VA can pay an added compensation (paid in addition to the regular Disability 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:
- loss, or loss of use, of a hand or foot
- immobility of a joint or paralysis
- loss of sight of an eye (having only light perception)
- loss, or loss of use, of a reproductive organ
- complete loss, or loss of use, of both buttocks
- deafness of both ears (having absence of air and bone conduction)
- inability to communicate by speech (complete organic aphonia)
- loss of a percentage of tissue from a single breast, or both breasts, from mastectomy or radiation treatment
A Combination of Disabilities
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.
In addition, if you have other service-connected disabilities that, in combination with the above special monthly compensation, meet certain criteria, a higher amount of SMC can also be considered.
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.
You should contact your local VA regional office for information about applying for SMC. In determining qualifications for SMC, the VA must review the medical evidence regarding the loss or loss of use and then make a decision regarding the level of SMC to be paid.