VA MATH BILATERAL FACTOR - Purple Heart

1 VA math . &. BILATERAL FACTOR . Casey Matuszak MOPH NSO Training 1. Orlando, FL March 2012. OBJECTIVE. Gain an understanding of: How VA disability evaluations are combined. The effect of the BILATERAL FACTOR on the combined evaluation. MOPH NSO Training 2. Orlando, FL March 2012. VA math . Why is VA math important? Combined evaluation =. Money Eligibility health care Entitlement to additional benefits MOPH NSO Training 3. Orlando, FL March 2012. VA math . 38 CFR Combined ratings table. results from the consideration of the efficiency of the individual as affected first by the most disabling condition, then by the less disabling condition, then by other less disabling conditions, if any, in the order of severity MOPH NSO Training 4. Orlando, FL March 2012. VA math . EXAMPLE. MOPH NSO Training 5. Orlando, FL March 2012. VA math . EXAMPLE. $ LOST REMAINING. 10% of $ = $ $ 10% of $ = $ $ 10% of $ = $ $ $ MOPH NSO Training 6. Orlando, FL March 2012. VA math . EXAMPLE. 100% Functional Four disabilities 50%, 20%, 10% & 10%.

2 Disabled Remaining Function 50% of 100% = 50% 50%. 20% of 50% = 10% 40%. 10% of 40% = 4% 36%. 10% of 36% = 68% Disabled MOPH NSO Training 7. Orlando, FL March 2012. MOPH NSO Training 8. Orlando, FL March 2012. MOPH NSO Training 9. Orlando, FL March 2012. VA math . EXAMPLE. A veteran has the following SC evaluations: PTSD 50%. Diabetes Mellitus 20%. Kidney condition 10%. Neuropathy right upper extremity 10%. Diabetic Retinopathy right eye 0%. Erectile Dysfunction 0%. Combine in the order of their individual severity! What is his combined S/C rating? MOPH NSO Training 10. Orlando, FL March 2012. VA math . Example 10 20 30 40 50 60 70 80 90. 50 55 60 65 70 75 80 85 90 95. 60 64 68 72 76 80 84 88 92 96. 64 68 71 75 78 82 86 89 93 96. MOPH NSO Training 11. Orlando, FL March 2012. VA math . EXAMPLE. 70% Combined S/C. MOPH NSO Training 12. Orlando, FL March 2012. VA math . What about the two 0% evaluations? Doesn't 38 CFR MOPH NSO Training 13. Orlando, FL March 2012. VA math . EXAMPLE. A veteran has the following SC evaluations: PTSD 70%.

3 Back 40%. Leg 40%. Neck 40%. Skin 10%. What is the combined rating? 90%. MOPH NSO Training 14. Orlando, FL March 2012. BILATERAL FACTOR ? WHAT IS IT? WHAT PART DOES IT PLAY? MOPH NSO Training 15. Orlando, FL March 2012. BILATERAL FACTOR . 38 CFR When a partial disability from disease/injury of: both arms, or of both legs, or paired skeletal muscles, Example: GSW, Left thigh vs. Scar, right ankle Amputation, right little finger vs. Arthritis, left elbow MOPH NSO Training 16. Orlando, FL March 2012. BILATERAL FACTOR . 38 CFR Ratings for the disabilities of the right and left sides will be combined in order of severity and 10. percent of it's value will be added. These disabilities will be treated as one disability &. will be arranged in order of severity with other disabilities and then combined. MOPH NSO Training 17. Orlando, FL March 2012. BILATERAL FACTOR . Example: GSW, Left thigh 30%, Arthritis, left elbow 30%. Amputation, right little finger 10%. Scar, right ankle 10%. Which conditions are used?

4 What is the BILATERAL FACTOR ? What is the combined rating? MOPH NSO Training 18. Orlando, FL March 2012. BILATERAL FACTOR . 30% & 30% = 51%. 51% & 10% = 56%. 56% & 10% = 60%. BILATERAL FACTOR = 10% of 60% = 6%. 60% + 6 % = 66% = 70%. MOPH NSO Training 19. Orlando, FL March 2012. BILATERAL FACTOR . Example PTSD 70% Conditions? Left leg 30% BILATERAL FACTOR ? Rt. arm 20% Combined Rating? Rt. knee 10%. Rt. ankle 10%. MOPH NSO Training 20. Orlando, FL March 2012. BILATERAL FACTOR . Example Left leg 30% PTSD 70%. Rt. knee 10% Rt. Arm 20%. Rt. ankle 10%. 30% & 10% & 10% = 43% = total 47%. 70% & 47% (84%) & 20% = 87% = 90%. MOPH NSO Training 21. Orlando, FL March 2012. BILATERAL FACTOR . Example Vet receives a temporary rating of 100% for a MI. His other disabilities are L. Foot 20% R. Elbow 20%. Tinnitus 10% Anxiety 10%. R. Knee 10%. Do we care about combined rating/ BILATERAL FACTOR as vet is 100%? MOPH NSO Training 22. Orlando, FL March 2012. BILATERAL FACTOR . YES! SMC provided by 38 1114(s).

5 (housebound) is the veteran has a single 100. percent SC disability and: additional SC disability(ies) independently ratable at 60 percent, separate and distinct from the 100 percent SC disability involves different anatomical segments or bodily systems, MOPH NSO Training 23. Orlando, FL March 2012. BILATERAL FACTOR . Example MI 100%. L. Foot 20% R. Elbow 20%. R. Knee 10% Anxiety 10%. Tinnitus 10%. MOPH NSO Training 24. Orlando, FL March 2012. BILATERAL FACTOR . Example 20% & 10%= 28% + BF of 3% = 31%. 31% & 20% = 45%. 45% & 10% = 51%. 51% & 10% = 56% = 60%. Vet is entitled to SMC - Housebound $2769 vs. $3100 = $331 difference MOPH NSO Training 25. Orlando, FL March 2012. OBJECTIVE. ACCOMPLISHED! Discussed Disabilities are combined not added. Learned how to combine w/o the table. Used the Combined Rating Table. Discussed the BILATERAL FACTOR . Knowledge of combination equals benefits MOPH NSO Training 26. Orlando, FL March 2012. VA math &. BILATERAL FACTOR . MOPH NSO Training 27. Orlando, FL March 2012.