an experienced veterans disability law office. That’s where Ascend Disability Lawyers, LLC, comes in. We will help you navigate the complicated world of VA bureaucracy and fight for the compensation you deserve. Call us today to discuss your case.

How long can you be in jail for VA disability?

The first concerns jail or prison time. If you are incarcerated for more than 60 days in any jail or prison, the VA can cut your benefits. If you had a 20% or greater service-connected disability rating, it can be reduced to 10%.

What does it mean when a VA rating is unprotected?

Veterans with unprotected ratings can be subject to a reduction in benefits. “Unprotected” means the rating is less than 100% (total) or has been in place for less than five years. The VA can reduce your rating, and therefore your benefits if there’s an improvement in your condition. The improvement must be something more than a temporary change ...

What does 100% disability mean?

100% disability ratings. The VA must show a “material improvement” in your condition before it can lower a 100% rating. That means a material improvement in your disability and your ability to function under the ordinary conditions of life. An examination will need to be conducted and compared to the examination that led to your original 100% disability rating. The VA cannot justify a reduction by simply arguing that your current symptoms match a lower impairment level.

Can the VA reduce my disability in Louisiana?

There are also certain procedures that have to be followed before a reduction can lawfully be made. The VA must send notice of its intent to reduce your benefits. An examination and hearing will be scheduled as well. The hearing will afford you a chance to present evidence as to why your rating level should be maintained. Talk to your Louisiana disability attorney about submitting evidence and ensuring the VA follows the correct protocols required.

Does the VA reduce benefits?

And most believe that once they’ve been approved and start receiving benefits, their fight is over. However, the VA can and does reduce monthly benefits payments. If you’re a veteran, it’s important to know the circumstances that could affect your benefits. A New Orleans, LA veterans disability benefits attorney can help you defeat proposed benefits reductions.

Can you get your disability benefits back after incarceration?

If your benefits were reduced during a period of incarceration, you can have them reinstated once you are released . You should work with an experienced New Orleans, LA veterans disability lawyer to have them restored.

How long does it take for a VA rating to stabilize?

You have a stabilized rating (5 years or more). Any rating that has remained at the same level for 5 years or longer is considered “stabilized.”. In order to reevaluate stabilized ratings, VA must show sustained improvement. VA cannot use just one re-examination to show sustained improvement.

When Does VA Reevaluate Your Service-Connected Disability?

VA usually reevaluates veterans’ service-connected disabilities on two occasions:

What Happens If You Receive Notice of a Proposed Rating Reduction?

VA is required to send a letter proposing the reduction of your benefits if the decrease will affect the amount of monthly compensation you receive. The letter is not a final VA decision, so it cannot be appealed, but VA is required to give you the opportunity to respond to the proposal by submitting evidence and/or attending a hearing. From the date of VA’s letter, you have 60 days to submit evidence if you believe the reduction is not warranted. Within the first 30 days of the 60-day period, you also have the option to request a hearing to be conducted by VA personnel unrelated to the proposed reduction. VA must consider evidence you submit during this period along with all previous evidence and medical records associated with your file.

What is the purpose of VA reevaluation?

The purpose of reevaluation is to verify either the continued existence and/or the current severity of a service-connected condition. VA will also require reevaluation in cases where it is likely that a veteran’s disability has improved, such that there is evidence indicating there has been a material change in a disability or that the current rating percentage is incorrect. If there is a significant improvement to the veteran’s health, VA may choose to assign a lower disability rating, thereby lowering the amount of monthly compensation the veteran receives. VA may also determine that a disease or disability no longer exists, and discontinue benefits. Cancer is a common example of a service-connected disability that requires reevaluation as the result of material improvement. Specifically, if a veteran’s service-connected cancer goes into remission, it is likely that VA will reevaluate the condition and assign a new disability rating based on any residuals. However, if VA decreases your benefits based on the reevaluation of your condition, you have the right to request an increase if your condition worsens again.

What is VA reexamination?

