Can You Work with a 100% VA Disability Rating?

Picture of Leah Bucholz

Leah Bucholz

Leah Bucholz, PA-C, is a Board-Certified Physician Assistant, U.S. Army combat veteran, and nationally recognized medical expert in veterans’ disability claims. A former VA Compensation & Pension examiner, she founded Prestige Veteran Medical Consulting to provide independent, regulation-based medical opinions (“nexus” letters) grounded in the VA’s Schedule for Rating Disabilities (38 CFR). Leah’s work is frequently cited in favorable Board of Veterans’ Appeals decisions, and her content draws directly from authoritative sources such as VA.gov, the eCFR, and the Federal Register.
Can You Work with a 100% VA Disability Rating

At Prestige Veteran Medical Consulting, our blogs are written and reviewed by licensed medical professionals or military veterans with direct experience in the VA claims process. Our team has served as healthcare providers, combat veterans, and former VA examiners — giving us unique insight into both the medical and regulatory side of benefits. Every article is designed to provide accurate, trustworthy, and practical guidance so that veterans and their families can make informed decisions with confidence.

Navigating life with a 100% VA disability rating can feel overwhelming, especially when it comes to understanding what it means for your ability to work. Many veterans wonder if they can still hold a job, start a business, or pursue new opportunities without risking their compensation. The truth depends on whether your rating is schedular, Permanent and Total (P&T), or based on Individual Unemployability (TDIU). 

In this guide, we’ll break down what each designation means, how it affects employment, and the valuable benefits available to veterans with a 100% rating.

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What Does a “100% VA Disability Rating” Mean? 

To understand whether you can work, you first need to understand what a 100% VA disability rating represents. The Department of Veterans Affairs assigns ratings in 10% increments from 0% to 100%, based on how service-connected disabilities affect your ability to function. A 100% rating is the highest level and reflects total impairment under the VA’s Schedule for Rating Disabilities (38 CFR Part 4)

There are three primary ways to reach 100%:

1. Schedular 100% rating

Awarded when one disability meets the 100% criteria (e.g., advanced lung disease, uncontrolled seizures) or when multiple disabilities combine to reach 100%. This 100% schedular rating is based on the VA’s complex formula — not simple math. 

For example, a 70% PTSD rating and a 50% back injury rating don’t automatically equal 120%; instead, the VA applies the Combined Ratings Table that considers the “whole person” concept, not simple addition (38 CFR §4.25).

Importantly, these veterans are not necessarily using a wheelchair or visibly incapacitated — many deal with invisible injuries and are still able to function in daily life.

2. TDIU (Total Disability Individual Unemployability)

TDIU is an alternative route to receiving compensation at the 100% level. It’s for veterans whose service-connected conditions don’t meet the schedular threshold but still prevent them from maintaining substantially gainful employment. TDIU is essentially a gap-filler, ensuring that veterans unable to work due to their conditions receive full compensation.

3. Permanent and Total (P&T) Disability 

A designation that your conditions are both total (100%) and permanent (unlikely to improve). This status offers a level of stability and protection valuable for those managing chronic or progressive conditions where improvement is not expected.

According to the VA’s 2025 compensation rates, a single veteran rated at 100% with no dependents receives $3,831.30 per month, tax-free, with additional allowances for dependents. Veterans may also receive Special Monthly Compensation (SMC) if their conditions cause severe impairments, such as loss of use of limbs. 

Example: A veteran diagnosed with metastatic cancer may receive a temporary 100% schedular rating during treatment. Another with chronic PTSD and degenerative spine disease may combine to 100%. A third veteran may be granted TDIU because migraines and depression prevent steady work, even though their combined rating is only 70%.

Understanding which type of 100% you hold, schedular, TDIU, or P&T, is critical because each has different implications for your ability to work.

Can You Work With a 100% VA Schedular Rating? 

Yes, if you are rated at 100% schedular, the VA places no restrictions on your ability to work.

