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VA Medical Centers Navigating through it
To assist the veteran by providing assistance in navigating through the Veterans Affairs Medical centers.
296 topics in this forum
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VA Health Care Priority Groups http://www.va.gov/opa/publications/benefits_book/benefits_chap01.asp The following four categories of Veterans are not required to enroll, but are urged to do so to permit better planning of health resources: 1. Veterans with a service-connected disability of 50 percent or more. 2. Veterans seeking care for a disability the military determined was incurred or aggravated in the line of duty, but which VA has not yet rated, within 12 months of discharge. 3. Veterans seeking care for a service-connected disability only. 4. Veterans seeking registry examinations (Ionizing Radiation, Agent Orange, Gulf War/Operation Iraqi Freedom/Operation Ne…
Last reply by carlie, -
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Looking for suggestions on how to deal with VA Los Angeles Care in the Community office, and their constant delays in approving outside provider authorizations. Currently, issues are delays with SAR requests for Primary care and Urology. Alas, Every one of my providers (Primary care, Opthalmology, Podiatry, Urology, Nephrology, has experienced delays intermittently over the last 2 years. Not only for initial referrals, but for secondary auth requests as well. Often times these delays force rescheduling of time sensitive appointments and lab work. The VA CITC staff seems unfazed even when made aware of imminent deadlines. I have contacted both US senators numerous times …
Last reply by Berta, -
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- 1 follower
- 17 replies
- 522 views
I burned the search button out searching for the ideal /proper spot to post this so if any mod can improve please feel free to move this questrion. I presented to my local outpatient clinic in Marianna, Florida. No physicians, just nurses with blood in phlegm. They sent me to radiology (CT Scan). Radiology in turn requested a consutlt with Pulmonary. That is where the treatment ends. They told me 2 weeks ago they we looking for aa physician to assign this to. Didn't happen. Question: what are my options for getting civilian treament if they are so understaffed... or conversely who in this command chain can I go to for assistance with this? I fe…
Last reply by cannoncocker, -
- 1 follower
- 15 replies
- 2.1k views
I am in need of another epidural pain block for my spine. I normally use a non-VA doctor with my private health insurance and the wait is usually a week or two. However, this was a great opportunity to track durations from one stage to the next. Each duration is calculated from date to date and include weekends and holidays. 1. Primary care referral to Neurology appointment: 38 days 2. Neurology referral to pain clinic appointment: 76 days 3. Pain clinic referral for outside care (no pain doctor available): 16 days 4. Outside care (Business Office) calls and asks if I would like to use the Choice program. Says it may take up to 7 days to receive…
Last reply by broncovet, -
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- 88 views
Just a Reminder*** If any of you Veterans out there have not recieved your covid injection , please call your VAMC and ask for an appointment to come and get your Covid Injections , they should set you up an appointment to come and receive your first injection and 2 weeks later to return for the second injection. Don't put it off any longer than you possible can....better to be safe than sorry...this stuff will be around a long long time so may as well face the reality of it. keep wearing your mask and social distance yourself and wash hands often.
Last reply by GBArmy, -
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On Myhealthevet messages... Are these messages that are sent to providers, Pact Team, and others. Are they required by law to be uploaded into my health records? I have one on my primary care nurses, who has not uploaded them into my records. I've been asking for referrals since September. Are the clinics required by law to log phone calls, if ordering Rx, or getting a message to providers? One of the clinics only had provider and front would only log calls once 10 days to keep workload down. Not to mention on Dec 24th, Two vets I know was supposed to have labs done, but all day long was the on hold music, then 1631 hours it went to t…
Last reply by newhere, -
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I live in Montana and reside 87 miles from the nearest full service VA Medical Hospital. We have a VA clinic locally but I was referred to the main VA hospital 87 miles away for surgery consultation at the main VA hospital? I'm 100% P&T, SSDI and retired. Shouldn't have my local VA clinic PCM suggest community care under the new Mission Act of 2019 since I would have to travel 1.5 hrs for the appt and then again to have gallbladder surgery? Especially with my distance situation? Heck, I could be the foster child for community care? Sec. 142. Veterans Choice Fund flexibility and Sec. 143. Sunset of Veterans Choice Program. I'm a covered veteran but the direc…
Last reply by Buck52, -
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So I am about to go up the VA medical center "chain of command" and I've learned from many posts that this is common... What is the typical chain of command at a VA medical center (above the Patient Advocate)? I dislike complaining but am not averse to it where treatment and people become inaccessible. There must be a ton of people in between the Pat Adv and the Director.... I'm sure its like the military - if you go right to the base commander with an issue, you not only make the problem worse, you piss off a bunch of people in between him and yourself in a big hurry. Thanks! Dante
Last reply by GBArmy, -
- 1 follower
- 5 replies
- 526 views
What can be done about a mental health social worker writing misleading information in your medical records? Questions you were never asked but they answered for you, statements you never made and contextual factors to your mental health that are the result (family problems, marital discord, lack of social support) of your conditions but it looks like they are saying this is what is causing it?
