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vperl
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Posts posted by vperl
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AL = ALABAMA ALASKA IS AK ( SORRY NOT SHOUTINHG)
Actually I think AL is Albania
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How do you determine the amount that SS will pay? From what I have heard CHAMPVA is almost like medicaid, it is accepted by most doctors. Has anyone had a problem getting CHAMPVA accepted or finding a doctor that will accept it? What about my VA claim?
Call SS and ask them the procedure to find out, bet it is a form......fill out and mail
mericad=ChampVA that is the word..... one fee each year very small
fewer Doctors do ChampVA
GET a VSo to help you file the claim, but be aware what is happening every step....
Look in phone book goto your county services, most counties have a Veterans Service Office..... what state and county you live in>???????
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Update:
I was awarded 70% SC for PTSD this last fall. However, things have gotten much worse. I have been working with my VSO on this and she is going for 100% P&T. I didn't think that it could get much worse, but it has. I found out that my C&P exam that was conducted by QTC gave a strong recommendation of a high rating and assigned a 35 for my GAF score that day. I have not worked for about 11 months now. The kicker is that my wife is in real need of medical insurance. We did not have enough money to keep up the COBRA payments for the insurance that I had from my previous employment. I have heard that if you get a P&T rating that you are eligible for CHAMPVA insurance. I am hoping that I can qualify for this as my wife has been diagnosed with a serious disease. I am 30 yrs old. Do you think the VA will award 100% P&T? I have heard that the VA is reluctant to award this to younger vets. My psych wrote another letter in support of my claim that outlined how I am getting worse and which my VSO said will be strong evidence to support my case. I am scheduled for a C&P exam soon and apparently they want to talk about how my SC PTSD affects my ability to work. My previous PTSD C&P was only a few months ago so I think they are using those results for the decision. I hate to admit this, but I really do not have the capacity to work right now. What do you think? Do you think my case is strong?
Also what do I need to do to get SS? I have worked 9 out of the last 10 years so I should qualify for it right? Just asking. I would appreciate your advice.
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I think you need 40 quarters of paying SS, your payout from SS may not be much for 10 years but I figure you qualify but it is tax free Yes, your wife ChampVA, her costs are very small... she has to find a doctor that does ChampVA
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No need to Google ICD- That's something I know about! I just can't figure out why you still have to be questioned and put thru the mill. Doesn't make sense...but then you know how it goes.
&777777777777777777777777777777777777777777
The VA C&P people do not know the regulations that concern heart conditions or know the regulations
that concern what tests they are by regulation CFR 4.104 they can or cannot make a veteran take for heart tests,
if the veteran has an ICD. I expect to be rated at 60% becasue they, the VA RO's are incompetent
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Well you better get over there to social chat sledge and commander bob are advertising big time with pics and all. I have already tried to warn larry j as i think they have stole his patent and it is pending from what commander bob said.
I may have to resort to legal action, I think I can one in trouble...... he has a foil hat business and is TDUI..... I will tattle to VA
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vperl...
Sounds like you've been put thru the mill! I hope all goes well for you. With your medical history it sounds like a sure thing.
I do appreciate the VA regulation info you've attached to this topic. I actually understood requirement wise, etc. Just don't know if I fit into the picture at this point. I guess time will tell on all of this. Thanks for your help and good luck!
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in the area of the IHD and getting a 100% P&T rating I qualify for the 100% because of my ICD. ( Google ICD ) for more info.
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To heck with it i am going back to the tin foil section over at social chat.
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Skunk, I think I warned you already, I have the Tin Foil Hat concession here on Hadit.com
Your stepping on my turff......
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No i said any and all residuals that might arise in the future. I was filing for emphesema not spelled right but i also said any and all residuals that might arise in the future.
now whether that did me any good is unknown if i do have ihd
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get legal advice on that
I doubt the VA or the legal system will allow a such broad interpritation, but who knows, get pro advice....
If that works, I am filling a claim for anything that ever has happened and might not be known today that causes me a change in my health...