That’s because the schedular system measures the severity of your service-connected conditions, not your employability. If your rating is schedular 100%, the VA recognizes your condition(s) as completely disabling according to their rating schedule, but they do not prohibit you from pursuing employment. You can work full-time, part-time, remote, or even as the CEO of a Fortune 500 company, and your benefits will remain intact. 

In fact, veterans with this type of rating can even continue serving in the National Guard or Reserve components, depending on their specific medical profile and ability to deploy.

Example: A veteran with a 100% schedular rating after losing both legs may still find meaningful work in an office role or as a consultant, despite the severity of their disability. Their employment has no impact on their VA disability pay.

However, practicality matters. Many veterans with a single 100% condition struggle to work because of pain, fatigue, or frequent medical appointments. The VA doesn’t stop you from working, but your health might.

Temporary 100% VA Ratings 

While employment doesn’t affect your schedular benefits, as per 38 CFR §3.327, the VA may still order reexaminations every 2–5 years if your rating isn’t marked “permanent.” For example, if your disability improves over time (say, after bilateral knee replacement surgery or therapy), the VA may reduce your temporary 100% rating. But your working alone is not grounds for reduction.

Some veterans mistakenly believe they cannot work at all with a 100% rating. This confusion often arises because of TDIU rules (covered later in the blog).

Can You Work With TDIU (Total Disability Individual Unemployability)? 

This is where restrictions apply. Veterans receiving TDIU (38 CFR §4.16) are compensated at the 100% rate because they are unable to maintain substantially gainful employment (SGE) due to service-connected disabilities. 

What counts as SGE?

The VA generally defines SGE as earning income above the federal poverty threshold for one person, that’s $15,650 annually in 2025. If your earned income exceeds that threshold, the VA may review and revoke your TDIU.

You can find the official poverty threshold figures in the 2025 detailed guidelines from HHS

Eligibility for TDIU benefits:

  • One condition rated at least 60%, or
  • Two or more disabilities with at least one rated at 40% and a combined rating of 70% or more.

 

If granted, TDIU (Total Disability Individual Unemployability) pays at the same level as schedular 100%, even if your underlying rating may be less.

What exceptions exist?

Marginal employment: Jobs below poverty-level income (about $15,650 per person in 2025) or part-time “odd jobs” are legally allowed under TDIU. For veteran households with dependents, poverty thresholds may rise. 

Protected work environment: If an employer makes accommodations beyond ADA requirements (e.g., excused absences, reduced productivity expectations, or family business employment), the VA may consider it marginal, even if income exceeds the poverty threshold.

Example:

  • A veteran experiencing severe PTSD and migraines receives TDIU. They volunteer at a church office and earn $400 a month. This is “marginal” and doesn’t affect TDIU.
  • Another veteran with chronic back pain rated at 70% begins a small business that earns $20,000/year. Unless proven to be a protected work environment, this income could trigger a TDIU reexamination.

 

Determining whether your job counts as “substantial”, “marginal” or “sheltered” can be legally complex and often requires professional help from an accredited attorney or VA claims agent.

What Happens If You Start Working While Receiving TDIU?

If you decide to return to work while receiving TDIU, it’s crucial to understand the potential outcomes:

  • Monitoring of Earnings: The VA reviews your income via Social Security wage records.
  • Responsibility to Report: When the VA requests, veterans receiving TDIU benefits may have to complete VA Form 21-4140 (Employment Questionnaire) to verify any changes in work status. 
  • Proposal to Sever TDIU: If you’re caught earning above thresholds without disclosure, you may lose TDIU and have to repay VA overpaid compensation.
  • No Immediate Clawback: In most cases, unless fraud is involved, the VA won’t demand repayment of past benefits. They’ll simply stop payments from a future date.

 

It’s also worth noting that the VA generally gives veterans the benefit of the doubt during transitional periods. For example, if you try to return to work but can’t sustain it due to your disabilities, that attempt alone won’t necessarily jeopardize your TDIU.

