Jump to content
VA Disability Community via Hadit.com

Ask Your VA   Claims Questions | Read Current Posts 
  
 Read Disability Claims Articles 
 Search | View All Forums | Donate | Blogs | New Users | Rules 

seminoles

Senior Chief Petty Officer
  • Posts

    520
  • Joined

  • Last visited

  • Days Won

    6

Everything posted by seminoles

  1. I was awarded SMC L and I am not missing any limbs, my husband does work but he is self employed and works from home and can stop work/work any hours he chooses. It did take very detailed writing from my neurologist to explain my need for aid an attendance, I don't qualify for caregiver as I am not post 9/11. No one is in our business as far as assets or anything else. It is no different than with my 100% or SMC K honestly in our experience.
  2. You might want to go through your tricare eob and see if you can find any records. I am an impeccable record keeper and have every record and eob since every child was born and keep them for at least 10 years then toss them unless it is something important. If was a visit for a cold it gets tossed, a broken wrist, everything is kept. Do you happen to keep things like that?
  3. My Va dentist is one of my favorite specialty clinics. He is the only dentist at our location and is very busy but always takes his time and gives me outstanding care. I have been sent to the large VA to have dental implants and cannot say how great both the oral surgeon and the prosthodontist were. I still have a family dentist for emergencies and extra cleanings. My local va dentist also sends me out for fee basis treatment for my severe tmj and a few other things as needed. If I get a cleaning I make sure it is only with the hygenist on staff and not the damn students, they are rough as hell and rude as well. I complained to the college about 2 of them they were so awful.
  4. When I called the woman who answered the phone told me to talk to my patient advocate. I laughed (inside) as if I am that stupid and hadn't taken every other route to remedy my problem and she did nothing. I finally said f it and called my congressman again and his office had it straightened out within a few weeks. I don't bother anymore, if the VA and the folks I know there can't fix my problem fairly quickly, in less than a month because that is how often I see that specialist. I call my congressman's office and they stick a boot up someones behind and I get another year of non va care approved.
  5. Not everywhere do they get tuition paid, my kids do by the state of Florida but chapter 35 doesn't pay it.
  6. Actually not true, I have a child on Tricare and have never had a problem with any doctor every seeing them. Champva they won't even see you as a patient, they simply don't accept it. The big hospitals and such do but none of the pediatricians, etc. do. If they aren't accepting your insurance you can't even pay cash here. Currently I have one child at one doctor he has Tricare, the rest of my family is at another doctor because he accepts United Healthplan (private plan we pay for) and then we send the bill and EOB to champva after United Healthplan sends us the EOB. Tricare also covers more, Champva covers nothing for children with autism.
  7. I agree with you wholeheartedly, I am a Desert Storm era veteran and have no issue with Vietnam Veterans being phased in first. The program never should have been post 9/11 only in the first place. It should have been for our oldest veterans first.
  8. I have had implants done and my dental is amazing! We have a private insurance plan, (pre ACA) that we still pay for and use Champva as secondary but it is no where near $700 a month it is a catastrophic plan. One of my children is still on Tricare and I wish all of my family were on Tricare Standard now Select. In over 27 years it has been great! There is a catastrophic cap, and that cap is lower than any other insurance out there. The problem I have with Champva is that no one wants to take there allowable, or even bill it. It is horrible. That is why we keep our other plan.
  9. If they keep sending you the pamphlets are you absolutely certain you aren't PT, you can't check that box and print it on if you make yourself a letter?
  10. We end up paying around $240 which is for trash and fire.
  11. don't freak out when you do have a review, they first send you a letter with a questionare to fill out, I filled that out and also send in a copy of the latest years letter from the VA that said I was 100% permanent and totally disabled as well and they then sent me a letter a few weeks later saying they were not going to review me. Most veterans I have spoken to who are 100% PT and have a lot of medical appointments (which is what is asked on the questionaire) have the same result.
  12. the two are separate and have nothing to do with each other, you can find out when your review will be and how often by calling social security or logging into your account.
  13. I was already having issues receiving mh care and that was why I reached out to her. I finally contacted my congressman's office because, not kidding, it took my VA almost a year to provide me with individual therapy. The only reason I received it then, was because his office made a congressional inquiry and low and behold telehealth had been available the entire time, they just never bothered offering it to me. I now have an amazing psychologist in Pittsburgh and I am in Florida and I then insisted they send me out via fee basis for psychiatry. I told them I will not be seen in that clinic period. After 11 years of using that same shitty clinic and being diagnosed with general anxiety disorder, panic disorder, nightmares (not kidding), agoraphobia, by whichever quack was making the rounds that month..........I was diagnosed with PTSD due to MST by not only my VA psychologist but also my outside psychiatrist within 2 months. It was never about a rating but about proper diagnosis and treatment. The Va was drugging me with benzos like crazy for years and I was getting worse and worse. I would tell the psychiatrists and they wouldn't care, all they cared about is if I wasn't suicidal then everything was great. By the time my husband called our congressman we had called every single psychiatrist in our city trying to get me seen and no one would see me as a cash patient. It was a mess. This is the ONLY specialty clinic I have ever had issues with. I Know not all of them are like this but here, I have even talked to employees that used to use the clinic and no longer do. It is that bad. I am 100% PT I never cared if PTSD was on my rating or not. I have a mh rating already.
  14. I wish I had a recording of the phone call I had with the MST coordinator in our area, not only would she be fired but I would send it to every news agency I could think of..........worst and most abusive person I have ever spoken to on the phone at the VA, ever.
  15. The ratings for migraines to 50% requires frequent prostrating attacks causing financial difficulties or something like that.......I have been rated at 50% for migraines for a long time. If you haven't had an increase in frequency and have had a decline with the injections, etc. they may reduce your ratings. If your migraines are responding to medications that well (mine never have sadly) don't be surprised if they reduce your rating to 10%.
  16. This is the Rapids ID locator website, call which location you plan to use, many require or suggest appointments. I would make an appointment if you can :) https://www.dmdc.osd.mil/rsl/appj/site;jsessionid=CG6RqxuYSbq5LBKej96lDCq0qTMLNxJONk8SzdnbyPI7TLEpNu6l!960984968?execution=e1s1
  17. So, in my recent onslaught of fighting the VA at their own game I finally claimed an injury to my shoulder which occurred in 1995. I fell while climbing the mast on the ship and caught myself (duh, by instinct) with my right arm. Of course, like every good navy corpsman it was noted in my records as muscle spams in my neck, shoulder blade and a dulleness in my shoulder will an ache down my arm. Motrin, flexeril and light duty were given. Classic. I got out a year later and being 24 it healed until my late 20's it would bother me once in awhile but nothing serious. Fast forward to the mid 2000 when I started using the VA and it was becoming a nuisance. Bursitis and calcific tendonitis, fast for ward to now and it is so bad that I almost had frozen shoulder starting getting injections to avoid surgery and they are helping. I have impingement it got so bad. That quack who gave me my cp exam said no way that something that happened in 1995 took until 2005 to show up............which we all know is BS. Then she mentioned how it took me 20 years to claim it???? SO What? I can wait 50, that has zero bearing on a claim. My husband had acl repair in 2000 and just went to the ortho doc. (civilian) and guess what he has? Calcific tendonitis in his joint from the tear! Not only that but the stupid with pushed my arm so far that I was in TEARS. I wanted to taco punch that witch, i swear those cp examiners in gainesville (at least the women are a bunch of freaking liars) So, now I am going to take my civilian records and have a report written have her crap negated,. it is as if having anything done there is a joke, it will be written up as if it is horrible and then denied. EVERY SINGLE TIME> SMC K denied, but caused my your service connected condition WTF??? So, let me get this straight If I am a man. I have PTSD and get viagra cuz of my meds. I get SMC K............but I am a woman and there is no viagra so denied? Makes sense right? witches
  18. This is EXACTLY what happened to me, I was IU PT 30 mh 50 migraines (which is what gave me the IU) and 10 for tmj and 10 for a finger thing...........I was then awarder 60% for another condition along with a bunch of other stuff and an increase in mh to 70% and they denied my SMC S and L even when my neuro and pcp filled out the paperwork stating I needed aid and attendance, rest assured I am fighitng that BS.
  19. seminoles