Last reply by GBArmy, -
- 2 followers
- 15 replies
- 537 views
Anyone been having problems with the VA Clinics cancelling your future out appointments? I have had 2 appointments schedule out for next year FORmy PCP REGULAR CHECK UP and I need to have some issues addressed and lab work done, and they just cancelled this appointment and sited no reason? I mention this to my MH Dr during a VCC Appointments last thursday and she said for me to instant message my PCP and ask why this appointment has been canceled because you need to keep this appointment for some medical issues that have came up and you need to check on your existing medical condition you are being treated for. I sent my V A PCP an instant message on Myh…
Last reply by Buck52, -
- 8 replies
- 521 views
I have been told about the existence of a "Clinical Appeal" process. Was just on hold for 35 minutes to the number given at the local Portland hospital before being disconnected. Does anyone have knowledge of this process or what the chances of success are or how it works? I am asking to get an FDA approved urine test that will be sent out to another lab. Results will be substitute for a scope procedure that has been cancelled due to pandemic. My assigned specialist retired because of it, I do not have a new one assigned at this point. I asked a clinic facilitator about the test a month ago and have received no answer. I already called the company that does the te…
Last reply by broncovet, -
- 1 follower
- 12 replies
- 760 views
Since I recently moved to another state I decided to try the VA Primary Care facility near me. I am 50% service connected for back. The PCP wanted to order some blood work for my first visit. I had no health conditions except the back pain. I assumed this was the basic stuff any doctor would ask for to check cholesterol, etc. When I went to the VA lab they drew about 6 tubes of blood. I joked with the nurse and called her a Vampire. She said your doctor ordered a lot of tests. When I get the results I was iterated to find out they drug tested me. I am not a drug user and didn’t pop positive for anything, but I felt a bit misled. I logged into my priv…
Last reply by deedub75, -
- 1 follower
- 3 replies
- 187 views
I filed a clinical appeal to get treatment as well as caled the White House Hotline. Got the letter back from the local VA saying that they had an "expect" look at my medical file and agreed with the VA doctor that Hyperbaric oxygen therapy isn't necessary for me because they don't want to pay for it. Have yet to hear back from the White House hotline. Will be filing complaints to my senators and congressman this weekend about VA denying me this treatment and pressing this issue further to I get it.
Last reply by broncovet, -
- 2 followers
- 8 replies
- 443 views
Hi everyone, After waiting months for an appointment, three days before my travel date I was denied hotel lodging (by the travel department of the destination hospital Mather VAMC) that my neurologist properly submitted a referral for lodging for imaging & EEG (electroencephalogram) to rule out brain injury due to SYNOPE, which was estimated to take several hours. I lost my drivers license due to this condition so my wife would be taking me. We are in our sixties and I am 80% SC disabled. The destination hospital is 175 miles away making it 350 miles round trip. Since the VA hospital is located on the far side of a major city from my location, the travel ti…
Last reply by Lemuel, -
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- 283 views
I read something a while back about requesting a Vista cd from the VA? It's supposed to contain all notes in a patient's records and not just what is shown on Blue Button. I would like to get a copy of all my medical/administrative notes, to include interdepartmental communications between doctors. I cannot find the forum/thread where I read this before. Can someone point me in the right direction of that thread or how to go about getting all of my records please (this is something different than a C file)? Thanks so much for your help!