Bottom line: Veterans with TDIU cannot work full-time or earn above poverty thresholds, unless in a protected setting. Always consult a VA-accredited representative, attorney, or claims agent before pursuing employment if you hold TDIU.

What About Part-Time Work?

There’s no clear rule that says part-time work is always acceptable under TDIU. The VA looks at:

  • Your total income
  • Whether the job is marginal or sheltered
  • The duration and consistency of employment

 

A physician assistant working two days a week could still earn well above the poverty threshold, which could trigger a review. On the other hand, a veteran mowing lawns for neighbors for minimal pay may not be considered substantially gainfully employed.

Veterans should document their work accommodations carefully, if present, and report all income to the Social Security Administration to avoid misunderstandings.

When in doubt, compare earned income to the HHS poverty guideline for your household size. 

Can You Work With Permanent and Total (P&T) VA Disability?

Many veterans confuse P&T with unemployability, but they are not the same.

A 100% Permanent and Total (P&T) disability means your conditions are both totally disabling (rated at 100%) and permanent (no improvement in future). This designation protects you from routine reexaminations and unlocks additional benefits such as Dependents’ Educational Assistance and property tax exemptions in many states.

The answer to whether a veteran with 100% VA Disability Permanent & Total can work depends on how the rating was awarded.

  • If your 100% P&T is based on a schedular rating, you can legally work without restrictions. 
  • However, if your P&T status was granted through TDIU, the same employment limits apply (poverty threshold, marginal employment, or protected work).

 

Example: A veteran rated P&T at 100% for advanced multiple sclerosis (schedular) can run a small family business without their income affecting benefits. Whereas, a veteran granted P&T through TDIU for PTSD and a traumatic brain injury (TBI) is limited to part-time or marginal work, since earnings above the poverty threshold could end their benefits.

Takeaway: VA Permanent & Total Disability status refers to the permanence of your condition, not your ability to work. Whether you can be employed depends on whether your 100% rating is schedular or based on TDIU.

Can You Work with a 100% VA Disability Rating?

Type of 100% Rating

Can You Work?

Key Notes

Schedular 100%

Yes, no restrictions

Based on severity of conditions, not employability. Income and job type do not affect benefits.

TDIU (Individual Unemployability)

Limited

Cannot earn above the poverty threshold unless work is marginal or in a protected environment.

Permanent & Total (P&T)

Depends

If based on schedular → no restrictions. If based on TDIU → same limits as TDIU apply.

What Counts as “Substantial Gainful Employment” in VA Terms?

The concept ‘substantially gainful employment’ (SGE) originates in Social Security regulations, but the Department of Veterans Affairs uses it to evaluate whether a veteran is capable of maintaining employment despite service-connected disabilities. 

Within VA disability law, substantially gainful employment refers to steady work that: 

  • Provides income above the federal poverty threshold, and
  • Is typical for the nondisabled workforce in the veteran community.

 

For 2025, this poverty threshold is approximately $15,000–$16,000 per year, though the figure adjusts annually. Earning above this level often indicates substantial employment.

However, not all work meets the VA’s definition of substantially gainful employment. Marginal employment is the income below the poverty threshold or jobs in sheltered environments, e.g. a family business, part-time job with minimal pay, or special accommodations made by the boss. Though the VA considers this acceptable for TDIU recipients. 

Understanding the difference between marginal and substantially gainful employment is important for seeking VA disability benefits. 

  • Marginal Employment: A veteran working 12 hours a week at a family hardware store earning $8,000 a year is in marginal employment and would still qualify for TDIU.
  • Substantially Gainful Employment: A veteran working full-time as a delivery driver making $35,000 a year is in substantially gainful employment and would not qualify for TDIU (though they may still qualify for schedular 100%).

 

Tip: Veterans unsure about their job should compare their yearly income with the U.S. Census Bureau poverty thresholds. Keep employer records of accommodations, hours, and income to show “protected” work if the VA questions your TDIU.

The VA sometimes cross-checks Social Security wage records, so if your earnings rise above the threshold, you could be flagged for re-evaluation.

