Many veterans don’t realize that conditions caused or worsened by an already service-connected disability may also qualify for VA compensation. Secondary service connection is one of the most underused paths to increased benefits.
Below, our friends from Gregory M. Rada, Attorney at Law discuss how secondary service connection works and why it matters.
What Is Secondary Service Connection?
Secondary service connection applies when a new medical condition develops as a result of a disability the VA has already rated. For example, a veteran with a service-connected knee injury might develop chronic hip pain from years of compensating for that knee. The hip condition could then be claimed as secondary to the knee disability.
How It Differs From Direct Service Connection
With direct service connection, a veteran must show the condition originated during or was caused by military service. Secondary claims instead require evidence linking the new condition to an existing service-connected disability. The standard of proof is different, and the medical evidence focuses on the relationship between the two conditions rather than tying the new one directly to service.
The Role Of A Nexus Letter
A nexus letter from a qualified medical professional is often the most important piece of evidence in a secondary claim. This letter should clearly state that the new condition is “at least as likely as not” caused or aggravated by the service-connected disability. Without a strong nexus opinion, these claims are frequently denied.
Common Secondary Condition Pairings
Certain secondary connections come up regularly in VA claims. Mental health conditions like depression or anxiety are commonly secondary to chronic pain disabilities. Radiculopathy often follows spinal conditions. Sleep disturbances frequently stem from PTSD or chronic pain. Veterans should think broadly about how their service-connected conditions affect their overall health.
Getting Help With A Secondary Claim
If you believe a current health problem is connected to a disability the VA already recognizes, it may be worth exploring a secondary claim. An experienced Veterans disability lawyer can evaluate your situation and help you build the medical evidence needed to support your case.
