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mayertucker

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Everything posted by mayertucker

  1. Yea so I have no friggin idea, what my status is. I tried calling the 800 number today and got the run around.
  2. This is from the ChampVA VA website.... Am I eligible for health care through CHAMPVA? You may only be eligible for health care through CHAMPVA if you don’t qualify for TRICARE and at least one of the descriptions listed below is true for you. At least one of these must be true. You’re: The spouse or child of a Veteran who’s been rated permanently and totally disabled for a service-connected disability by a VA regional office, or The surviving spouse or child of a Veteran who died from a VA-rated service-connected disability, or The surviving spouse or child of a Veteran who was at the time of death rated permanently and totally disabled from a service-connected disability, or The surviving spouse or child of a service member who died in the line of duty, not due to misconduct (in most of these cases, family members qualify for TRICARE, not CHAMPVA). A service-connected disability is a disability that we’ve concluded was caused—or made worse—by the Veteran’s active-duty service. A permanent disability is one that’s not expected to improve. Note: A Veteran who’s the qualifying CHAMPVA sponsor for their family may also qualify for the VA health care program based on their own Veteran status. If 2 spouses are both Veterans who qualify as CHAMPVA sponsors for their family, they both may now qualify for CHAMPVA benefits. Each time they need medical care, they may choose to get care through the VA health care program or using their CHAMPVA coverage. and from the ch 35 VA website Am I eligible for education benefits? You may be eligible for VA education benefits (Chapter 35 benefits) if you’re the child or spouse of a service member and one of the descriptions listed below is true of the service member. One of these must be true. The service member: Died in the line of duty after September 10, 2001, or Is missing in action or was captured in the line of duty by a hostile force, or Was detained (held) by force while in the line of duty by a foreign government or power, or Is in the hospital or getting outpatient treatment for a service-connected permanent and total disability, and is likely to be discharged for that disability. A service-connected permanent and total disability is a disability resulting from your service that doesn’t go away. You may be eligible for VA education benefits (Chapter 35 benefits) if you’re the child or spouse of a Veteran and one of the descriptions listed below is true of the Veteran. One of these must be true. The Veteran: Is permanently and totally disabled due to a service-connected disability, or Died while on active duty or as a result of a service-connected disability If you’re a dependent who doesn’t meet the above criteria, you may still qualify for VA education benefits if the Veteran or service member transferred some or all of their Post-9/11 GI Bill entitlement to you while they were on active duty. Learn about transferred benefits They both mention being P&T but nothing on a rating. So I can get how someone with a 70% TDIU rating can be eligible if they are P&T, the problem is I have no idea if I am or not since I have a letter downloaded from ebenefits saying I am not P&T, another letter from the VA saying I am just permanent, and am eligible for the other benefits.
  3. Thats what I would think....especially since to my knowledge there is no permanent rating by itself. Also to my knowledge with Ch35/Champ VA etc you have to be 100% P&T to be eligible, though the VA is telling me I am eligible with the 70% TDIU Permanent. Especially since I was ineligble for them 2 years ago. edit: spelling
  4. I tried to make it clear that the ebenefits letter shows am not permanently and totally disabled. Since apparently I was made permanent in December of last year according to the VA I would think that that would update. Then I get the letter today saying "Are you considered to be permamentally disabled due to your service connected disabilities: Yes at 70%." .
  5. Why I am confused since I am only 70% with TDIU and now apparently permanent. But according to the VA I am eligible for those benefits.
