WELCOME. WEEK FIVE. Visual Impairment 38CFR 4.75(a). The term “visual impairment” refers to a result of an eye disorder or condition. The evaluations for visual impairment are based on: Impairment of visual acuity (va) Impairment of visual field, and
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The term “visual impairment” refers to a result of an eye disorder or condition.
The evaluations for visual impairment are based on:
(b) Base visual acuity evaluations on corrected, distance vision
To evaluate: use visual impairment for either preoperative or post operative cataracts with replacement lens.
To evaluate: use visual impairment elevated by one step but assign a minimum 30%, unilateral or bilateral.
IF one eye is SC and not the other, and
each eye is at a visual acuity of 20/200, or
each eye peripheral field is 20 degrees or less,
and the NSC problem is not due to misconduct,
THEN compensation is payable “as if” both eyes
were service connected.
Service Connection and
Evaluation of Ratings
Maryland CNC: 95 right ear, 93 left ear.
Thresholds: Right ear Left ear
500 30 20
1000 25 20
2000 30 30
3000 25 25
4000 30 25
6000 40 40
The right ear because 3 decibel losses are 30.
The left ear because the speech recognition score is less than 94.
500 15 15
1000 25 45
2000 30 45
3000 30 - inconsistent
4000 45 70
6000 60 90
Average: Right __ Left __
25+30+30+45 = 130 ÷ 4 = 32.50
45+45+70 = 160 ÷ 3 = 53.33
Maryland CNC: 95 right ear, 90 left ear.
Thresholds: Right Left
500 30 20
1000 25 30
2000 30 35
3000 25 40
4000 30 65
Average: ___ ___
ND: ___ ___
Pure tone average is 27.5 = 28.
CNC 95. The ND is I.
Pure tone average is 42.5 = 43.
CNC 90. The ND is II.
Maryland CNC: 88 right ear, 74 left ear.
Thresholds: Right ear Left ear
1000 35 40
2000 50 60
3000 65 70
4000 75 85
Average: 56 64
Right ear numeric designation is II.
Left ear numeric designation is V.
Using Table VII, the better ear is II and
the poorer ear is V. These numbers
intersect at 10.
VA can pay additional compensation to a veteran who, as a result of military service, incurred the loss or loss of use of specific organs or extremities.
Loss, or loss of use, is described as either an amputation or, having no effective remaining function of an extremity or organ.
The disabilities VA can consider for SMC include:
The VA will pay higher rates for combinations of these disabilities such as loss or loss of use of the feet, legs, hands, and arms, in specific monetary increments, based on the particular combination of the disabilities.
There are also higher payments for various combinations of severe deafness with bilateral blindness.
Additional SMC is available if a veteran is service connected for paraplegia, with complete loss of bowel and bladder control.
If a veteran is service connected at the 100% rate and is housebound, bedridden, or is so helpless to need the aid and attendance of another person, then consideration of payment of additional SMC can be considered.
The amount of SMC will vary depending on the level of aid and attendance needed.
Ancillary benefits are:
Eligibility for ancillary benefits is contingent on the type of disability entitlement the veteran has or the circumstances of the veteran’s death.
- Clothing Allowance
Clothing Allowance 38 CFR 3.810
Vocational Rehabilitation 38 CFR Part 21
Dependents Educational Assistance (DEA) 38 CFR 3.807
CHAMPVA 38 CFR 17.270 – 17.278
Loan Guaranty 38 CFR 3.805
Automobile Allowance 38 CFR 3.808
Adaptive Equipment Allowance 38 CFR 3.808
Specially Adapted Housing (SAH) Grant 38 CFR 3.809
Special Housing Adaptation (SHA) Grant 38 CFR 3.809a
Competency/Incompetency 38 CFR 3.353
Homicide 38 CFR Part 3 Subpart A 3.11
Veterans Civil Service Preference 38 CFR 3.357
Adult Helpless Child 38 CFR 3.356
requires a prosthetic or
orthopedic device that wears out clothing.
To purchase a new/used automobile:
or compensated work therapy provided by the VA
The grant is paid directly to the seller of the automobile for the total price (up to $18,900) of the automobile. The veteran or service member may only receive the automobile grant once in his/her lifetime.
Application: VA Form 26-4555d, Veterans Application for Assistance in Acquiring Special Housing Adaptations
5/200 visual acuity or less, or
2. $2,000.00 lifetime HISA benefit when necessary for treatment of a NSC condition of veterans who are:
(d) Unable to defray the expenses of necessary care as determined under 38 USC 1722(a), ie., veterans who qualify through means testing, as determined via Medical Care Cost Fund.
(e) Eligible for benefits under 38 USC 1710(a)(f) and (e), due to exposure to a toxic substance, radiation, or an environmental hazard. (priority group 6)
Veterans Group Life Insurance (VGLI)
Veterans Disability Life Insurance (RH)