Navigating the intricacies of Veterans Affairs (VA) compensation can often seem daunting, especially when it comes to understanding how various conditions are rated. This guide aims to demystify some of the complexities involved, focusing specifically on hearing loss, ILER (Individual Longitudinal Exposure Record), TERA (Toxic Exposure Risk Activity), and the VA ratings table.
Understanding Hearing Loss Ratings
Hearing loss is a common service-connected condition among veterans and, unfortunately, it’s often rated in a way that can lead to frustration. A veteran may experience significant hearing loss in one ear while retaining decent hearing in the other, resulting in a hearing loss percentage rating of zero. However, it’s important to note that even with a zero percent rating, veterans are still eligible for hearing aids and treatment through the VA. This distinction is crucial, particularly for those seeking VA care without a high rating, as VA-provided hearing aids are reputed to be superior to those available in civilian markets.
How VA Measures Hearing Loss
The VA employs two metrics to measure hearing loss: the pure tone threshold average and the speech discrimination score. The hearing loss rating considers the average hearing threshold across a frequency range of 1000 to 4000 Hz, but many veterans experience significant hearing loss beyond this range. For example, a pure tone threshold of 43 combined with a speech discrimination score of 88 might yield a Roman numeral rating of II, resulting in a zero percent hearing loss rating.
If one ear is significantly impaired but the other is not, obtaining a rating higher than 10% is challenging. Regular hearing assessments are recommended, especially for those looking to increase their rating if their hearing worsens over time.
ILER and TERA: Documenting Exposure
The ILER document records exposure to environmental hazards during deployment, listing factors such as burn pits and other environmental risks. In contrast, the TERA document compiles any occupational exposures outside deployment, such as exposure to jet fuel for mechanics. These documents are critical when attempting to connect health conditions to service exposures for compensation claims. If your TERA or ILER lacks documentation of certain exposures, it’s important to get these updated, possibly by filing a Freedom of Information Act (FOIA) request, which can be a lengthy process.
Deciphering the VA Ratings Table
The VA ratings table often confuses veterans attempting to decipher their compensation ratings based on combined percentages. The system is similar to sales percentages — think of your body as 100% whole at military entry, with subsequent conditions reducing that total. For example, if you receive a 20% rating for a condition, 80% of you is still considered “whole.” Additional conditions are then subtracted as percentages from the remaining “whole” percentage, not cumulatively added.
This method can lead to confusion when expected increases in compensation don’t align with the additional conditions rated, like an example where a perceived increase from 80% to a 30% new condition might only result in a slight bump or no change, depending on the starting point.
The Importance of Knowing Real Percentages
Understanding your real percentage rating, versus just your pay rate, is crucial for planning claims and appeals. An increase might not affect your compensation, and knowing these figures can affect your decisions on pursuing certain claims.
Conclusion and Engagement
Navigating the VA’s processes can be challenging, but understanding these components can empower veterans to advocate for themselves effectively. Questions or comments? Feel free to leave them below.
Looking ahead, I’m contemplating including some musical interludes, potentially incorporating Christmas carols on the harp in upcoming content. Let me know if this would interest you, and thank you for your time. Have a wonderful Thanksgiving, and I look forward to connecting in December!