  6. Hello, I am currently 70% TDIU (since February of 2016). Apparently the VA changed me to a Permanent status (am eligible for CH. 35, ChampVA, and dental through the VA), I was never sent anything saying Permanent and Total or eligible for Ch 35 etc. I found out last month when I went to get plates for my new vehicle and they contacted the county veteran's office who told them I was permanent (saying nothing but total). I talked to the county veterans office and they had me fill out an app for Champ VA because they saw in the VA's systems that no further exams are required and they wern't sure if it was P&T or just permanent. Ebenefits letter says not permanent and totally disable. Today I received a letter from the VA with my benefits and ratings and where it would say about being Permanent and Totally Disabled it says "Are you considered to be permamentally disabled due to your service connected disabilities: Yes at 70%. So I have established ChampVA/CH 35, dental etc eligibility. But does that mean I am P&T? DO I qualify for ID card, space A travel etc? If not P&T from my understanding the VA doesn't have just a permanent its either P&T or not, and also wouldn't be eligible for ChampVA, dental, or ch 35. Any help is appreciated. Semper FI
  7. DID you get travel reimbursement for checked baggage or anything like that? I just got back Friday and am getting told different stories. Overall I have to agree with your review.
  8. I recenly completed my C&P exam for Keratoconus a week ago. I was diagnosed in Septer of 2013, with Kerotoconus. During my entrance med exam, my vision was 20/20 in both eys. About 2 years into my service, I started seeing double, and bluriness. I made an appt with the eye doc in 29 stumps, and was diagnosed with asigmatism. At the time of that exam I was 20/40 in my left eye and 20/20 in my right eye. I had two ofher eye exams while in, and while I do not remember what my visual acuity was My perscriptions changed again. During the second exam a Keratometry was performed. Here are the notes from previous eye exams. "22 AUG1997 Plan-075 x 178 -050-100 x 041 3 NOV 1998 -025-050 x 180 -050-100 x 045 Keratometry : no comment on quality of mires 41.87/43.25 x 093 42.50/44.87 x 113 14 JAN 2000 Plan -050 x 175 +025-100 x 064". I didn't go back for any eye exams until 2013, due to lack of money or vision insurance. I just dealt with the double vision and bluriness. Finally I found out I could get my eyes checked through the VA since I was alred 20% service connected for flat feet and my knee, and made an appt. That was when I was given the diagnosis of Keratoconus. I am in the process of getting a contact to help correct my vision, though the C&P doc said I would probably be better off getting the corneal transplant. I applied for service connection in November 2014, and am awaiting the decision. I wanted to know what the board thinks of it being granted since from my perspective, it started during my time in service and was never diagnosed until my visit in 2013. Thanks for any help in this. I am including the relevant notes from the exam below if anyone can make sense of them. "Describe the history (including onset and course) of the Veteran's current eye condition(s) (brief summary): history of astigmatism. No one used the word "keratoconus" while in the service. Never turned down for refractive surgery. Dx of keratoconus first used at VA in 2013. No family history Last eye exam at VA by Mar 27, 2015. Patient not dilated at this visit. SECTION III: PHYSICAL EXAMINATION --------------------------------- 1. Visual acuity ---------------- a. Uncorrected distance: Right: [ ] 5/200 [ ] 10/200 [ ] 15/200 [ ] 20/200 [ ] 20/100 [ ] 20/70 [ ] 20/50 [X] 20/40 or better Left: [ ] 5/200 [ ] 10/200 [ ] 15/200 [X] 20/200 [ ] 20/100 [ ] 20/70 [ ] 20/50 [ ] 20/40 or better b. Uncorrected near: Right: [ ] 5/200 [ ] 10/200 [ ] 15/200 [ ] 20/200 [ ] 20/100 [X] 20/70 [ ] 20/50 [ ] 20/40 or better Left: [ ] 5/200 [ ] 10/200 [ ] 15/200 [ ] 20/200 [ ] 20/100 [X] 20/70 [ ] 20/50 [ ] 20/40 or better c. Corrected distance: Right: [ ] 5/200 [ ] 10/200 [ ] 15/200 [ ] 20/200 [ ] 20/100 [ ] 20/70 [ ] 20/50 [X] 20/40 