A VA re-examination is a medical examination used to reevaluate the severity of your service-connected disability. After you are initially awarded disability benefits, VA will evaluate whether your disability is such that you ought to be scheduled for a future re-examination to determine if your benefits need to be adjusted. The types of service-connected disabilities that are most likely subject to reevaluation include those that can be expected to improve over time. VA is required to send you advance notice of the need for a re-examination. It is very important for you to show up for this examination . If you fail to attend, and do not call to reschedule or explain why you are unable to make it, then it is likely that VA will reduce or terminate your disability benefits.

What does VA have to show?

VA must show that there has been an actual change in the disability since the last Rating Decision, and that such a change reflects material improvement in the veteran’s ability to function under the ordinary conditions and stressors of life and work.

How long is a continuous rating VA?

You have a continuous rating for 20 years or more. Conditions that have been rated at or above a certain rating level for 20 years or more are considered “continuous”. VA cannot reevaluate or reduce a continuous rating below the original level it was assigned.

How does VA reduce disability?

VA normally starts the process of reducing a rating under two circumstances: Scheduled re-examinations. Usually, VA will evaluate (after you are granted service-connection) whether your disability should be scheduled for a future re-examination ( a C&P exam) to determine if your benefits need to be adjusted.

Why does VA reduce ratings?

For example, if you had service-connected cancer and but it goes into remission, VA would propose a rating reduction because, presumably, your cancer is less disabling – i.e. has less of an impact on your ability to function in life and at work.

What does VA have to show?

VA must show that there has been an actual change in the disability since the last rating decision. VA must show that change in the disability reflects material improvement in the veteran’s ability to function under the ordinary conditions and stressors of life and work. Examination reports must be based on thorough examinations.

What does sustained improvement mean?

What does sustained improvement mean? Essentially it means one of two things: Either 1) VA cannot use just one re-examination (C&P exam) to show ‘sustained’ improvement, rather they must show through medical records as well as a C&P re-exam that you are not just temporarily experiencing improvement. Or, 2) VA must show that the evidence in your file predominantly demonstrates ‘sustained.’

What does M21 mean in VA ratings?

There are a number of things VA must do when reducing ratings under any circumstances: Additionally, the procedural manual (M21) that VA adjudicators use to process claims states that VA must outline the time period during which your condition is said to have (materially) improved.

How long do you have to submit evidence to the VA?

From the date of the letter, you have 60 days to submit evidence if you believe the reduction is not warranted. Within the first 30 days of the 60-day period, you have the option to request a hearing to be conducted by VA personnel unrelated to the proposed reduction.

How long does it take for VA to re-examine a disability?

VA usually makes this determination if they believe your disability can be expected to improve. Typically, the first re-exam will be scheduled 2-5 years from the date of your first Rating Decision. Evidence of change in condition.

How long is a credit rating protected?

I don't think there is any rule involving age but your rating is protected after 20 years unless fraud was involved and it looks like you are already at the 20 year mark or close to it.

What does "unusual circumstances" mean in 38CFR 3.327?

broncovet wrote: Of course, no one knows what "unusual circumstances" means in 38CFR 3.327 iv, so my guess would mean that the VA could do it whenever they wanted and call yours an "unusual circumstance".

Can a VA disability be reduced?

VA cannot effect a reduction unless there has been a material improvement in the disability that warrants the reduction; therefore, there aren't many situations where one could be successfully arguing that he/she can't be reduced solely because VA had no right to examine the person. Keep in mind that the word "static" means that the condition isn't subject to change.

Is VA calling over 55?

In practice VA isn't generally going to be calling folks in who are over age 55 unless there is clear evidence that the condition isn't "static" or there is no evidence suggesting that the current evaluation isn't proper. They have much too big of a backlog to be going on such fishing expeditions.

Is there a cigar rule for VA reevaluation exams?

The rule you speculated on is close, but no cigar. The VA has a policy not to call for reevaluation exams on Veterans OVER AGE 55, not 57. Here it is:

Can a VA rating be reduced?

It is also my understanding that once a vet reaches age 60, the VA rating can't be reduced but can be increased.

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