Last reply by Vync,
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Most Common VA Disabilities Claimed for Compensation:
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Defense Bill Passage and Bladder Cancer
rebabevets posted a question in VA Disability Compensation Benefits Claims Research Forum,
I already get compensation for bladder cancer for Camp Lejeune Water issue, now that it is added to Agent Orange does it mean that the VA should pay me the difference between Camp Lejeune and 1992 when I retired from the Marine Corps or do I have to re-apply for it for Agent Orange, or will the VA look at at current cases already receiving bladder cancer compensation. I’m considered 100% Disabled Permanently-
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5,10, 20 Rule
Ddsr posted a question in VA Disability Compensation Benefits Claims Research Forum,
The 5, 10, 20 year rules...
Five Year Rule) If you have had the same rating for five or more years, the VA cannot reduce your rating unless your condition has improved on a sustained basis. All the medical evidence, not just the reexamination report, must support the conclusion that your improvement is more than temporary.
Ten Year Rule) The 10 year rule is after 10 years, the service connection is protected from being dropped.
Twenty Year Rule) If your disability has been continuously rated at or above a certain rating level for 20 or more years, the VA cannot reduce your rating unless it finds the rating was based on fraud. This is a very high standard and it's unlikely the rating would get reduced.
If you are 100% for 20 years (Either 100% schedular or 100% TDIU - Total Disability based on Individual Unemployability or IU), you are automatically Permanent & Total (P&T). And, that after 20 years the total disability (100% or IU) is protected from reduction for the remainder of the person's life. "M-21-1-IX.ii.2.1.j. When a P&T Disability Exists"
At 55, P&T (Permanent & Total) or a few other reasons the VBA will not initiate a review. Here is the graphic below for that. However if the Veteran files a new compensation claim or files for an increase, then it is YOU that initiated to possible review.
NOTE: Until a percentage is in place for 10 years, the service connection can be removed. After that, the service connection is protected.
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Example for 2020 using the same disability rating
1998 - Initially Service Connected @ 10%
RESULT: Service Connection Protected in 2008
RESULT: 10% Protected from reduction in 2018 (20 years)
2020 - Service Connection Increased @ 30%
RESULT: 30% is Protected from reduction in 2040 (20 years)-
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Post in New BVA Grants
broncovet posted an answer to a question,
While the BVA has some discretion here, often they "chop up claims". For example, BVA will order SERVICE CONNECTION, and leave it up to the VARO the disability percent and effective date.
I hate that its that way. The board should "render a decision", to include service connection, disability percentage AND effective date, so we dont have to appeal "each" of those issues over then next 15 years on a hamster wheel.
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Finally Won...NOW WHAT?
Ztmiller8 posted a question in Appealing Your Veterans Compensation Disability Claims NOD, DRO, BVA, USCAVC,
Finally heard back that I received my 100% Overall rating and a 100% PTSD rating Following my long appeal process!
My question is this, given the fact that my appeal was on the advanced docket and is an “Expedited” appeal, what happens now and how long(ish) is the process from here on out with retro and so forth? I’ve read a million things but nothing with an expedited appeal status.
Anyone deal with this situation before? My jump is from 50 to 100 over the course of 2 years if that helps some. I only am asking because as happy as I am, I would be much happier to pay some of these bills off!-
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Seekz, -
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Post in Higher level review
Joey Ross posted an answer to a question,
I told reviewer that I had a bad C&P, and that all I wanted was a fair shake, and she even said, that was what she was all ready viewed for herself. The first C&P don't even reflect my Treatment in the VA PTSD clinic. In my new C&P I was only asked about symptoms, seeing shit, rituals, nightmares, paying bills and about childhood, but didn't ask about details of it. Just about twenty question, and nothing about stressor,
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Joey Ross, -
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The how and why for in the VA process for filing a claim for service connected disability compensation. We combine the Knowledge, Skills, and abilities of Veterans to provide other Veterans the information and support they need dealing with the Veterans Affairs system.
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Most Common VA Disabilities Claimed for Compensation:
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