Transparent Pricing. Veteran-Focused Mission.

At Nexus By Donation, we do things differently — because veterans deserve access to competent medical review and nexus opinions without being priced out of their own benefits.

Our Clinician Consultation Fee: $150 (Flat Rate)

The $150 clinician consultation fee covers:

• Comprehensive review of your entire VA claim file
• Evaluation of all claimed conditions (not just one)
• Review of service records, medical evidence, C&P exams, and prior decisions
• Medical rationale grounded in VA standards, CFR language, and case law
• Guidance on direct, secondary, and aggravation-based connections

Important: This is a flat fee — not per condition. Whether you have one condition or ten, the consultation fee remains $150.

Nexus Letters & Add-On Services: By Donation

Any work beyond the initial clinician consultation — including:

• Nexus letters
• Medical opinions
• Addendums
• Secondary or aggravation appeal support

…is provided by donation, based on what you are able and willing to give. There is no pressure, no minimum, and no per-condition billing.

Why This Is a Big Deal (And a Better Deal)

Most nexus-letter services charge per condition, not per veteran.

Typical Nexus Letter Pricing Elsewhere

Across the industry, veterans commonly pay:

• $600 – $1,500 per condition
• $1,000 – $3,000 for multi-condition claims
• Additional fees for addendums, revisions, or secondary opinions
• No refunds if VA denies the claim

That means a veteran with 3–5 conditions can easily spend $2,000–$5,000+ just to submit medical opinions.

What Makes Nexus By Donation Different

• One flat consultation fee
• All conditions included
• Donation-based nexus services
• Evidence-based medical opinions
• VA-specific language and structure
• No per-condition upselling
• Built by a Master's-prepared, board-certified nurse clinician

Our model exists to support claims without exploiting them financially.

Bottom Line

If you are comparing options:

• Other services charge hundreds or thousands per condition
• Nexus By Donation charges $150 total, regardless of how many conditions you have
• Everything beyond that is by donation, not obligation

That makes Nexus By Donation one of the most affordable, veteran-friendly nexus services available — without sacrificing quality, credibility, or professionalism.

Send Your Medical Records Securely

Ready to get started? Use our HIPAA-compliant Hushmail to safely submit your documentation and begin your path to a stronger VA claim.