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TL;DR

Special Monthly Compensation = extra money on top of basic compensation for severe disabilities. Bottom of ladder: SMC-K ($139.87/mo, often from ED). Top: SMC-R-2/T ($11,000+/mo for cases requiring skilled aid). Most vets entitled to SMC don't know it exists.

Special Monthly Compensation — the full ladder

Special Monthly Compensation (SMC) is additional money paid on top of basic compensation for specific categories of severe disability. SMC-K (loss of use of a creative organ) is the bottom of the ladder. The top of the ladder pays more than $10,000/month.

The SMC categories (simplified)

CategoryTriggered byApproximate 2026 monthly add
SMC-KLoss of use of a creative organ (e.g., ED), one foot, one hand, one eye, etc.$139.87
SMC-LLoss of use of both feet, both hands, blindness, or aid & attendance required~$4,900
SMC-MMore severe loss combinations (between L and N)~$5,400
SMC-NSignificant additional loss combinations~$6,150
SMC-O / PEven more severe combinations~$6,900–$8,000
SMC-R-1Higher-level aid and attendance~$9,800
SMC-R-2Highest level: need skilled aid (nurse-level care)~$11,100
SMC-SHousebound~$3,500 (in addition to base)
SMC-TTBI requiring aid & attendance equivalent to SMC-R-2 level~$11,100

Always verify current exact amounts at va.gov/disability/compensation-rates/special-monthly-compensation-rates.

Pro tip

SMC awards stack with your basic compensation and can stack with each other in some combinations. Many veterans entitled to SMC don’t know it exists. If you have multiple severe service-connected disabilities, anatomical losses, or require aid in daily living, request an SMC review with your next claim.

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