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If a Veteran is awarded 100% P&T and then gets another 100% P&T Award along with 10% plus 10% plus 20 %
and is single is there a SMC that covers the second 100% P&T ? Both awards are single 100% P&T IHD and PTSD
It is possibel I think I met a guy like that last week, but I never thought to ask him....
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ok i filed for residuals of agent orange a long time ago if i remember correctly.
Did any of the three residuals have any thing to do with Heart disease ?
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E.& F. I believe they will have to pay you back to when you first filed for any one of the 3.
I believe if you filed a blanket claim ,which i think i did, you will qualify from the time you first filed. I am guessing.
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on the below post you are picking A, B, C as your answer... you cannot have all three one only with reason
remember no prior claims denied or opened or anything from 13Oct2009 and BACKWARD
Just new people filing New claims for the very firsrt time.......13Oct2009 and forward only
did you ever file for any of the 3 Prior to 13Oct2009 if so that is not the question
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Being diagnosed maybe the easiest part, you have to have the right sores, the right lousy terrible scores that show how ill you are.....
Not good for you as a person, but good for the higher percentage of compensation....... I also have IHD so we share this crap also...
The tests and recent tests in last 6 months the VA C&P guy danced around me like little girl in toe shoes.... asking me questions that the 5 inches of medical records showed and the three tests the VA gave me... ( My VA C&P guy did not care about the tests I took in 1999, he wanted recent tests... guess he thinks my heart healed it's self..)
These tests measure blood flow.... the lower the number the higher the compensation and the worse your health.
I posted many times in this thread what METS Scores you need to get 30 % 60% and 100 % with all different added other reasons you
can get a higher compensation rating......
The VA by regulation has to give you 60% disability for 29 METS....
The information is posted below.... for all to read...
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QUOTE (hawkfire27 @ Mar 28 2010, 03:41 AM)HI chr49,
It seems to me that as long as you have atherosclerosis on your list of diagnoses, then you have an IHD claim. because you don't have a lot of records???? Then they will schedule a c&p or two to gain more information about your atherosclerosis.
Now the question is what % you get. Well that all depends on the MET's etc.
Even if you get SC at 0% that is still a connection, so that if things get worse (knock on wood) that it will be easier to upgrade than get it SC'ed from the start.
Thanks to all...
I'm pretty thick sometimes but I'm sensing a conflict of opinion on this. Please forgive all my questions, I'm pretty ignorant when it comes to this VA stuff so it's best to stick to the point with me. I simply want to do things right the first time around.
If the proposed regulations state the following why do I need a clear cut diagnosis of IHD?
"According to Harrison's Principles of Internal Medicine (Harrison's
Online, Chapter 237, Ischemic Heart Disease, 2008), IHD is a condition
in which there is an inadequate supply of blood and oxygen to a portion
of the myocardium; it typically occurs when there is an imbalance
between myocardial oxygen supply and demand. Therefore, for purposes of
this regulation, the term ``IHD'' includes, but is not limited to,
acute, subacute, and old myocardial infarction; atherosclerotic
cardiovascular disease including coronary artery disease (including
coronary spasm) and coronary bypass surgery; and stable, unstable and
Prinzmetal's angina. Since the term refers only to heart disease, it
does not include hypertension or peripheral manifestations of
arteriosclerosis such as peripheral vascular disease or stroke.
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Ok, here is where the rubber meets the road.
Retro date starts for AO 3 presumptive for those that never filed till after 13Oct2009
and the Nehmer does not apply.
This is the qualifier....new Claim, never before made any AO claims on the 3 presumptive
till after 13OCT2009
A. Retro starts 13Oct2009
B. Retro starts day you filed the new claim
C. Retro starts day proposed rules published
D. Retro starts day the Final Rules are published in Federal Registry
E. Other ____(fill in blank )___________________________________________________________________
F. Retro date not determined yet, to be announced
explain why you think what will it be A - F pick one
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I am thinking about getting some IMO's to help SC some illnesses, and I was wondering what sort of DOC I should get the medical opinion from.
Diabetes?
Prostate?
Eye Problems? Optomotrist?
COPD?
