This eBook will teach you how to get C-Files (paper and electronic) from the VA Regional Office.
How to Get your VA C-File


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    • My C&P Results and why i'm disturbed
      Absolutely correct. 90 is very hard to be at. I'm at 90 even right now for my cumulative. I just completed an increase C&P exam for my Bil knees, right shoulder, and cervical spine. Hoping for 100% because my days OTJ are limited at best. But I definitely want to continue working. (My wife drives me crazy)
    • Curious
      Could be one of 2 more common reasons, 1 being that they will schedule you for a C&P in the near future, and the other being clear and substantive evidence in your SMR to grant the Cervical radiculopathy without an exam.  Won't know until you get their decision letter stating what and why. Andy
    • It's A Start
      Did you receive treatment for the first 4 while in service? Then you sure do have to appeal those  denials.
    • Question about NOD wait time after applying.
      Much thanks for your input Navy4Life and Buck52......very helpful overview.
    • It's A Start
      Hello Everyone! Went On Ebennie First Thing This Morning And The Following Is What I Found: 1. Hysterectomy - Service Connect - 0% 2. Cervical Radiculopathy - Not Service Connect  3. Left Foot - Hallux Valgus (bunion) - Service Connect - 0% 4. Right Foot - Hallux Valgus (bunion) - Service Connect - 0% 5. Pes Planus - Service Connect - 30% I Hear NODs Calling My Name! Thank You To All For Your Candid Advices, I Will Keep Everyone Updated As Time Allows. I Also Will Send Some Funds When All Said And Done! ❤️    Hoooraaaaaaaa!!! REACH ONE TO TEACH ONE
    • Increase of MRSA from 0%-? unknown, having c&p exam on tuesday
      MRSA, as a disease process, is always going to be rated at 0% unless you're in the hospital with it and suffering chronic effects. I contracted it in 2009 during my one year staycation at the Seattle VAMC from a contaminated PICC line. After treatment with antibiotics the acute infection resolved. I test positive on any blood tests for it but it is in remission. The body does eventually build an immunity to it of sorts such that you become a carrier for it and can infect others but you, yourself are relatively immune to it unless your immune system becomes compromised. A disease like MRSA is much like Hepatitis B. You become ill and eventually recover and acquire immunity.When that occurs, symptoms abate and there is no outward appearance of the original illness. VA has to rate you at 0% as there is no compensable rating absent any disease symptoms. Merely being turned down for work in the medical sector because you are a "Typhoid Mary" carrier of sorts is not compensable. You have to suffer permanent effects such that it impairs your ability to physically work. 
    • Increase of MRSA from 0%-? unknown, having c&p exam on tuesday
      Is the "0" % a NSC rating, or a "0"  SC rating? "Do they go back to the date of the original claim?" Do you mean you claimed this in the past and they denied, and then you re-opened? Or is this on appeal from the original claim? Is it documented in your SMRS and Discharge Certificate?
    • Finally got my 100% for Malignant melanoma
      How did you get something for malignant melanoma? I submitted that in a DBQ just thinking it may become presumptive or secondary to something I already have.  
    • Is this a cue?
      Can you scan and attach here the decision that you filed the appeal on? And the date of that decision?   (cover your C file # prior to scanning it) The problem with cancelling an appeal then succeeding on a subsequent claim for the same thing is that they usually always give the re-open date as the EED.
    • Hypertension(high Blood Pressure)
      How long did you have HBP, before it was DX'd, treated and brought under control? Your answer doesn't really matter. It's safe to say, it didn't just appear overnight. In most cases, if not all, HBP is working it's Dastardly Magic on your body for a significant period of time, before symptoms present and are DX'd. If you were getting yearly check-ups, at least a 12 month window, right. Just because you have controlled HBP,  without a DX of CAD or other Circulatory Disease, filing a Secondary Claim will get Denied.  Ask your VA PCP to refer you to the Cardiology Dept. If you were to get a Nuclear Stress Test or a Heart Echo that turned up a problem, a Heart Cath would be the defining test for CAD. Semper Fi

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grent

Dental Implants

15 posts in this topic

GOT ONE OTHER QUESTION

I JUST GOT APPROVED FOR DENTAL IMPLANTS BUT IM A LITTLE WORRIED HERE DOES THE VA PAY FOR ALL OF IT OR DO YOU HAVE TO APPEAL THAT ISSUE IF THEY DONT PAY FOR ALL OF IT

I HAVE NOT SEEN THE APPROVAL VOUCHER YET JUST CALLED AND THEY LEFT MESSAGE SAID IT WAS APPROVED

"APPROVED" UH OH THAT TRIGGERS " A RED LIGHT CHALLENGE "

APPROVED IN VA TERMININOLOGY MEANS

IF THE BILL WAS $ 9000 VA WILL ONLY PAY 1 / 2 "MOST LIKELY AS NOT" VA WILL PAY ONLY 1 / 4, YEA NOR NEY?

ANY INPUT OR RECENT PROBLEMS HERE WOULD BE GREATLY APPRECIATED

THANK YOU

Edited by grent

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Sre you service connected for any dental disability that requires the implants?

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gee sorry grent I think your rating completely qualifies you but I am not sure at all-

where did the approval come from? the VA?

I would think TMJ from PTSD could definitely warrant this type of dental help at5 some point due to secondary conditons from the TMJ

(Temporal mandible joint disease- grinding ones teeth- it can become very serious dental problem.)

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gee sorry grent I think your rating completely qualifies you but I am not sure at all-

where did the approval come from? the VA?

