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FAQ / Getting Oriented

Questions veterans ask most.

These are the questions veterans ask us most often about VA disability. Each answer is general education and points to where you can go deeper.

The Veteran's Bearing is an independent educational resource. Not affiliated with or endorsed by the VA. Not individualized legal or medical advice.

Medical , Legal & Strategy

01 / Getting Oriented

Getting Oriented

What does "service-connected" actually mean?

A condition is service-connected when the evidence links it to your military service. That can mean the condition began during service, was caused by service, or was aggravated by service. The link has to be shown with evidence, not assumed from the fact that you served.

What does a claim actually have to prove?

Three things: a current diagnosis, an in-service event or aggravation, and a medical link between the two. Veterans often have the first two and are missing the third. That missing link is usually where a claim is weakest.

What is the difference between filing a claim and developing a case?

Filing is submitting the form. Developing is building the evidence the form depends on. The law cannot apply to evidence that does not exist, which is why the order matters: build the case, then file the claim.

Why doesn't 50% plus 30% equal 80%?

VA combines ratings rather than adding them. Each new rating is applied to what remains of your combined total, not to 100%. That is why the combined number is always lower than simple addition suggests.

What does it mean when a condition is presumptive under the PACT Act?

A presumptive condition is one the law treats as connected to service when qualifying exposure and service are established, without a separate medical opinion on causation. In January 2025, VA added more presumptive conditions to the PACT Act list, including certain cancers and blood conditions. Presumption changes the connection question, but a current diagnosis is still required, and the list does change over time.

How long does a VA disability claim take?

There is no fixed timeline. Duration depends on claim complexity, the completeness of the evidence, and whether VA requests an exam or more information. What you control is what is in the file when the claim is decided, which is why building the case matters more than watching the calendar.

02 / Medical Evidence

Medical Evidence

What counts as medical evidence?

Treatment records, exam findings, imaging, lab work, prescriptions, and medical opinions all count as medical evidence. What matters is whether the record shows diagnosis, severity, and functional impact, not just that you were seen.

What is a nexus, and why does it matter?

A nexus is the medical explanation connecting your current condition to service. It is not a conclusion that the condition is related; it is the reasoning that says why. A conclusion without reasoning is easy to set aside.

What if my records contradict each other?

Contradictions are common and are not automatically fatal. The work is reconciling them: identifying which source says what, why they differ, and which is better supported. Erasing a difference is not the same as resolving it.

What if I have no records from my service period?

You are not automatically out of options. Buddy statements, later treatment records, and medical opinions can still support a link. What you cannot do is leave the gap unaddressed and hope it goes unnoticed.

Can I claim a condition that started years after I separated?

Yes, if the evidence supports that service caused or aggravated the underlying condition. These are secondary conditions, and they are argued through the medical relationship, not through the timing alone.

What is a DBQ, and how is it used?

A DBQ, or Disability Benefits Questionnaire, is a standardized form that records clinical findings for a condition in the format VA raters use. VA examiners complete DBQs during C&P exams, and private clinicians can complete them as well. A DBQ is one way to document diagnosis, severity, and functional impact, but it is not a substitute for developing the full medical evidence behind the claim.

03 / Exams

Exams

What is a C&P exam, and why was I scheduled for one?

A C&P exam is a compensation and pension exam VA uses to evaluate your condition and its severity. Being scheduled does not mean you were approved or denied. It means VA needs clinical information to rate the claim.

What is the difference between a direct exam and an ACE review?

A direct exam involves an in-person or telehealth appointment. An ACE review is a records-based evaluation, where a clinician reviews your file and may produce an opinion without seeing you. ACE does not mean no exam; it means a different kind of one.

What happens if I miss or reschedule my exam?

A missed exam can delay or derail a claim, and a reschedule that is not documented can be recorded as a no-show. Confirm appointment details in writing and keep a record of every change you request.

Can I get a copy of my exam report?

Yes. You can request your records, including the exam report, using VA Form 20-10206. Reviewing the report is how you find out whether what you described was actually recorded.

Can I record my C&P exam?

Recording is not a guaranteed right, and VA will not accept your personal recording as evidence in the claim. Under current policy, a veteran has no legal right to record a C&P exam, and whether the examiner permits it is the examiner's call. Ask before the exam, and if the answer is no, proceed without recording.

04 / Decisions and Next Steps

Decisions and Next Steps

I was denied. What are my options?

There are three review lanes: a Supplemental Claim with new and relevant evidence, a Higher-Level Review asking for a fresh look at the same record, and an appeal to the Board of Veterans’ Appeals. Which one fits depends on why the decision went the way it did.

What is the deadline to appeal?

Generally one year from the date of the decision for the review lanes, though the specifics depend on the lane and the decision. Deadlines are one of the few things you cannot fix later.

What is an effective date, and why does it control back pay?

The effective date is the date VA treats your award as starting. Back pay is calculated from it. A later effective date means less back pay, which is why the date is often worth more attention than the percentage.

My condition got worse. Can I ask for an increase?

Yes, you can file for an increased rating when the evidence shows worsening severity or functional impact. Be aware that VA reviews the whole picture, and a rating can move in either direction.

What is the difference between TDIU and a 100% rating?

A 100% rating is based on the severity of your condition under the rating schedule. TDIU is based on your inability to maintain substantially gainful employment because of service-connected conditions. They can pay at the same rate but are decided on different grounds.

Can my rating be reduced? What are the 5, 10, and 20-year rules?

Ratings gain protection over time. After 5 years at the same level, a reduction generally requires sustained, material improvement shown by a full examination. After 10 years, service connection itself can only be severed for fraud or clear error. After 20 years, the rating level is protected from reduction below the established point. A permanent and total rating is the most protected, with no routine future exams scheduled, and the VA rating criteria define when a change is justified.

Can I work while receiving VA disability compensation?

Yes, in most cases. A schedular rating does not restrict how much you can earn. TDIU is different: it pays at the 100% rate because service-connected conditions prevent substantially gainful employment, so work above the federal poverty threshold can matter to that rating. Knowing which type of rating you hold is the first distinction to understand.

Are VA mental health ratings changing?

VA has proposed a mental disorders rating overhaul that would replace the current rating formula with a five-domain assessment of functional impact. It is a proposal, not current law: no final rule has been published, and existing ratings would generally be protected if one does take effect. Claims decided today are still governed by the current rating criteria.

Will VA change how sleep apnea is rated?

VA has proposed ending the automatic 50% rating for sleep apnea tied to CPAP use and replacing it with symptom-based criteria. As of now it remains a proposal, not law, and sleep apnea claims decided under current rules are rated under the current schedule. The difference between what is proposed and what is law is where most of the confusion comes from.

05 / About The Veteran’s Bearing

About The Veteran’s Bearing

Is The Veteran’s Bearing part of the VA?

No. The Veteran’s Bearing is an independent educational brand operated by Digital Transformations LLC. It is not the VA.

Do you tell me what to claim or guarantee an outcome?

No. We teach how the system works and how to organize your own evidence. We do not select conditions for you, prepare or represent you in a claim, or promise a rating, an increase, or a favorable decision.

Where should I start?

Start with the situation you are actually in, not the form you think you need. The Start Here page routes you by where you are in the process, and the Education and Intelligence sections go deeper on each topic.

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