To determine the level of hearing loss required for VA disability, the VA uses two tests: the pure-tone audiometry test and the speech discrimination test. Both ears are tested separately, and the results are then used to determine the overall disability level for hearing.
The pure-tone audiometry test measures the faintest sounds a person can hear at different frequencies. The test is conducted in a soundproof booth, and the individual wears headphones. The audiologist presents a series of tones at various frequencies, and the person indicates when they can hear each tone. The results are recorded on an audiogram, which plots the individual’s hearing thresholds.
The speech discrimination test evaluates how well an individual can understand speech at a comfortable listening level. The person listens to a series of words or sentences and repeats them back. The test measures the percentage of words or sentences the person correctly identifies.
Based on the results of these tests, the VA assigns a disability rating for hearing loss. The rating criteria are outlined in the VA’s Schedule for Rating Disabilities (VASRD). The VASRD provides specific guidelines for assigning ratings based on the severity of hearing loss.
For a 100% rating, a veteran must be completely deaf in both ears, meaning they have no usable hearing. This level of hearing loss is extremely rare. A rating of even 30% or higher is usually significant of severely profound hearing loss.
The VASRD also takes into account factors such as speech discrimination ability and word recognition scores. These measures help determine the impact of hearing loss on communication and daily functioning.
It is important to note that the VA evaluates hearing loss based on the level of impairment, not the cause of the hearing loss. Whether the hearing loss is due to military service, age, or other factors, the disability rating is determined based on the impact on the individual’s ability to function.
In my personal experience, I have seen veterans with varying degrees of hearing loss receive disability ratings from the VA. Some veterans have mild to moderate hearing loss and receive lower ratings, while others with more severe hearing loss may receive higher ratings. The specific rating is determined by the results of the hearing tests and the guidelines set forth in the VASRD.
The level of hearing loss required for VA disability is assessed through a comprehensive evaluation of both ears using pure-tone audiometry and speech discrimination tests. The specific rating is determined by the severity of the hearing loss and its impact on the individual’s daily functioning.