VA Disability Rating for Insomnia

The VA gives insomnia a rating of 0%, 10%, 30%, 50%, 70%, or 100% based on its effect on function and quality of life. A 0% rating indicates no severe impact. At 10%, symptoms are mild and intermittent, managed with medication. The 30% rating involves occasional work impairment and mild memory loss. With a 50% rating, there’s impaired judgment and reduced workplace productivity. At 70%, severe occupational and social dysfunction occurs, often with constant panic or depression. The highest, 100%, indicates total occupational and social impairment, making daily functioning and work impossible.

Key Takeaways
  • Insomnia is defined by difficulty in falling or staying asleep and impacts daily functioning. Chronic insomnia, occurring at least three times weekly for three months, is recognized as a disability.
  • The VA assigns disability ratings for insomnia ranging from 0% to 100%, based on symptom severity and life impact. Ratings are analogous to those for mental health conditions.
  • Insomnia as a secondary disability often results from conditions like PTSD, depression, anxiety, chronic pain, and stress, requiring evidence of service connection for VA rating.
  • Veterans can qualify for Total Disability Individual Unemployability (TDIU) benefits if their insomnia or combined disability rating is 60% or higher, demonstrating inability to work due to disability.

Insomnia is one of the most common sleeping disorders. Symptoms of insomnia include trouble falling asleep, staying asleep, and getting good quality sleep. When you suffer from insomnia, these problems persist despite changing the times you sleep and the environment in which you sleep. Insomnia can negatively impact your ability to function at work and in your personal life and leave you feeling chronically fatigued.

Insomnia occurring at least three times per week and lasting for a minimum of three months is considered chronic and is recognized as a disability on the VA’s disability rating schedule. If your insomnia is connected to your military service, you can apply for a VA disability rating to increase the monthly disability compensation you receive each month.

Veterans and Insomnia

The Sleep Foundation found that 25 percent of military service members suffer from insomnia, which researchers have linked to depression, mild traumatic brain injury, and post-traumatic stress disorder. Insomnia is usually assigned a secondary disability rating because it typically stems from another military-connected condition, illness, or injury. 

Post-traumatic stress disorder is a common primary disability connected to insomnia because high stress levels and the inability to relax cause difficulty falling asleep. Nightmares associated with post-traumatic stress disorder may also contribute to problems staying asleep. The sleep deprivation caused by insomnia is especially dangerous when you’re in a situation that requires you to react quickly, such as driving. Negative outcomes include the following:

  • Drowsiness during the day
  • Inability to concentrate or focus on tasks
  • Low motivation
  • Mood swings and irritability 
  • Delayed reaction times
  • Impaired judgment

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How Does the VA Rate Insomnia?

The VA grants ratings of 0%, 10%, 30%, 50%, 70%, and 100% for insomnia, depending on the severity of symptoms, how commonly they occur, and how much they affect the veteran’s life. A 0% rating indicates one’s symptoms are not severe enough to interfere with daily life, while a 100% rating indicates complete impairment of one’s work and daily life. 

What VA Rating Can I Receive for Insomnia?

Insomnia is covered under the VA’s schedule of ratings for mental disorders. While it doesn’t have its own diagnostic code, insomnia is rated analogously to other mental health conditions. A 100 percent rating for insomnia alone would be unusual. Most insomnia ratings fall somewhere in the middle. 

  • 0 percent: With a zero percent insomnia disability rating, you are not eligible for compensation from the VA. This rating doesn’t mean the VA disbelieves you suffer from insomnia. Rather, the documentation you provided doesn’t show that insomnia is severely impacting your quality of life at this time. If you believe your rating is incorrect, you can appeal the decision
  • 10 percent: A 10 percent rating is assigned to veterans with mild insomnia symptoms that may come and go over time. They continue to function except in moments of extreme stress, and the condition is treated with continuing medication.
  • 30 percent: A 30 percent rating demonstrates an occasional inability to work, chronic sleep impairment, and mild memory loss.
  • 50 percent: Veterans with a 50 percent rating experience impaired judgment and abstract thinking, may have difficulty with relationships in the workplace, and show decreased occupational productivity.
  • 70 percentA 70 percent rating indicates severely impaired occupational and social functioning. The veteran lives in a near-constant state of panic or depression, which affects their ability to function independently.
  • 100 percent: A 100 percent disability rating indicates total occupational and social impairment due to insomnia, meaning you cannot work and function in daily life.

How Can I Qualify for TDIU with Insomnia?

Total Disability Individual Unemployability (TDIU) benefits are offered to veterans who do not have a combined VA disability rating of 100 percent but cannot work due to a service-connected disability. TDIU provides additional compensation to qualified veterans. Veterans eligible for TDIU must show they cannot find or maintain employment because of their disability.

You can qualify for TDIU if your insomnia disability rating or combined VA disability rating is 60 percent or higher.

Insomnia as a Secondary Disability

Insomnia usually results from or occurs with other medical conditions and military-connected illnesses and injuries, including the following:

  • Post-traumatic stress disorder 
  • Depression and anxiety
  • Other mental health disorders
  • Chronic pain from service-related injuries
  • Chronic stress

What Is a Secondary Disability Rating?

If you suffer from another service-related condition that led to your insomnia diagnosis, you can apply for a secondary disability with the VA to increase your VA disability rating. To qualify for a secondary disability rating for insomnia, you will need to prove that:

  • You have a current diagnosis of insomnia.
  • Your insomnia is connected to another service-connected disability, or your military service worsened the condition.

How Is Post-Traumatic Stress Disorder Linked to Insomnia?

Post-traumatic stress disorder is a mental health disorder caused by experiencing or witnessing traumatic events. Since veterans with this disorder experience chronic stress and have trouble relaxing, insomnia often results.

How To Obtain VA Disability Compensation for Insomnia?

It can be challenging to get the VA to agree to a secondary disability rating for insomnia because it can be difficult to prove that your insomnia diagnosis is directly connected to your military service or service-connected disabilities. Before you file a VA disability claim for insomnia, it’s helpful to document your symptoms, date of diagnosis, and any treatment you undergo as evidence of your disability so that your claim is rated correctly. There are several steps you can take to help you document your insomnia: 

  • Keep copies of any sleep studies you undergo during diagnosis.
  • Consider keeping a sleep journal.
  • Document your symptoms, such as daytime drowsiness, lack of focus, or chronic fatigue.
  • Note the use of medical or mental health interventions you’ve tried to treat your insomnia.
  • If applicable, provide a written statement outlining how your insomnia interferes with your ability to work.
  • Get a VA Nexus letter from your physician stating that your insomnia is secondary to another service-related condition.
  • Keep copies of all medical records related to both primary and secondary medical conditions.
  • Gather verbal or written testimony from family members on how both conditions impact your life.
three people sitting on a couch with health items

How Can I Apply for VA Disability Compensation for Insomnia?

You can file a VA disability compensation claim online. If you are filing an initial disability claim, the VA will start from scratch by gathering medical records and requesting a VA physical examination if required. 

If this is a secondary service-connected claim, you must submit evidence of the new disability and provide a link between the primary condition for which you are already receiving compensation and insomnia. This typically requires medical records or a Nexus letter from your doctor supporting this connection.

Increasing your VA disability rating is often tedious, but it’s worth the compensation you’ll receive if you qualify. If you have additional questions regarding how to file for a VA disability rating for insomnia, reach out to Veterans Guide for more information.

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