or better Left: [ ] 5/200 [ ] 10/200 [ ] 15/200 [X] 20/200 [ ] 20/100 [ ] 20/70 [ ] 20/50 [ ] 20/40 or better d. Corrected near: Right: [ ] 5/200 [ ] 10/200 [ ] 15/200 [ ] 20/200 [ ] 20/100 [ ] 20/70 [ ] 20/50 [X] 20/40 or better Left: [ ] 5/200 [ ] 10/200 [ ] 15/200 [ ] 20/200 [ ] 20/100 [X] 20/70 [ ] 20/50 [ ] 20/40 or better 2. Difference in corrected visual acuity for distance and near vision --------------------------------------------------------------------- Does the Veteran have a difference equal to two or more lines on the Snellen test type chart or its equivalent between distance and near corrected vision, with the near vision being worse? [ ] Yes [X] No 3. Pupils --------- a. Pupil diameter: Right: 4 mm Left: 4 mm b. [X] Pupils are round and reactive to light c. Is an afferent pupillary defect present? [ ] Yes [X] No d. [ ] Other, describe: No answer provided 4. Anatomical loss, light perception only, extremely poor vision or blindness ----------------------------------------------------------------------------- Does the Veteran have anatomical loss, light perception only, extremely poor vision or blindness of either eye? [ ] Yes [X] No 5. Astigmatism -------------- Does the Veteran have a corneal irregularity that results in severe irregular astigmatism? [X] Yes [ ] No If yes, complete the following section: a. Does the Veteran customarily wear contact lenses to correct the above corneal irregularity? [ ] Yes [X] No b. Was the corrected visual acuity determined using contact lenses? [ ] Yes [X] No If no, explain: patient not a contact lens wearer, has been referred for RGP fit through fee basis 6. Diplopia ----------- Does the Veteran have diplopia (double vision)? [X] Yes [ ] No a. Provide etiology (such as traumatic injury, thyroid eye disease, myasthenia gravis, etc.): Monocular double vision in left eye b. The areas of diplopia must be documented on a Goldmann perimeter chart that identifies the four major quadrants (upward, downward, left lateral and right lateral) and the central field (20 degrees or less). Include the chart with this Questionnaire. Report the results from the Goldmann perimeter chart below: Indicate the areas where diplopia is present (the fields in which the Veteran sees double using binocular vision): [X] Central 20 degrees [ ] 21 to 30 degrees [ ] 31 to 40 degrees [ ] Greater than 40 degrees c. Indicate frequency of the diplopia: [ ] Constant [X] Occasional If occasional, indicate frequency of diplopia and most recent occurrence: No answer provided d. Is the diplopia correctable with standard spectacle correction? [ ] Yes [X] No If no, is the diplopia correctable with standard spectacle correction that includes a special prismatic correction? [ ] Yes [X] No 7. Tonometry ------------ a. If tonometry was performed, provide results: Right eye pressure: 9 Left eye pressure: 9 b. Tonometry method used: [ ] Goldmann applanation [X] Other, describe: NCT 8. Slit lamp and external eye exam ---------------------------------- a. External exam/lids/lashes: Right [X] Normal [ ] Other, describe: Left [X] Normal [ ] Other, describe: b. Conjunctiva/sclera: Right [X] Normal [ ] Other, describe: Left [X] Normal [ ] Other, describe: c. Cornea: Right [X] Normal [ ] Other, describe: Left [ ] Normal [X] Other, describe: thinning d. Anterior chamber: Right [X] Normal [ ] Other, describe: Left [X] Normal [ ] Other, describe: e. Iris: Right [X] Normal [ ] Other, describe: Left [X] Normal [ ] Other, describe: f. Lens: Right [X] Normal [ ] Other, describe: Left [X] Normal [ ] Other, describe: 9. Internal eye exam (fundus) -------------------- Fundus: [X] Normal bilaterally [ ] Abnormal 10. Visual fields ----------------- Does the Veteran have a visual field defect (or a condition that may result in visual field defect)? [ ] Yes [X] No a. Was visual field testing performed? [ ] Yes [X] No b. Does the Veteran have contraction of a visual field? No answer provided c. Does the Veteran have loss of a visual field? No answer provided d. Does the Veteran have a scotoma? No answer provided e. Does the Veteran have legal (statutory) blindness (visual field diameter of 20 degrees or less in the better eye, even