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VA Claim Process
#1
To say that I'm sad the prior thread is gone would be an understatement, as it contained a lot of useful information.

If you have any questions about your VA claim, appeal, or the process in general, ask away.
(05-28-2012, 02:20 AM)roadhog pid=' Wrote:<br />Uganda is middle class compared to Baltimore.<br />
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#2
Ill be doing my final physical shortly, what do i need to bring up? Every ache and pain ive had since joining, or just any major injuries i have had?

not trying to scam anything, just curious. Ive had some broken bones and whatnot.
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#3
Every. Fucking. Thing.
Even if you get 0% for it, you're covered down the road. If that physical gripe is no big thing now and then 20 years later starts fucking you up it's a lot easier to get the VA to treat you for it.
(09-24-2014, 05:32 AM)damn03 pid=' Wrote:<br />dont question yoss, he knows everything and youre wrong.<br />
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#4
Yeah..don't imbelish, and don't be the tough guy. Honesty goes a long way with examiners. Which then goes a long way with the Rating Specialist making the decision.
(05-28-2012, 02:20 AM)roadhog pid=' Wrote:<br />Uganda is middle class compared to Baltimore.<br />
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#5
If you have something that has been causing you problems (physical pain) since you were in, and know exactly what caused it but never sought medical treatment for it while you were in, what are the chances of at least getting a 0% so you can have it taken care of? Ive kind of assumed all along that Im fucked on the condition, but you would be the guy to ask.
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#6
Slim...


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But...that doesn't mean don't try. Be detailed in the claim and provide anything and everything you can


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So VA is standardizing claim applications, include appeal forms...effective 3/24/15


http://www.blogs.va.gov/VAntage/18183/va-taking-guesswork-out-of-filing-for-benefits-by-requiring-forms/

http://explore.va.gov/file-claim


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(05-28-2012, 02:20 AM)roadhog pid=' Wrote:<br />Uganda is middle class compared to Baltimore.<br />
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#7
I just now got assigned a primary care Dr. after my original one stopped working at the VA here about 2 years ago without telling me. Tried to set an appointment and they were like "oh ummm....he has been gone for years". Im just getting pissed the fuck off that they want to take 9 tubes of blood from me every time I want to see a primary care Dr. even if its something that doesnt have shit to do with lab work.

If someone passes the year mark on an appeals, are they unable to start the application over again or is it just that you cant have the original claim reopened without new evidence?
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#8
If you miss your year mark, the decision is considered final, so in order to re-open the issue you have to submit new and material evidence.



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(05-28-2012, 02:20 AM)roadhog pid=' Wrote:<br />Uganda is middle class compared to Baltimore.<br />
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#9
So say I have pages from my medical record that they obviously didnt take into account or I say fuck it and get evaluated by my own private Dr and have them document their findings. Would this be valid as "new material evidence"? I honestly just got caught the fuck up with alot of personal shit and stopped paying attention to my time window.

Its shit that should have been so obvious though. Grew a cyst in my wrist in Iraq on first deployment.
Corpsman tries to drain it with no success.
Come back from deployment and keep going to BAS as I have a lump half the size of a golf ball in my wrist.
Get told that they have to try to drain it a few more times before I can get a surgery referral.
Gets drained about 10 more times and put off so I can deploy again. (they never got anything out of it ever and had different guys practice on me every time)
Cyst busts under skin during second deployment.
It comes back and I return from deployment.
Same BS from BAS.
Get out of the military and checked by VA.
Put in for surgery referral.
Get surgery 3 years after getting the cyst and it turns out to be 3 different ganglion cysts in the same spot, each with a 30% chance of recurring.
Never fully recover from surgery.
See nerve specialist at the VA and and diagnosed with nerve damage from either the surgery itself of having to wait so long to get the surgery.
Put in claim and the VA says they see no record of this condition or any problem with my wrist to begin with. When they cut the shit out of my wrist.
What....the....fuck.


Sorry to drag the shit out. I know I should have stuck with it to make sure I didnt lose out on any time. I just want to know what my options are basically.
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#10
Yeah, your medical records won't meet the N&M threshold because you'll see your medical records listed in the evidence section of your prior decision.

But if you had a DBQ filled out by a private provider, that'll do the trick.


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(05-28-2012, 02:20 AM)roadhog pid=' Wrote:<br />Uganda is middle class compared to Baltimore.<br />
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#11
Thanks homie. As usual, the information you provide is invaluable. I agree that it sucks that we lost what was in the old thread but I guess this could serve as a bit of a refresher for us.
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#12
Yeah. And a lot of shit has changed so I guess I got some catching up to do


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(05-28-2012, 02:20 AM)roadhog pid=' Wrote:<br />Uganda is middle class compared to Baltimore.<br />
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#13
If a condition gets bumped of from 0%, is it retroactive or start when it is moved to 10% or what?
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#14
The answer to that is way more complex than you'd think.

The short answer is no.

The long answer is...possibly.

It all depends on when the medical evidence supports an increase in evaluation, and when the request for the increase was received.

In most instances, the easy way to think of it is the 1 year rule.

If the claim is received within 1 year of the date of injury, or diagnosis, then the effective date would be assigned from then.

