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    • One important thing to remember:  If you are 100%, you don't need an extra rating of 60% or more to be entitled to SMC S. At 100%, you qualify on the grounds that "you don't leave the house for work" Yes, you can leave the house for any reason except work!!      Asknod can chime in on this?    
    • Thanks for the feedback guys.......yes OEF21B......I am enrolled at Dallas VAMC and had two sleep studies done there.  I was written as moderate OSA but I  have not been rated for OSA as yet by VA...........I claimed for it based on a 2006 diagnosis but I was never issued a CPAP nor did i push so it ended up as a NOD now.......my fault......learning curve.
    • Saw DAV at Northport VA to help with my claim. Gave them my DD214 and showed them my 911 reactivion papers that I never showed anyone or filed to put on my DD214. Hard to type this, I pause after a bit. Filing for PTSD (never filed) and increase in physical stuff low back, nerve pain, etc.. I've had it (anxiety attacks, sleeplessness) from my Persian Gulf in 96-97 but never followed thru except for what I thought were asthma attacks that put me in medical and in the ER. Then PTSD went full blown after I did Rescue and Recovery for 911 at Groudn Zero/World Trade Center. A VA therapist told me those earlier asthma attacks were Anxiety attacks not asthma. Almost daily Uncontrollable Nightmares, sleeplessness, avoidance, lost all my friends, avoided public stuff, avoided family stuff, public speaking, dropped out of college, couldn't work, went on SSD, Anxiety attacks were happening weekly almost daily until I came in to get help. God am I really really depressed but trying to talk myslef out of it???  Now going thru a divorce, fighting for custody too as I have been the stay at home parent for 6 years now to our 10 year old daughter, she's the love of my life.  Not easy to talk about.  I've suffered for years, only a handful know about this. I've been getting help at the VA PTSD clinic since summer of last year after I knew I hit rock bottom and the thoughts going thru my head were scarying me.  I would not have made it this far if it wasn't for them. I've been in 3 different group therapies (self esteem, depression, Combat related trauma PTSD) and also one on one with my counselor. It's so hard to type this, I keep pausing after every sentence. I have medicine I get from them, Xanax; to help with the PTSD and anxiety attacks that I get.  Still hard, difficult super diffcult sometimes but the meds, mindfulness, yoga, meditation, eating better, resting, more confidence in myself. Sorry if I'm all over the place. Haven't posted here in a while and only recently started opening up about my PTSD. Thank you.
    • The VA Raters are required to Inferr the SMC's when a veteran meets the Criteria for the SMC, you don't apply for SMC.  Now some times the rater don't catch it and vet  is literally beat out of his/her compensation , this is just one of the reasons a veteran needs to stay on top of his/her claims. When this happens if a veteran catches this in time  then either NOD and send in your evidence that makes you meet the criteria for SMC and was not awarded   or ask the VA to CUE Them self as an error was committed by the rater...or call Iris and ask them to check on this and let them know why. Usually of the Norm  When a Veteran has a 100% schedule rating for his onset  S.C. Disability and has another S.C. Disability of 60% or higher  then that is a statutory rating and should meet the SMC Critieria   usually H.B. (House Bound)or A&A (Aid &Attendance) So most veterans that are H.B. Are already rated at 100% but they don't have to be 100% to meet the criteria  they can be TDIU Veterans with a less rating of 100% using the extra scheduler  when a veteran can't do any type of work  so the VA Has this rating to help the veterans get paid at the 100%   I think they should just make a Veteran 100% scheduler  if he can't work b/c of his service connected disability's. JMO ................Buck
    • I agree with Gastone   Seems like when we use Myhealthyvet ''Secure Message'' They usually help us better and send us what we ask for. saves a trip to the VMC.





tedro

Medical Insurance

4 posts in this topic

Hi,

Again, I'm sorry, I tried to pick a forum, but I couldn't tell where to ask this. I search "insurance" but it didn't really help.

Are disabled vets who use VA medical centers... which is me...are any of those medical insurance programs that are available through VA, like ChampVA or Tricare (I don't know the names, not really)...are any of those available to me? The idea is so that I may be able to get certain care at a private/civilian type provider.

Is there anything at all? I am P&T, TDIU.

Thanks.

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Hi,

Again, I'm sorry, I tried to pick a forum, but I couldn't tell where to ask this. I search "insurance" but it didn't really help.

Are disabled vets who use VA medical centers... which is me...are any of those medical insurance programs that are available through VA, like ChampVA or Tricare (I don't know the names, not really)...are any of those available to me? The idea is so that I may be able to get certain care at a private/civilian type provider.

Is there anything at all? I am P&T, TDIU.

Thanks.

With IU & P&T status - you are covered for any and all medical care

to include RX drugs and dental care, at the VAMC's.

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You should also be able to receive SSDI and once on SSDI, for 2yrs, purchase Medicare, part B, and a supplement, which I recommend, to all vets. It allows you care other than the VA's, for an option. jmo

Tri-care is for retiree's. ChampVA is for dependents.

pr

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You should also be able to receive SSDI and once on SSDI, for 2yrs, purchase Medicare, part B, and a supplement, which I recommend, to all vets. It allows you care other than the VA's, for an option. jmo

Tri-care is for retiree's. ChampVA is for dependents.

pr

thanks. i was refused SSDI, about 6 months or so before my TDIU. they said i had to show i was disabled back some time in the 80's, somehing about last time i had credits.

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