if the corrected visual acuity is 20/20) based upon visual field loss? No answer provided SECTION IV: Eye conditions --------------------------- 1. Conditions ------------- Does the Veteran have any of the following eye conditions? [X] Yes [ ] No If yes, check all that apply: [X] Corneal conditions 6. Corneal conditions --------------------- a. Has the Veteran had a corneal transplant? [ ] Yes [X] No b. Does the Veteran have keratoconus? [X] Yes [ ] No If yes, indicate eye affected: [ ] Right [ ] Left [X] Both c. Does the Veteran have a pterygium? [ ] Yes [X] No d. Does the Veteran have another corneal condition that may result in an irregular cornea? (For example, pellucid marginal degeneration, irregular astigmatism from corneal scar, post-laser refractive surgery, acne rosacea keratopathy, etc.) [ ] Yes [X] No e. Is the Veteran's decrease in visual acuity or other visual impairment, if present, attributable to keratoconus or another corneal condition, if present? [X] Yes [ ] No [ ] There is no decrease in visual acuity or other visual impairment If yes, specify corneal condition responsible for visual impairment: irregular astigmatism f. Does any eye condition identified in this section cause scarring or disfigurement? No answer provided 14. Other eye conditions, pertinent physical findings, complications, conditions, signs and/or symptoms --------------------------------------------------------------------- Does the Veteran have any other eye conditions, pertinent physical findings, complications, conditions, signs and/or symptoms related to the condition at hand? [ ] Yes [X] No SECTION V: Scarring and disfigurement -------------------------------------- Does the Veteran have scarring or disfigurement attributable to any eye condition? [ ] Yes [X] No SECTION VI: Incapacitating episodes ------------------------------------ During the past 12 months, has the Veteran had any incapacitating episodes attributable to any eye conditions? [ ] Yes [X] No SECTION VII ----------- 1. Functional impact -------------------- Does the Veteran's eye condition(s) impact his or her ability to work? [X] Yes [ ] No If yes, describe the impact of each of the Veteran's eye condition(s), providing one or more examples: poor vision in left eye: Unable to do work involving fine depth perception 2. Remarks, if any: The question is asked if the patient has keratoconus that is as least as likely as not incurred in or caused by double vision or blurred vision during service. Keratoconus is a degeneration of the cornea which leads to distortion and thinning of the front of the eye. As a result, the cornea steepens (this is measured by keratometry or corneal topography) Keratoconus is not caused by blurred vision or double vision. It is instead a degeneration. Review of the STR reveals no diagnosis of keratoconus. The three refractions done over the course of three years were consistent. Keratoconus patients will often fluctuate. Keratometry done in 1998 was not indicative of keratoconus. The cover test done at the visit with the complaint of double vision revealed no motion and no further workup. At Mr. Mayer-Tucker's first visit to the Cheyenne VA in Sep 2013, he reported monocular double vision (overlapping images in one eye) and that he had good vision with previous glasses. The exam previous to that had been three years earlier. VA Records Sep 2013 OD: plano-1.00x175 20/20-2 push OS: -1.25-2.25x020 20/40+2 NO IMPROVEMENT WITH PINHOLE Corneal topography OD: steep K: 46.60D @97 Flat K : 42.44D @7 Astigmatism: 4.16D OS: steep K: 48.93D @99 Flat K : 42.26D @9 Astigmatism 4.67D Mar 2014 OD: -0.75sphere 20/25-+ OS: -1.25-2.25x020 20/50- ph 20/40- Corneal topography OD: steep K: 46.35D @99 Flat K : 42.37D @9 Astigmatism: 3.98D OS: steep K: 49.01D @96 Flat K : 44.64D @6 Astigmatism 4.37D Prescription history from STR 22 AUG1997 Plan-075 x 178 -050-100 x 041 3 NOV 1998 -025-050 x 180 -050-100 x 045 Keratometry : no comment on quality of mires 41.87/43.25 x 093 42.50/44.87 x 113 14 JAN 2000 Plan -050 x 175 +025-100 x 064 Cover test was ortho. Patient did not bring glasses to that visit.
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