Types of Jobs 100% Disabled Veterans Qualify for 

A common question from veterans is: ‘Can I work if I have a 100% VA disability rating?’ Here are common types of work they can perform:

1. Remote and flexible jobs

Many veterans with 100% VA disability ratings (especially those with PTSD, mobility impairments, or chronic pain) find remote jobs ideal. Telehealth support, IT help desk work, customer service, and online tutoring are popular options. These roles allow for flexible hours and minimize stress from commuting. 

2. Part-time or seasonal employment

Some veterans enjoy working limited hours to stay active without overexerting themselves. Security monitoring, clerical work, or seasonal retail can provide structure and supplemental income.

3. Self-employment and small business ownership

Veterans are highly entrepreneurial. Many open repair shops, consulting firms, or online businesses. If your 100% rating is schedular, you can earn unlimited income. If you’re on TDIU, however, your net earnings above poverty thresholds may disqualify you, unless the VA recognizes your business as a protected environment.

4. Passive income sources

Rental income, VA retirement pay, pensions, or investment returns do not count as “earned income.” That means TDIU veterans can receive these without restriction. One veteran we worked with feared losing TDIU because of rental income from a duplex. Once we clarified that TDIU focuses on ability to work and earned employment income, not investment or rental income by itself, he kept his benefits. 

5. Volunteer work

Volunteering is fully permitted for all veterans. It provides meaning without risking VA disability benefits. However, note that if your volunteer work closely resembles full-time employment, the VA may question whether you could be working for pay.

For those wondering, “Can 100% disabled veterans work at the VA or federal government?”, yes, if schedular. Many veterans find rewarding second careers in federal service.

What are the Legal and Financial Implications for Veterans Working with 100% VA Disability? 

Working with a 100% VA disability rating may bring important legal and financial considerations. Veterans should understand how employment with severe disabilities affects Social Security Disability Insurance (SSDI), taxes, state benefits, and protected ratings.

  • Social Security Disability Insurance (SSDI): Unlike VA disability, SSDI depends on your ability to perform Substantial Gainful Activity (SGA). In 2025, SGA for non-blind individuals is $1,620 per month and $2,700 for the blind. A veteran with 100% schedular VA disability can work full-time without losing VA pay, but SSDI may be reduced if income exceeds this threshold.
  • Taxes: VA disability payments are tax-free, but wages from employment are subject to federal and state income taxes. Veterans with 100% disability returning to work should prepare for these obligations.
  • State Benefits: Many states provide property tax breaks, tuition assistance, or fee waivers for veterans with Permanent & Total ratings. Employment may affect eligibility in some states, especially when tied to unemployability.
  • Protected Ratings: Veterans rated 100% for more than 20 years are generally protected from rating reductions, but TDIU still carries income restrictions.
  • Disclosure & ADA: In regulated fields (e.g., law enforcement, aviation), non-disclosure of disabilities may have serious legal consequences. Veterans may also need to request workplace accommodations under the ADA.

 

Always consult a VA-accredited attorney and financial advisor before working on a job to preserve your disability benefits.

Practical Tips for Veterans Considering Work 

can you work with 100% VA disability rating

If you’re a veteran rated at 100% VA disability and considering employment, these tips can help you make informed decisions while pursuing meaningful work.

1. Evaluate Your Readiness First

Before seeking work, honestly assess your physical, mental, and emotional capacity. Consult healthcare providers, trusted family, and accredited advisors to ensure employment won’t worsen health, disrupt relationships, or jeopardize long-term stability.

2. Know Your 100% Rating Type

Before pursuing work, confirm whether your 100% VA disability rating is schedular, TDIU, or Permanent & Total as each designation comes with different rules and employment limitations.

3. Understand Income Thresholds

TDIU veterans must stay below the federal poverty level or work in a protected environment. In 2025, the threshold is $15,650 for individuals and exceeding this may jeopardize your VA benefits.

4. Document Employer Accommodations

If employed while receiving TDIU, secure detailed employer letters outlining modified duties or accommodations. These can be vital if the VA audits your work status or reevaluates your claim.

