Briefly here is my case:
I am SC'd for multiple sclerosis and chronic deep vein thrombosis. Just recieved in December 2008 an increase in SMC, to the M level, for loss of use of 3 extremities. Once that decision was made I decided to ask for Aid and Attendance. Now all I did was send a short letter to the RO, that I was requesting A&A. Of course I did this not knowing that there are actually 3 levels of A&A.
So here are my questions for this very confusing and complicated process. Should have I asked for A&A at the level of R1, which I am seeking? Or will the VA know that I am asking for the R1 level, because I am already rated higher than the regular A&A at the Level?
I am rated 100% for loss of use of both lower extremities, 70 percent for loss of use of right hand, 60 percent for deep vein thrombosis, and who knows what else. Im pretty sure I fit the criteria for A&A at the R1 level, but who knows? I read so many thoughts on this process that I am dizzy. Should have I asked for A&A before last decision, instead of increase to SMC M?
I need the A&A because my wife needs to assist me with my daily activities, such as bathing, eating, adjusting my right leg AFO brace, dressing me, INJECTING MY MEDICATION ,ect. So should I fill this VCAA letter fully even though all medical documentation is at the VA? Or just say expedite asap"? Also on the Medical Statement, my PCP is the VA, so should I have her fill it out or will the C&P examiner fill it out if an exam is required?
Sorry I guess this wasnt brief, but I have never had the undesirable chance for a claim being denied. I just want to make sure I have all my ducks in place before I send this back. Thanks