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    • Your just like the rest of us, the wait for the IU Decision is an Axx Kicker. Just be sure you have your Direct Deposit Bank/CU account set up to Txt & Email you regarding all Financial transactions, real time. Over the Past 8 Years, my Retro's have always preceded the Award Letters by up to 3 months. Just Recently. 01/03/16 & 08/19 E-Ben actually listed Awards prior to Retro Hitting. Jan Retro Hit end of month and Rating Letter arrived 04/16. Aug  CUE Review Award Retro Hit my Bank at 5:10pm 8/24, Award Letter arrived 08/25. Semper Fi
    • All  Dx'd Severe PTSD Vets, SC'd or not, are already suffering from extreme Anxiety and Depression, that's a given based on the Severe DX. The emotional let down, of a Rating Decision that is Denied or much less than what the Vet Expected, can be devastating. Many a Vet that thinks a certain PTSD Rating is a lock, only to be shocked, disappointed and sometimes emotionally Devastated when the Award/Denial Letter arrives. I prefer to look and comment on any possible weaknesses I see in a claim, so the Vet can begin preparing for the NOD, if required. Absolutely nothing wrong with a Vet being ready, NOD Filing Locked & Cocked, ready to file if an adverse Decision is received. Being overly optimistic as to a Rating Decision, can take a persons Edge Off resulting in complacency, definitely not good. Nothing wrong with hoping or praying for the Best but I think you have to plan ahead, for the Worst. All the opine'rs on Hadit, by and large. want our fellow Vets to have the best possible outcome with regards to their Comp Claim. Back in 10, I thought my DSM IV PTSD C & P went great, after reviewing the C & P DBQ. The VA C & P Psychiatrist told me I definitely had PTSD, when I asked for his verdict, at the end of the Exam. When I compared his completed DBQ with the 38 cfr 4, my lay opinion was, I had 30% locked with a possible 50%, just maybe. Shows what my Lay MH opinion was worth back then, Rating came in 2 weeks later at PTSD 70% SC. Semper Fi
    • When I was filing claims you did not have to have new and material evidence to submit NOD.  All you are saying is that you do not agree with the VA's rating at some level.  Now it is good to point out exactly where and how you disagree and present new evidence to bolster your claim, but why do would you need new evidence just to appeal your claim.   I think what used to be true is that if you wanted to ''Reopen" your claim they VA demanded you have new and material evidence.  I don't know if that is still true or not, but consider if you reopen the same claim with same evidence you will probably lose because the VA will look at the prior decision and look for new evidence.  If they don't find any then they probably just rubber stamp the old denial.  I do not believe you need new evidence to appeal your denial or low ball rating.  I don't even think you need it to reopen a claim.  If someone can quote me the regulation that says you need New Evidence to appeal your claim I would really be grateful.  I don't want to give out bad advice.
    • So I see the disclaimers everywhere about how they are different agencies and how approval for TDIU doesn't guarantee SSDI and vice versa, even for only SC conditions, and have seen many vets here that have one and not the other. I did the bad thing and checked ebenefits today to see that my status changed from preparation for decision approval to pending notification (with est completion date for Mon-Tue), and back to prep for decision again all today. I was aware that this could happen as many of you have warned so I was prepared and wasn't expecting the status change so soon anyway. But what is worrying is that now there is a new entry under needed from others tab with a red status dot that says "SSA for med evid used in disab dec"...so I have not received a decision notification from SSA yet and submitted both applications about the same time for the same conditions. My anxiety is going through the roof now and I had to take a pill for it (which hasn't kicked in yet, I'm sorry guys but this is my release since I was just pacing frantically and working my way up to a full blown panic attack), because I was prepared for denial from SSA since I know most 1st time claims are denials, but now it looks like the VA will use SSA med evidence to decide on my TDIU claim?? I submitted the same exact medical evidence, nothing different. So if SSDI denies my claim (statistically likely) then I should probably expect a denial from VA, despite agencies and claimants saying that they don't rate the same, but it seems maybe things are changing like becoming more dependent? I saw on ebenefits too where they are building in a one button access to share va medical records with SSA (it's not working yet last I checked). But it seems like they are trying to get the agencies more in sync (which it seems like they logicially would be for things like TDIU or 100% for SC disabilities), but am I one of the ones stuck in that crappy transitional phase where people are figuring it out? Has anyone else had this status and how did it resolve? I know, I know, stop checking ebenefits. I wish they had a volunltary exclusion for people like me. And I know, prepare for the worst and let it work through the process. Sorry for the vent, this is my attempt at a better coping mechanism than my two current coping mechanisms which are take a pill for the anxiety (had to do anyway) or take a pill to make myself sleep through it. Thanks to anyone reading through this and bearing with me.





