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I Have A Question 100% Ratings


JayBrown1

Question

I have a combine rating of 100%, but on ebenefits it say I am being paid at 100% because I am unemployable, I am also Total and Permanent with no future exams. All of my disabilities are physical so why do some people get 100% T&P and others get what I got and then some get 100% scheduler? Where can I find info on the difference between them and the benefits that comes with each one of them?

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  • HadIt.com Elder

Weird. 100% schedular can still be employed, within your capacity to be so. "100%" due to Unemployability is not really 100%. You have something that is rated lower that 100%, but you are granted a mulligan on the difference between your percentage and 100% because specifically you are unemployable by their definition.

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When I was at 80% I applied for unemployability and was granted it, one year later I requested an increase in one of my disabilities and it was raised to 60% which gave me a combine rating of 100% and they sent me a letter stating that I have a combine rating of 100% total and permanent with no future exams but on Ebenefits it states when I generate a letter "You are being paid 100% due to you being unemployable."

My last Heath Handbook it states that I have a combine rating of 100% P&T

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  • HadIt.com Elder

If you are 100 percent P and T you are schedular. The VA didnt update something. CAll them and ask them to straighten it out.

J

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If you can't get a reasonable response when you call the 800 number, send an IRIS inquiry explaining your situation and ask for the info to be updated.

Good luck

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Don't TDIU P/T with no future exams stay with you until you die?...if your disability's never get better?

That's what I was told I'm not sure?

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Well, kind of. The VA can still reduce you later on if you improve. There are many rules on reductions in ratings, that I wont go into here. A P and T rating makes it more difficult for VA to reduce, but if a doc says you improved, you are still subject to a reduction. However, your doc will need to indicate you had sustained improvement, not just episodic improvement, "under ordinary conditions of life" (i,e working).

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JBrown,

Check your letters on ebennies that you can download for commissary and post ID. What do they say? If they say 100% P/t then you are fine.

Stillhere

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  • HadIt.com Elder

I have a combine rating of 100%, but on ebenefits it say I am being paid at 100% because I am unemployable, I am also Total and Permanent with no future exams. All of my disabilities are physical so why do some people get 100% T&P and others get what I got and then some get 100% scheduler? Where can I find info on the difference between them and the benefits that comes with each one of them?

I have a combine rating of 100%, but on ebenefits it say I am being paid at 100% because I am unemployable, I am also Total and Permanent with no future exams. All of my disabilities are physical so why do some people get 100% T&P and others get what I got and then some get 100% scheduler? Where can I find info on the difference between them and the benefits that comes with each one of them?

If you expect to find a rational orderly reason why the difference, you will likely be disappointed. The VARO's and individual raters in them don't do things in any sort of uniformity, other than to deny when possible.

It sounds like you have a higher percentage single disability, with at least one lower percentage. Or, the VA applied some guideline that they don't always use.

It's generally impossible to obtain 100% scheduler with multiple disabilities using the VA's formula, with a possible exception being bi-laterals.

To my way of thinking, If a veteran has a 60% or more single disability, TDIU eligibility and in actual fact is quite likely.

(Regardless of what the VA tries to do!)

100% P&T scheduler is not the easiest rating to be awarded. The VA raters seem to go to great lengths to avoid it.

E-Benefits is not always up to date or accurate.

Edited by Chuck75 (see edit history)
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So you hit 100% schedular and were then determined to be P&T depending on your rating? You may have been granted TDIU, then P&T because of the nature of the TDIU condition driving the decision. I also think you should send the IRIS and ask for clarification if you need it, but if your eBenefits letter and decision say "no future exams" or "Chapter 35 benefits", you are P&T and it doesn't really matter how or why (JMHO). Just make sure you keep your appointments, etc. so IF you are ever re-evaluated or proposed for reduction, you have no issue beating the VA at this game.

I was awarded 100% schedular in April with the same issue (not P&T because I might improve) - it was no simple feat. I really don't see how the VA considers me as potentially improving, but there it is. So, I was advised to wait a year or so and have my doctor write up a statement that the likelihood of me improving was 'zip' and submit with a request for P&T. I'll let you know how it goes this coming spring. My wife and kids could really use the benefits if something happens to me. I'm still trying to figure out the Fee Basis Dental I received last week.

Good luck and keep posting questions.

Edited by justrluk (see edit history)
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I have the Chapter 35 benefits which my daughter is using now. I did send an iris asking this question and the answer I got was "Your combine rating is 100% and you are considered Total and Permenant with no future exams. You are considered unemployable due to your disabilities."

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I have the Chapter 35 benefits which my daughter is using now. I did send an iris asking this question and the answer I got was "Your combine rating is 100% and you are considered Total and Permenant with no future exams. You are considered unemployable due to your disabilities."

One thing for sure with chapter 35 you are definitely P & T but now to get to the bottom line you need to find out if you are 100% scheduler or 100% TDIU and the only way you can do that is to request a complete copy of your rating decision including the legend sheet that shows all your disabilities. If you have this rating decision it should state if you are scheduler or TDIU.

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  • HadIt.com Elder

With Chapter 35 if you get denied I would appeal that because it will take them a year at least to review your appeal. Then the VA has a year of records to look back on to see if there is improvement. This is what I did, and it took me about a year from the time I got TDIU to when I got P&T. I also threw in another IME to say again that I was permanently disabled. My doctors had already said it when I got TDIU. If you have SSD that is solid indication you are disabled for at least a year. Few who get SSDI ever go back to work and the VA knows this (but would they admit it?).

John

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If you were at 80% SC and got a Single NEW SC rated at 60%, that would have only got you to 92% VA Math rounded down to 90% SC. What was the complete list of SC before the increase?

Semper Fi

Gastone

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Scheduler means you can still work. If you are 70% for whatever disability and 60% for another, 60% for another, your disabilities may not keep you from working, so you can continue to work full time, and get 100% VA disability.

IU means you are not employable. You can not work. If you are 70% for whatever, but cannot work they will pay you at the 100% rate. If you return to work they will lower you to the 70% rate.

P&T means permanently disabled. That means you will not be scheduled for a reevaluation, and they believe that your disability is permanent. If you apply for new disabilities, they may re-evaluate your condition. I think P&T gives you more benefits than Scheduler or UI. Dependent education, Insurance for family, and other benefits.

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So can you be 100% SC P&T and still work if the VA letter does NOT say "You are considered unemployable due to your disabilities" ?

V/r

WOLF14

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So can you be 100% SC P&T and still work if the VA letter does NOT say "You are considered unemployable due to your disabilities" ?

Yes and NO. A veteran can legally work and maintain a 100% SC P & T rating if he/she has a combined rating or a sole rating of 100%. Example a heart condition.

A veteran CAN NOT legally work with a sole rating 100% SC P & T for any MENTAL HEALTH CONDITION.

The 100% mental health rating criteria precludes a veteran from receiving the 100% rating and working at the same time.

Edited by pete992 (see edit history)
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  • HadIt.com Elder

Yes and NO. A veteran can legally work and maintain a 100% SC P & T rating if he/she has a combined rating or a sole rating of 100%. Example a heart condition.

A veteran CAN NOT legally work with a sole rating 100% SC P & T for any MENTAL HEALTH CONDITION.

The 100% mental health rating criteria precludes a veteran from receiving the 100% rating and working at the same time.

There are some exceptions to the mental health rule that have to do with "meaningful" employment, protected workplace, etc.

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