Permanent & Total   P & T

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per·ma·nence

The state or quality of lasting or remaining unchanged indefinitely.

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dependent children; (3) life insurance — family coverage is available to members insured under Servicemembers' Group Life Insurance (SGLI); and (4) memorial benefits — minor or unmarried adult children may be eligible for burial in a VA national cemetery. Also, specific benefits are available for children of servicemembers who died or were seriously injured in the line of duty.​​

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VBA  Derivative Benefits Eligibility​ 

There are additional benefits that you may be eligible for that are based on a favorable decision for a VA benefit and/or based on special circumstances. 

These are known as derivatives.

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Have you been scheduled for a C & P exam? 
This may be the most important information you'll read today.
Take your time, read everything here carefully. Then read it again.
We have tried to arrange this in a way that it will make a very complex topic easy to
understand. However, it remains a complex topic and you must put a lot of effort into
understanding how the C & P process works.
You will find links to other pages. Follow those and learn all you can. Many of the links
you see will take you to the definition of that word. Other links may take you to pages
where you can read the federal regulations that support the C & P exam.

Understanding the complex jargon is important.

Take your time and read these things thoroughly.
The C & P exam may make the difference between a high rating and a
smoother path to the benefit you deserve.Take the time today,

right now, and read through this material carefully.

 The C & P Examiner does not make the decision about your claim!

The Ratings Veterans Services Representative (RVSR) is a primary decision maker of the

outcome of your claim for VA disability compensation benefits. Once the veteran has filed for

the compensation benefit a folder or file is created and data (called evidence) is added

to the file for consideration by the RVSR.

The condition you claimed will likely have some past evidence in the form of a Service

Medical Record (SMR) or records of diagnosis and treatment from civilian providers.

No matter the amount of evidence you have, it's likely that the Veterans Service

Representative (VSR) or the RVSR will request that a VA contractor perform a

C & P exam on you.

The C & P examiner will not treat you or order any medications. Lab work, x-rays

and other such studies may be ordered by the C & P examiner.

The depth of the examination is determined by order of the VSR or the RVSR and is

included in the request for examination. When you have filed a claim or VA has decided

to review the status of your condition, the VSR completes an order to have you attend a

C & P exam. The order is very specific as to exactly what the VSR believes should be

examined. If you have claimed a condition of your left leg, the C & P examiner

will only address issues about your left leg.

The examiner has no authority to go beyond what is ordered by the VSR. Frequently the

examiner will not have your medical records or any other history available. That is often

the case when the VSR only wishes to determine the degree of function of a joint, as in a knee injury.

In that instance, the examiner won't consider that the history or treatments over time is

of any particular importance. She or he will only be looking for the physical effects

that are observable and measurable at that moment. The knee may be flexed and

rotated so that the examiner can record those motions for comparison to the norm.

If there is scarring, crepitus (joint noise), swelling or redness, all of that will be noted in a report.

In other cases, the VSR or RVSR may request that the examiner give

the medical record a very thorough review to determine whether or not a condition

originated in the time of military service. A claimed back injury may have a reference

of a similar injury in the SMR of 30 years prior to the date of the claim. The examiner

will be asked for an opinion that will state that the condition of today is or is not likely to

have resulted from the injury in the SMR or if it is a condition that is of

different origin and likely happened long after the ETS.

This is sometimes referred to as a nexus letter and may connect the condition

you allege today with an event that happened many years ago.

QTC is a contractor that does C & P exams for the VA.

QTC is the largest private provider of government-outsourced occupational health 
and disability examination services in the nation. Our more than 30-year history
has been marked by a focus on delivering technology-driven
examination solutions for our customers.

More about QTC here.

Avoid the Fiduciary Trap
Be aware that during any C & P
examination you may be asked about how you handle your finances.
The examiner may seem casual as you're asked about who pays the bills at your house.
The wrong answer will see VA proposing to appoint you a fiduciary because of your "incompetence".
If you are capable of managing your money and paying your bills, say that clearly. If the
examiner has any reason to doubt you, you may be caught up in the VA fiduciary web.

If you are scheduled for a C & P exam, you must attend.

If you believe that a mistake has been made in scheduling

your exam, you may argue that with VA after the exam is finished.

If you don't attend an exam, VA will default to whatever action was being

considered when the exam was scheduled. That is rarely going to be in your favor.

Even if it's a surprise and very short notice, we advise that you show up promptly regardless.

If you don't go to your exam, be aware that you may quickly lose benefits.

Department of Veterans Affairs

Veterans Compensation & Pension C&P Exams

QTC Exams    Reexamination


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Compensation & Pension Examinations

When you are ordered to attend a C & P examination, you must attend.

Failure to show up is likely to terminate your application for benefits

immediately or cause significant delay.

Don't reschedule the exam, even if it isn't convenient for you! It doesn't matter if

you don't understand why you are scheduled for a C & P exam. That isn't important.

You must attend and you must understand how the process works.

The C & P exam is usually done by a health care professional who works for a company

that is a contractor to the VHA. We call these people C& P Examiners.

Separating Fact From Fiction

The Must Do & Must Not Do of the C & P Exam

* The examiner does not make the decision about your claim.

* You may take records with you but the examiner may refuse them.

* The examiner won't treat you or prescribe medicines.

* NEVER try to fake any symptom. If you aren't prescribed a neck brace, don't wear one.

* The examiner will only perform the task assigned by an order of the regional office.

* You do not have to allow the examiner to cause you pain or discomfort

during the exam by manipulating joints, etc.

* The examiner does not have any insight about how your claim will be decided. Don't ask.

* You may request that a family member or friend join you during the exam.

The examiner may agree or refuse your request.

* DO NOT attempt to secretly record any part of the exam.

* DO make notes for yourself before you go. This is the only way you'll

be sure to tell the examiner all the details you want to share.

* DO NOT over-exert yourself trying to please the examiner. This exam is

about your worst symptoms, not the best.

* DO be courteous at all times. Don't complain to the examiner about all the

indignities you've suffered. Focus on the reason you're there.

* DO use your common sense. This exam probably won't make or break

the decision about your claim but it can help.

Compensation and Pension Examinations
All you ever wanted to know about the C & P exam. 

VAWatchdog knows that the C & P exam produces more anxiety than any other of the
steps during the claims process. Understanding how the C & P exam works is
vital to winning your claim. You must take time from your schedule to read this page

carefully...and then read it again. What you'll learn here today may

make the difference in winning or losing. Nobody will do this for you. DIY and win your claim.

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SMART INSIGHTS FROM PROFESSIONAL ADVISERS
The Alphabet Soup of Disability Income: SSDI, LTD and WC
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qualify for more than one, but that can also cause issues.

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