5. Report Income Honestly

Your TDIU earnings are periodically monitored using SSA wage data. If VA needs verification, they’ll send you VA Form 21-4140 to disclose earned income. Non-disclosure can lead to overpayment debts, fraud investigations, or termination of TDIU benefits.

6. Consider Flexible Work Options

Remote, freelance, or part-time jobs often accommodate physical or cognitive impairments. These roles may support your financial goals while minimizing the risk of violating VA work restrictions.

7. Leverage Passive Income Sources

TDIU allows income from sources like rental properties, investments, pensions, or Social Security. These do not count as “earned income” and won’t affect your disability compensation.

8. Consult Trusted Professionals

Before accepting a job, speak with a VA-accredited attorney, VSO, or financial planner. Professional guidance ensures your employment decisions won’t compromise your benefits or future eligibility.

Disclaimer: This article offers general information about VA disability and employment, not legal advice. Consult a VA-accredited attorney, agent, or VSO before working. 

Working with a 100% VA Disability Rating: It’s a Personal Decision

Working while receiving VA disability benefits is not only possible — it’s sometimes good. Veterans with a 100% schedular rating face no restrictions. Veterans with a 100% schedular or P&T schedular rating may work freely without restrictions. Veterans receiving TDIU must limit income to marginal levels or risk losing benefits.

The bottom line? If your condition improves and you’re able to return to work sustainably, that’s a victory in itself. But don’t rush. Explore your options, document everything, and lean on professionals to guide your journey.

FAQs

Can 100% disabled veterans work? 

Yes, veterans with a 100% schedular rating can work without restrictions, but those compensated through TDIU cannot earn above the poverty threshold.

Can you work with 100% VA disability permanent and total? 

Yes, if your 100% P&T rating is schedular, you may work freely, but if it’s through TDIU, employment limits apply.

Can you be 100% rated for PTSD and still work? 

Yes, veterans rated 100% schedular for PTSD can work, but if compensated through TDIU, they cannot maintain substantially gainful employment.

What happens when you get 100% VA disability?

You receive the maximum monthly tax-free compensation, possible Special Monthly Compensation, and access to additional benefits depending on dependents and status.

How do I know if my 100% VA disability is permanent and total?

Your VA award letter will state “Permanent and Total” or confirm no future exams are scheduled.

What benefits come with a 100% VA disability rating? 

Veterans receive full tax-free compensation, health care, commissary access, education benefits for dependents, property tax exemptions in many states, and eligibility for Special Monthly Compensation.

Also read: TDIU for Veterans Explained: Qualifying for a 100% VA Disability Rating

At Prestige Veteran Medical Consulting, a veteran-owned company, we specialize in Independent Medical Opinions (IMOs) known as Nexus letters.

Our purpose is to empower YOU, the veteran, to take charge of your medical evidence and provide you with valuable educational tools and research to guide you on your journey.

Understanding the unique challenges veterans face, our commitment lies in delivering exceptional service and support.

Leveraging an extensive network of licensed independent medical professionals, all well-versed in the medical professional aspects of the VA claims process, we review the necessary medical evidence to incorporate in our reports related to your VA Disability Claim.

Prestige Veteran Medical Consulting is not a law firm, accredited claims agent, or affiliated with the Veterans Administration or Veterans Services Organizations. However, we are happy to discuss your case with your accredited VA legal professional.

Picture of Alan Bucholz, PA-C

Alan Bucholz, PA-C

Board-Certified Physician Assistant | U.S. Army Combat Veteran | Co-founder & CFO, Prestige Veteran Medical Consulting

This article was medically reviewed and fact checked by Alan Bucholz, PA-C, a board-certified Physician Assistant and retired U.S. Army combat veteran with experience in emergency medicine and two combat deployments (Iraq & Afghanistan). As Co-founder of Prestige Veteran Medical Consulting, Alan provides evidence-based medical opinions to support veterans’ VA disability claims with accuracy, compliance, and ethics.

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