Detonator

Insomnia - Combined Rating

15 posts in this topic

I left the Army in 1995 with 20% lower back, 10% left knee meniscus, and 20% right knee PCL deficiency following surgery (50% total). Last year, I asked for an increase on my left knee, right knee and requested a secondary service connection for insomnia due to chronic pain.

Today, I received a letter stating that they denied any increase for my knees but did grant service connection for my insomnia (it dates back to 1998) and awarded 10%. However, the letter states the VA does a combined rating and will not increase past my 50%.

So what does the 10% service connection for my insomnia mean? I was hoping to get at least a 12 month back dated check for the 10% but it doesn't sound like I will get anything.

If someone could explain how this service connection for insomnia will help me....please let me know.

Also, the way they worded the decision, it makes it sound like I'm lucky they didn't decide to reduce my 50%. Amazing!

Any insight would be helpful!

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The letter states we do no add the individual percentages of each condition to determine your combined rating. Also under the insomnia decision, because apparently my doctor didn't put in there that insomnia effects my employment, it has some significance. Even though I only work one day a week (Part time job) and just recently began seeing a therapist for depression side effects.

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Also, if my insomnia condition continues to worsen....since it is service connected now....could I get that temporary total disability? Could my VA Sleep Doctor request that?

Sorry to keep adding questions...I'm just a bit frustrated with that letter. It didn't come at a good time! :rolleyes:

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Detonator, ratings are awarded in increments of 10% (10%, 20%, 30%, etc.). They are also combined with your other ratings, not parsed out and rated separately, or retroactively. What the VA appears to be stating is that even though they've added 10% for the insominia rating, when combined with your other ratings and compared to the Combined Ratings Table in 38 CFR Part 4, it wasn't enough to increase your ratings or payments. A higher rating might have done so, but again, everything is combined and measured through that Combined Ratings Table. There's a calculator on the home page of hadit. Plug in your ratings for your separate conditions and see what you get.

http://www.hadit.com/Service_Connected_Rating_Calculator

You can file a Notice of Disagreement, get the doctor to clarify his staement saying that you can't work, and while you're at it, file for TDIU (unemployability). Again, there's a lot of information mentioned on the home page here that should help direct you.

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I would try and work the insomnia and chronic pain into a depression claim. You can get a greater percentage rating for depression than insomnia alone. Are you seeing a psychiatrist about your chronic pain and insomnia. If you can't work file for TDIU. Just about eveyone who has chronic pain does suffer from some depression.

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Detonator, I received the same answer on 7-14-08. MY initial rating for DMI II was 40% and hypertinsion was defered on the initial rating pending an additional C&P exam. I was awarded 10% sc for the hypertinsion but my combined rating remained at 40% ( Quote from th rater. We do not add the indiviual percentages of each condition to determin your combined rating. We use a combined rating table that considers the effect from the most serious to the least serious conditions) The way I understand the rating calculator 50% plus 10% gives you a total rating of 55%. If it had been 55.5% it would have been rounded up to 60% total rating. In my case 40% plus 10% equals 46% rounded up to 50%. I am with you, I don't understand this and I am still looking for an explanation. I am sure someone on HADIT can handle that.

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