But then there are factors like a prior decision being considered as a clear and unmistakeable error, so then the 1 year rule wouldn't apply, and the increase would be effective the same date as the original decision.

Another thing that could come into play is the continuous prosecution of a claim.

If a decision is made, and an appeal/re-open is filed, there lies a possibility for the prior decision to be changed as well.




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Damnit...taptalk got me...

That's why it's important to not miss any deadlines when dealing with the claim process.


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(05-28-2012, 02:20 AM)roadhog pid=' Wrote:<br />Uganda is middle class compared to Baltimore.<br />
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#15
Don't be a sensitive sally


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(05-28-2012, 02:20 AM)roadhog pid=' Wrote:<br />Uganda is middle class compared to Baltimore.<br />
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#16
Youre having problems shitting?
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#17
Why are they making you travel that far?


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(05-28-2012, 02:20 AM)roadhog pid=' Wrote:<br />Uganda is middle class compared to Baltimore.<br />
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#18
I got something in the mail saying if you live 40 miles or further from the VA then you may be eligible for care provided by VA approved medical facilities in my area. Tried to apply for it and found out they dont measure the route to the VA, just where you live on a map in direct relation to the VA. In doing so I live 36 miles away.

There are some pretty retarded rules.
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#19
They supposedly just relaxed that rule. I'll see if I can find the release


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(05-28-2012, 02:20 AM)roadhog pid=' Wrote:<br />Uganda is middle class compared to Baltimore.<br />
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#20
I filed a previous claim for PTSD that said there wasn't enough evidence of the claim (even though I have the diagnosis in writing from the very psychologist the VA sent me to). Is there anything I can do to appeal that decision? I want to file a new claim, but few weeks later I went on some CONUS TAD orders as reservist. I was told by the VA I can't begin filing a new claim until I get off of active duty. Is this true?
OH YOU!

[Image: qVbUArb.gif?noredirect]


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#21
Yeah, while your on orders your can only file a claim when you're within 6 months of discharge, and it would fall under a pre-discharge claim process.


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http://explore.va.gov/

Read through this...they're really working on simplifying the processes


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(04-01-2015, 07:12 PM)29PalmsGrunt Wrote: I got something in the mail saying if you live 40 miles or further from the VA then you may be eligible for care provided by VA approved medical facilities in my area. Tried to apply for it and found out they dont measure the route to the VA, just where you live on a map in direct relation to the VA. In doing so I live 36 miles away.

There are some pretty retarded rules.

http://m.wftv.com/ap/ap/business/va-says-it-will-relax-40-mile-rule-for-private-med/nkdL3/#__federated=1


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(05-28-2012, 02:20 AM)roadhog pid=' Wrote:<br />Uganda is middle class compared to Baltimore.<br />
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#22
Thanks for the info on the 40 mile thing man. Very useful.
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#23
I'm not VBA (claims), but VHA (treatment).  I might be able to answer some of the other questions about stuff like how long to wait, Choice, copays, etc.

To my peers:


Also: consider your local Vets Center.  Its like "VA light" they can see VA records, but VA can't see theirs (completely different EMRs).  Mine has very few non-combat vet employees (those who are have literally worked VA since 'Nam).  No bullshit, copays, and will usually see you the same day.  They will even have "interpretation sessions" where someone just back will want to talk but keep having to get interrupted explaining Jargon.  They will have Social Workers in the meeting let the vet talk they way they did down range without having to stop, then the SW will explain what was actually said.  So you can say (completely hypothetically) "I was taking a convoy down Michigan out of Ramadi headed to Bahria and we took a contact, the Sheriff's net had to call QRF for a SIGACT w/ TIC." They also have Combat Vet's groups where we can get away from day to day stuff over a bit of food and just talk to others like us.

I will suggest this to anyone.  NEVER hesitate to call the Vets Crisis Line they are a godsend and really, really care.  You can watch the HBO documentry or take my word that on it there is a guy who called to say he "had 4-5 deployments and was in his early 20s" they spent 5 hours tracking down the cell number, verifying it was possible (Navy deployments), finding he was at Pearl, calling Pearl MPs and convincing them to do a wellness check.  I have seen numerous Crisis Notes 2+ hours and they don't hang up till they are sacrificed the Vet is safe.  They save lives.
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#24
http://blog.amvets.org/post/117252590797/va-expands-choice-program-eligibility


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(05-28-2012, 02:20 AM)roadhog pid=' Wrote:<br />Uganda is middle class compared to Baltimore.<br />
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#25
http://3e3wit1jv3691nltvx1r85n3.wpengine.netdna-cdn.com/wp-content/uploads/2015/02/Duty-MOS-Hearing-Loss-Probability-Chart-VA-Fast-Letter-10-35.pdf

Here's a chart I just got linked to showing VA folks the likelihood of various jerbs experiencing hearing loss.
FYSA on the claims process.
They come with fire,they come with axes...Destroyers&usurpers,curse them. GALL:I hope you get run over by a dumptruck full of babydicks CORVUS:yoss hates&knows everything BAN724:I like how buttmad ppl get about Yoss except if you lie still&listen he is trying to make us all better debaters
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