Articles · Impairment ratings

The impairment rating: how a percentage becomes compensation.

Under Part E, a physician rates how much permanent whole-body impairment your accepted condition has caused. Every percentage point is worth $2,500 — and if your condition worsens, a new rating can pay the difference.

How the math works.

  • A physician evaluates your permanent whole-body impairment from the accepted condition, using the AMA Guides.
  • The DOL pays $2,500 per percentage point. A 20% rating is $50,000; a 40% rating is $100,000.
  • Ratings are generally done once you reach maximum medical improvement — when the condition has stabilized.

If your condition has worsened since your original rating, a re-evaluation may entitle you to additional compensation for the increase. Many patients never learn this.

Who does what.

An Authorized Representative files impairment requests; a qualified physician performs the evaluation; the DOL pays. Alara does not file these — but we will tell you when the clinical picture suggests a re-rating is worth asking about, and our documentation gives the evaluating physician something solid to work from.

Try the illustrative impairment estimator to see how the figures combine — illustration only; the DOL determines actual amounts.

Common questions.

Can I be rated more than once?

Yes. If the accepted condition worsens, a new evaluation can support additional compensation for the increased impairment.

Does the rating affect my medical coverage?

No. The rating drives Part E compensation; your covered care continues regardless, at no cost to you.

Sources: DEEOIC Procedure Manual, Impairment Ratings. Illustrative only; the Department of Labor determines amounts.

Has your condition worsened since your rating?

A nurse can read the clinical picture and tell you whether a re-evaluation is worth raising with your representative.

Alara helps you understand and reach benefits you may already be entitled to. It does not replace the Department of Labor, your Resource Center, your physician, or any federal agency. Nothing here is legal advice or a coverage or eligibility determination.