IMO
A formal written opinion from a private physician (not the VA) providing an expert medical assessment of the nature, cause, or severity of a disability — used to support VA disability claims and appeals.
An IMO typically addresses nexus (service connection), severity, or the relationship between conditions. Must use the 'at least as likely as not' standard (50%+ probability) to be persuasive to the VA.
IMOs carry significant weight in VA appeals when they contradict a negative C&P exam finding.
Cost: typically $500–$2,500+ depending on specialty and complexity.
→ An IMO from a specialist in the relevant field (neurologist for TBI, psychiatrist for PTSD) carries the most weight.
Also known as
Related terms
- C&P Exam
A medical examination ordered by the VA to evaluate the nature and severity of a veteran's claimed disability, used to establish or deny service connection and assign a disability rating.
- Nexus Letter
A written medical opinion from a qualified healthcare provider that establishes a link ('nexus') between a veteran's current medical condition and their military service, used to support a VA disability claim.
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Frequently asked questions about IMO
What is an Independent Medical Opinion (IMO)?+
An IMO is a letter from a private doctor who is not a VA doctor. It gives a medical opinion about your health condition. This opinion can help show that your disability is related to your time in service, or explain how serious it is. This is important for your VA disability claim.
Why would I need an Independent Medical Opinion for my VA claim?+
You might need an IMO if the VA doctors don't agree with your claim or if you need more evidence. An IMO from a private doctor can give a fresh look at your medical situation. It can help make your case stronger, especially during an appeal.
Can an Independent Medical Opinion help my VA appeal?+
Yes, an IMO can be very helpful for a VA appeal. If your claim was turned down, a private doctor's expert opinion can provide new medical evidence. This might convince the VA to change their decision and grant you benefits you deserve.
How do I get an Independent Medical Opinion?+
You would need to find a private doctor who is willing to review your medical records and write an IMO. This is separate from the VA system. You would usually pay for this service yourself, but it can be a valuable investment for your claim.