Do I just get a regular primary care type doc or should I see specialists? If I should see specialists what type? If I see a primary care doc does it have to be an "MD" or can it be a "DO".
Thanks in advance
Hawk
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type 2 diabetes
several things you need in your medial records
Have you been diagnosed with type 2
You need recent A1C test ask your VA PCP for one
You need to be on Medication, Metfourman or what ever
You need to state your on a diabetic diet.... ( that is important for getting the award )
Do you try to exercise, answer . . . . . Yes I try
you have to state this, and more when asked
Current A1C, diet, exercise, medication......
They may ask you about ED..... it started just before Your diagnose most likely or there abouts
Seems all they need to know is your undermedication and the A1C proves you have Type 2
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OK...I'll bite. I read this over 4 times..then I looked up 'Remand' - An appeal returned to the regional office or medical facility where the claim originated - to be sure I wasn't completely crazy in my understanding.
Maybe I'm full of it but it sounds to me like BVA didn't like what they were looking at in this vet's claim. I know a remand means more waiting, but if the outcome is positive for the vet it could be worth it. In this case, let's say the claim had one or more IMO's stating that it was 'more likely than not' and this one examiner said it 'is less likely than not'. Isn't it possible that the BVA is sending it back to 'offer a complete rationale for his opinions, expressed in the examinations referenced above, that it is less likely than not that the Veteran's hypertension or heart disease are related to or aggravated by the Veteran's service-connected PTSD' because they think the examiner didn't offer proper documentation and his statement doesn't support the evidence in the rest of the claim? They say they want an addendum, which tells me the examiner didn't show or give proper rationale for his statement. I've read it and read it and it really sounds to me like they are giving this vet the benefit of the doubt on this one, as they are supposed to. Call me crazy...I can take it. Of course, one could say that they should simply weigh the positive IMO over the examiners....but maybe there were no IMO's and they are simply looking over the evidence...all food for thought.
Hey, I'm new at this!! I can think positive.
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just TO MAKE YOU FEEL GOOD, " your CRAZY" AND HAVE FLAT FEET
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HI chr49,
It seems to me that as long as you have atherosclerosis on your list of diagnoses, then you have an IHD claim. because you don't have a lot of records???? Then they will schedule a c&p or two to gain more information about your atherosclerosis.
Now the question is what % you get. Well that all depends on the MET's etc.
Even if you get SC at 0% that is still a connection, so that if things get worse (knock on wood) that it will be easier to upgrade than get it SC'ed from the start.
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IHD must be diagnosed and provable by Medical records, THE RESULTS of about 5 or so tests the C&P folks will use
to determine the percentage of disability.
The tests will list either a EF or METS scores.....
look at the file below and compare what type of IHD and the Mets
below 3 Mets 60%
3 METS and above 30%
The VA stated in the proposed rules most vets will get 60% for IHD
Once you get the EF and METs SCORES THEN......YOU WAIT TILL THE PROCESS WORKS THROUGH THIS LONG TWISTY ROAD
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Okay . . . you lose. I was just giving you my opinion and how I'd approach it.
pr
Outstanding
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Did your friend put in for a secondary condition related to PTSD? (Like HTN and CHF secondary to PTSD?) Something new they pull is to schedule vet for C&P for medical issues secondary to PTSD, then tell the medical examiner not to give an opinion, after the exam, and order another C&P with behavioral health to diagnose medical conditions secondary to mental(behavioral) ones.
I know of this first hand and am waiting too... :)
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C&P with behavioral hEALTH, WHAT IS THAT ALL about
No PTSD is his single claim.... he may file others but not now.... it has been tuff to get this far withhim
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Skunk and vperl!
Thanks for the laughs...I needed them!
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I like to help the underpriviged doggies, my mission is to be kind to those that are in need of our team
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Looks like that is correct but, "I feel," with two exceptions. One would be if the vet ever filed a blanket claim, for AO, years earlier and the other would be if the IHD was diagnosed earlier. I feel the case can be won but obviously the VA wouldn't publicize it, as it would cost too much. I think Nehmer would cover that but bow to Berta's expertise on the subject of Nehmer. jmo
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If you were diagnosed, but failed to file a claim...... for IHD , theVA could care less I had IHD when I forst went to the VA...
