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    • 70% residuals of traumatic brain injury with cognitive disorder, short term memory losses/lapses, difficulty sleeping, problem solving (to include cerebral contusion with diffuse axonal injury to bilateral frontal and temporal lobes after PTSD evaluation residuals of traumatic brain injury with cognitive disorder, short term memory losses/lapses, difficulty sleeping, problem solving with PTSD (to include cerebral contusion with diffuse axonal injury to bilateral frontal and temporal lobes rated at 70% on ebenefits awaiting for this letter for the reasoning scheduling a private neurologist to do an evaluation sucks just had one before the PTSD who said nothing about PTSD to bad it was scheduled before my PTSD exam.
    • Of course, its BS.  Dont make the mistake of retalaiting on her.  The best thing you can do is forgive her for whatever wrongs she has done to you.  Take the high road, and leave the low road's of revenge and hate for others.  
    • I agree with L.  Order a copy of your cfile, if you dont already have a current one now.   After you get your decision, you can decide if you want to submit new and material evidence under 3.156, or just file a NOD.  (Sometimes VA has the evidence, but does not read it and just denies it.).   If/when you file a NOD, you should try to Refute their "reasons and bases" for denial, based upon evidence which you suggest conflicts with the decision, in your file, or, that you submitted as N and M evidence.  
    • Been busy, apologize for the tardiness. Currently waiting for my C-file. Until then I am still getting all of my service illnesses taken care of by private board certified doctors by my company insurance I work for.  Some is out of my own pocket for instance the chiropractor and one time specialty physician. So as soon as I get the C-file, I will schedule my appointment with Dr. Steingart, and post my full review of what I know will be the favorable outcome for the IME.
    • Floridanurse, Not sure if you will get anything out of what I have to say, but maybe something will catch your eye. You mentioned teeth grinding in your post. Is it documented in your service medical/dental records?  Here's why I ask, I endured jaw pain to such a degree that it interfered with eating and sleeping. I had to massage my jaw muscles so I could chew my food, during the worst of it.  I went to the medical center a few times, they referred me to the dental clinic where they noted excessive wear on my teeth, but could find no physical causes. They deduced that the grinding and clenching was most likely due to work related stress. Fast forward 17 years and I learned I could claim it, did so, got denied. Filed appeal, got IMO/IME, with nexus letter stating at least as likely as not, citing SMR entries that noted the 4 year history of jaw pain. Denied.  Both times they reasoned that since it wasn't diagnosed as so in my SMR, they would not grant it. However they did grant that it is there and is valid, but is being recognized as a symptom of MH illnesses. Fortunately for me I do not have any SCD for MH. Or not so fortunate for me, but I do have a current DX of MDD recurrent with SI...from the VA, which puts me firmly in the 70% rating. If I had it service connected, that is. For me, though, it may not matter, but for you it may get you a secondary to PTSD claim.





teejay53

Tricare Supplemental Insurance

14 posts in this topic

hi all;

i have been looking for an insurance to supplement my tricare standard. so far, i found out i am not eligible for moaa, usaa or mba.

does anyone have any other thoughts for a good supplemental insurance?

i like tricare prime, but the doctor i have been seeing for over 2 years is not on the primary care list and i do not wish to change to a doctor on the list. so i am going to wait before i change to tricare prime.

i found asi (issued by hartford insurance), but it is expensive and has a big deductible, so i am going to look a little longer.

thank you for your help.

have a great day.

teejay

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hi all;

i found a supplemental insurance that i think will help with the costs from a medical bill after tricare standard pays it's portion (i believe 75% is paid by tricare standard) .

it is a supplement insurance offered by hartford. the link is below if you would like to visit.

http://www.asicorporation.com/tri_standard.html

i think i am going to get this, the deductible is $250 and the premiums are not that expensive for the coverage it provides after tricare pays.

hope this helps someone.

teejay

:smile:

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AMRA (American Military Retirees Association) offers a supplemental insurance that picks up all that Tricare/CHAMPVA does not pay. ALL.

It costs me around $20 a month (not bad when you have a diabetic as a dependent..........that Lizard-spit costs around $450 a month....................not to mention all the other stuff, like insulin pens, testing strips, etc., etc.).

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thank you for your help.

teejay

:smile:

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Thanks to both of you. This is some good information. I hadn't considered a supplement before. :)

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Yes, I ahve used the AMRA supplement for years. I agree we have worked with the folks at http://www.tricaresupplement.us They have several of the plans that AMRA offers. The rates have always been very good and their plans are available regardless of rank or service.

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