I would think TMJ from PTSD could definitely warrant this type of dental help at5 some point due to secondary conditons from the TMJ

(Temporal mandible joint disease- grinding ones teeth- it can become very serious dental problem.)

The dental clinic where I go does implants and the dentist said I might need a couple of lower implants to hold my denture in naw I don't want them drilling into my jawbone with my luck I would get infected I am happy with the new dentures they made me I am not going to push my luck I went in to the VA in 97 for a 4 day operation bypass surgery I was there for 6 weeks I have that Murphys law problem what can go wrong does all of it...... if you are TDIU yes they are supposed to pay for all of your medical care and if the dentist says you need implants they should do it or pay your bill if they authorize you to see a civlian provider but I would want to see the approval first in writing I don;t know how much implants cost but they don't sound cheap

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my ptsd is from another issue

but i would like to know in the outpatient area if they va will pay for my implants since i am 100% schedular

they said they would

but i heard they only pay a portion

thks grent

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my ptsd is from another issue

but i would like to know in the outpatient area if they va will pay for my implants since i am 100% schedular

they said they would

but i heard they only pay a portion

thks grent

have you gone to the VA dental clinic and asked them about it? They should have a dentist there that can do it, if not then they should pay for outpatient care all of it you said you got approval from whom and how was your request worded will the VA pay for implants if I am 100%? then the answer is yes but can you just up and go to a dentist without a VA authorization for fee basis care NO you will get stuck with the bill you have to ask the right question of the right person or you could end up mad with a large bill to pay

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If you meet their criteria they will. You have to ask first. Don't count on it I asked and I don't drink or smoke and they said no

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my ptsd is from another issue

but i would like to know in the outpatient area if they va will pay for my implants since i am 100% schedular

they said they would

but i heard they only pay a portion

thks grent

'if your TDIU is based on a mental health rating then you are not going to get another % awarded for PTSD they will only compensate for one mental health problem I have OCD and PTSD they SC me 100% schdular for PTSD and ignored the OCD completely which doesn't matter they will only pay me for the most prevalent mental health problem my PTSD is worse than my OCD then they turned around after the BVA awarded me CAD and hypertension and rather than keep fighting with me about it they awarded me 100% and housebound which is still SMC S then put 60% on my CAD and 10% on the hypertension but since they don't issue but one S award fighting with them over the fact they should have granted me 100% CAD since my ejection fraction is 25% and I have 2 bypasses that failed and 2 stents that have collapsed and can't be repaired and my SSD is based solely on CAD, the RO was wrong in making my CAD at 60% but there are points where you can't get more money from them so why clog the system with claims that are not going to improve your compensation if you are SC for a mental health problem at TDIU then you are wasting your time and the VAs trying to get PTSD service connected despite what caused it most of us have multiple stressors and multiple mental health problems but they don't pyramid payments on the same body system they will award the highest rating and ignore the rest.......

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If the VA will do the implants then get them done. They cost over $3000 bucks from start to finish otherwise. It took me about a year to get mine done from start to finish. The VA refused to do mine saying it was not medically necessary. I did not trust my dentist to do it anyway so I went to a well known private specialist to do it. My implants are rock solid with no complications.

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No implants here yet. I am SC for TMJ and grind the hell out of my rear teeth. They did not give me implants, because of the amount of bone loss beneath the second molars when the Army hosed up my third molar extraction and the fact that I grind like crazy. Instead, they installed several gold crowns and made me a bulletproof night guard to wear when I sleep. Also, they won't give me porcelain fillings in the rear teeth. They said I would shatter them within a couple of weeks. Instead, I get the silver fillings back there. They did say that they would install implants if I started losing my front teeth. I'm category 1 with the dental team. I think they are choosing to be realistic in my case.

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No implants here yet. I am SC for TMJ and grind the hell out of my rear teeth. They did not give me implants, because of the amount of bone loss beneath the second molars when the Army hosed up my third molar extraction and the fact that I grind like crazy. Instead, they installed several gold crowns and made me a bulletproof night guard to wear when I sleep. Also, they won't give me porcelain fillings in the rear teeth. They said I would shatter them within a couple of weeks. Instead, I get the silver fillings back there. They did say that they would install implants if I started losing my front teeth. I'm category 1 with the dental team. I think they are choosing to be realistic in my case.

yes I thought the dentist in Augusta are great I just don't want the implants to hold my bottom denture in I went 12 years with no bottom teeth at all I am grateful for a new set of teeth

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A good dentist can do bone grafts to build up the bone and then do the implant. The VA just does not want to do the implants because they are expensive. Cost is always the main factor with everything the VA does. Most who get implants get a bone graft as well. Perhaps there is no one qualified to do this at you VA dental clinic. The really good dentists do not work at the VA. My VA clinic does not have endontists doing root canals. The general purpose dentist does it all. This is not the medical standard in world outside the VA.

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John,

My teeth have not fallen out yet. Personally, I do not even look forward to having my teeth cleaned. Just can't hold my mouth open very far and suffer from really bad headaches afterwards. The bone grafts sound interesting, but I don't know if I want to know where they get the bone...

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They get the bone from your jaw bone. No doubt you have to keep your mouth open for a while. The thing is with an implant you can just get a couple to hang a bridge off. You don't have to replace all teeth with implants. My TMJ has progressed to the extent that the joint is totally worn out. It slips and slides and does not lock up.

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Sounds interesting. It would be cool to order a burger and not have to steamroller it before eating.

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