    SMC K

    I will get my psychologist involved as well so there is no vague line involved, the RO has been absolutely ridiculous. This "exam" was not even an exam she asked me maybe 3 questions and that was all. Hardly enough to even know what to write in the exam..........this was part of a regular mh exam which was scheduled to last 60 minutes and lasted 35. I had FOUR mh exams in during the claim.......not kidding......and one more after this. 3 were at the Gainesville location where they all seemed to think I was right at rain, I had another exam with an outside examiner which included ALL my mh issues which are all sc including my PTSD and instead of their 30% she awarded me 70%. The Gainesville CP office is horrendous, I won't go there and have told my congressman's office to intervene on my behalf. Which they finally did.
  20. seminoles

    SMC K

    I am thinking of not fiing an appeal but just a new claim, because SMC's area suppose to go back to when they find the problem not the date of claim anyway, right? and it may save me stress and aggravation. I can upload this witches statement and it is proof that I have a sexual issue secondary to my service connected mental health condition, they can't dispute their own evidence.
  21. seminoles

    SMC K

    Oh, it is noted throughout my VA records, especially in psychiatry that I have lack of sexual interest. They even made note of it in my cp exam. So there was history of me complaining about it.
  22. seminoles

    SMC K

    That is exactly what my thought was Buck, she said that it was secondary to my service connected mental health condition. Which to me is pretty much saying it is caused by my sc condition, why they denied my SMC K, because I specifically asked for SMC K for FSAD? still I was rated for bipolar disorder when I claimed depression.......I hate the st. pete. ro. I know that SMC K is definitely awarded for men and women for this condition, it isn't just for loss of organ, but loss of use as well. Thanks Buck I think that her own words may actually help me win my case. Now, just the quickest way to do so?
  23. seminoles

    SMC K

    This was how my exam was written, I was denied. Not sure how to fight this one? DSM5 Cristerion D for FSD states "The sexual Dysfunction is not better explained by a non sexual mental disorder." In this veteran's case, her absent/reduced interest in sexual activity is better explained--and adequately and sufficiently explained--by her SC non sexual mental disorder. as well as her similarly absent/reduced interest in other typically enjoyed activities like interacting with friends, participating in leisure activities, hobbies, healthful eating, etc. What the hell???? So, if I were a man, and could get a pill then I would get SMC K, but because I am a woman and we have no pills..........this bit%^ at a CP exam writes this?? I am livid. So, it is directly related to my SC mental health condition but I didn't get SMC K WHT?
×
×
  • Create New...

Important Information

Guidelines and Terms of Use