Being rated 100% Permanent and Total (P&T) means the VA has determined your service-connected disability is both total (100%) and unlikely to improve. Under 38 CFR 3.327, veterans with a P&T rating are generally exempt from future routine re-examinations for rating purposes, except in unusual circumstances such as evidence of fraud, clear and unmistakable error in the original decision, or a request tied to a claim for an increase on a different condition. So P&T status itself is not something the VA is constantly re-checking through your regular primary care visits.
The periodic appointments you're describing (every 6 months to a year) are almost certainly standard VA healthcare follow-ups, not Compensation and Pension (C&P) exams. VA primary care and specialty clinics routinely schedule recurring visits for chronic condition management, medication monitoring, and preventive care, regardless of your disability rating. These are health-maintenance appointments, not benefits reviews, and providers are not required to ask about your service-connected conditions specifically unless you're being seen for one of those conditions or the visit is coded as a C&P exam.
Official 2026 VA monthly compensation, including the 2.8% COLA increase.
Dependent add-ons start at a 30% rating. Child-only and dependent-parent rates: see the full 2026 pay chart.
| Rating | Monthly (2026, incl. 2.8% COLA) |
|---|---|
| 10% | $180.42 |
| 20% | $356.66 |
| 30% | $552.47 |
| 40% | $795.84 |
| 50% | $1,132.90 |
| 60% | $1,435.02 |
| 70% | $1,808.45 |
| 80% | $2,102.15 |
| 90% | $2,362.30 |
| 100% | $3,938.58 |
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Analyze my claim free →It is not unusual for a provider to focus only on the reason for that day's visit rather than reviewing your entire VASRD-rated conditions every time. If you're concerned that your medical records don't reflect the ongoing severity of your service-connected conditions, that could matter later only if you ever file a claim for an increase or a new secondary condition, since the VA would look at your treatment history as evidence. For a P&T rating already in place, routine clinic visits do not put your existing rating at risk of reduction, since 38 CFR 3.327 and the general protections for P&T ratings apply.
If you want your records to better reflect how your conditions currently affect you, bring them up directly with your provider at your next visit and ask that your service-connected conditions be documented, especially if you're on medications for them or considering filing for a related secondary condition.
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