How to get P&T VA Disability?

How to get P&T VA Disability?

By Hogan Smith

Updated 02/06/2025


Permanent and Total (P&T) VA Disability is the highest level of disability rating provided by the U.S. Department of Veterans Affairs (VA). It is given to veterans whose disabilities are considered both permanent and total, meaning their condition is not expected to improve and prevents them from working or engaging in daily activities. Achieving a P&T VA disability rating can provide veterans with increased benefits and financial support, as well as additional services and protections. Here’s a guide on how to qualify for P&T VA Disability and maximize your chances of getting approved.

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Understand What P&T VA Disability Means

The Permanent and Total (P&T) rating signifies that your disability:


  • Total: You have a disability that is rated as 100% disabling, meaning you cannot work or perform significant activities due to your condition.
  • Permanent: Your condition is not expected to improve, and it is unlikely that your rating will change in the future.


P&T VA disability ratings can be assigned for physical disabilities, mental health conditions, or a combination of both. A veteran who has a 100% disability rating and meets the criteria for permanence may be granted a P&T designation.


Ensure You Meet the Criteria for a 100% Disability Rating

To qualify for P&T VA Disability, you must first meet the requirements for a 100% disability rating. This means your condition must be severe enough to prevent you from working or performing any substantial gainful activity. Some ways to achieve a 100% rating include:


  • Complete loss of function: If a condition completely limits your ability to perform daily tasks, it could warrant a 100% rating.
  • Severe mental health conditions: Veterans with mental health disorders like PTSD, depression, or anxiety may be assigned a 100% rating if their condition prevents them from functioning in society or at work.
  • Multiple disabilities: If you have multiple conditions, they may be combined to reach a 100% disability rating based on the VA’s Combined Ratings Table.


If you are unsure whether your condition qualifies for a 100% disability rating, it’s important to seek a VA evaluation to determine your eligibility.


Request a Permanent and Total (P&T) Rating

The P&T designation is not automatically assigned with a 100% disability rating. You must request that the VA assign this designation to your case. Here’s how to do it:

  • Submit a Request for P&T Rating: After receiving a 100% disability rating, you can submit a formal request for a Permanent and Total designation. This request can be made as part of your initial application or after receiving a rating.
  • Provide Evidence of Permanence: You need to show that your disability is unlikely to improve. This could include:
  • Medical evidence that indicates your condition is chronic or permanent.
  • Statements from doctors or medical professionals confirming that your condition will not improve.
  • Long-term treatment plans or medical records showing the severity and stability of your condition.


Meet the VA’s Special Requirements for P&T

The VA has specific criteria for awarding P&T disability. In addition to a 100% rating, the VA may consider:


  • Stability of your condition: If you have a 100% disability rating that has been consistent for several years, the VA may be more inclined to grant P&T status.
  • Severe limitations in daily living: If your condition severely limits your ability to work or care for yourself, this can strengthen your case for P&T VA Disability.
  • No future improvement expected: You must demonstrate that the VA has no expectation that your condition will improve over time.


If the VA determines that your condition is likely to improve, you may not be granted P&T status.


Provide Strong Medical Evidence

The most important part of obtaining P&T VA Disability is providing detailed and accurate medical evidence. This includes:


  • Medical records: Your doctor’s notes, test results, hospital records, and treatment history are essential.
  • Statements from treating physicians: Letters or statements from your healthcare providers that explain the permanence of your condition and how it affects your daily life.
  • Independent medical evaluations: If needed, you can submit evaluations from independent doctors to support your claim that your disability is permanent.


Consider Working with a VA Disability Lawyer

Navigating the VA disability process, especially when seeking P&T VA Disability, can be complex. It may be beneficial to work with a VA disability lawyer or veterans’ service officer (VSO) who can help:


  • Gather and organize medical evidence.
  • Prepare your claim and ensure you are meeting all the necessary requirements for P&T status.
  • Appeal denials: If your initial request for P&T is denied, a lawyer can help you file an appeal and represent you in hearings.


VA lawyers typically work on a contingency fee basis, meaning they only get paid if you win your case. This makes legal representation affordable for veterans.


Apply for Additional Benefits with P&T Status

If you are granted P&T VA Disability, you may be eligible for additional benefits, such as:


  • Health care: You may receive better access to VA health care services.
  • Dependents’ benefits: If you have dependents, they may qualify for increased benefits.
  • Vocational rehabilitation: Some veterans may be eligible for vocational rehabilitation and training programs.
  • Tax exemptions: Depending on your state, you may qualify for tax exemptions or other state benefits with P&T status.


Stay Organized and Follow Up

Once you have submitted your request for P&T VA Disability, it’s important to:


  • Keep detailed records of all correspondence and documents related to your claim.
  • Follow up regularly with the VA to check the status of your request.
  • Respond promptly to any requests from the VA for additional documentation or information.


The process of obtaining P&T VA Disability  may take time, but staying organized and persistent is key to success.

How Hogan Smith Can Help

At Hogan Smith, we specialize in helping veterans navigate the complex process of obtaining VA disability benefits, including P&T VA Disability. Our experienced team can assist with:


  • Reviewing your disability claim and eligibility for P&T status.
  • Gathering and organizing the necessary medical evidence to support your case.
  • Representing you in appeals or hearings if your initial request is denied.
  • We offer a free consultation, so you can get the support you need to maximize your chances of success.

Contact Hogan Smith Today

If you're ready to apply for P&T VA Disability or need assistance with your claim, contact Hogan Smith today for a free consultation. We’ll work with you to secure the benefits you deserve.


Further Reading

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Updated February 10, 2025

A black and white icon of a newspaper on a white background.

Updated February 10, 2025

A black and white icon of a newspaper on a white background.

Updated February 10, 2025

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