I never filed any Heart or Heart related things.
13 days after the AO presumptives were announced I filed.... we are not talking of Prior filings and the Nehmer ruling.
This question is about on the 13Octt2009 the day the first filing could be made for the very first time...
What is the date these new claims start retro, the day one filed on or after 13Oct2009........
or
The retro starts the day the Proposed rules were published, or worse yet.... the day the retro starts is the day the FINAL
Rules are published sometime on or past AUGUST 2010 ?
Forget all else
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Well when i read your story,it brought me to my senses.
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Senses, I got no skinking senses....
I is old crazy vet
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Whew, chr49 i sure hope you can get it,i will be praying for you big time.
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Skunk, tomato juice is expensive...... but your worth it...
people can read this file and see what diseases and what ratings the VA will most likley use....
One thing to note, during the IHD P&T exam they are looking for test you have had done....
no tests they will schedule many tests to get your METS & EF scores.
It would be best for you to get your PCP to schedule a MUGA, Cardiac Sonigram, and a tread mill test, or the other tests...
If you got nothing to show .. No METS or EF scores your spinning your wheels and putting things off
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Sorry this is so long. I'm 61 - Vietnam Vet and I'm currently rated 50% PTSD.
I have the following diagnoses on private and VA records:
. R leg PVD- with superficial femoral occlusion per private hospital-2002
. L leg PVD- for which had angioplasty/stent per VAMC -2008
. R carotid artery occlusion per carotid ultrasound(told inoperable)VAMC -2008
. L carotid artery stenosis per carotid ultrasound VAMC -2008
. Hypertension - since 2005 per private & VA records
. ED - since 2002 per private & VA records
Private hospital records from 2002 show a diagnosis of 440.0 Aortic Atherosclerosis and 440.21 Ath Ext NTV AT w Claudct on my Diagnosis Summary. Procedures were: Contrast Aortogram & Contrast Arteriogram-leg. The Contrast aortogram findings: " Single right & left renal arteries are widely patent. There is slight atherosclerosis of the infrarenal abdominal aorta. There is no appreciable infrarenal abdominal aortic aneurysm. There is no moderate or severe stenosis of the infrarenal abdominal aorta." It then goes into description of the Arteriogram which shows a greater than 20 cm occlusion.
Since then, I have gone thru several tests and procedures with the VA, for which I have not received records at this point.
Several questions: Should I file any of the above diagnosis's secondary to my PTSD? Do I have a claim for IHD? Should I simply let it all go? I believe the fact that I avoided all medical care from my discharge in '71 - '98 would make a claim difficult to prove.
I would really appreciate any advice I can get since I have very little knowledge on filing VA claims.
Note: I do not have health insurance so it would be very difficult for me to work outside the VA right now.
Look at the federal regs as to whatthe % of disability there are for Heart diseases
http://ecfr.gpoaccess.gov/cgi/t/text/text-....1.1.5.2.102.49
This maybe easier to read, downloas the file below
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Sorry this is so long. I'm 61 - Vietnam Vet and I'm currently rated 50% PTSD.
I have the following diagnoses on private and VA records:
. R leg PVD- with superficial femoral occlusion per private hospital-2002
. L leg PVD- for which had angioplasty/stent per VAMC -2008
. R carotid artery occlusion per carotid ultrasound(told inoperable)VAMC -2008
. L carotid artery stenosis per carotid ultrasound VAMC -2008
. Hypertension - since 2005 per private & VA records
. ED - since 2002 per private & VA records
Private hospital records from 2002 show a diagnosis of 440.0 Aortic Atherosclerosis and 440.21 Ath Ext NTV AT w Claudct on my Diagnosis Summary. Procedures were: Contrast Aortogram & Contrast Arteriogram-leg. The Contrast aortogram findings: " Single right & left renal arteries are widely patent. There is slight atherosclerosis of the infrarenal abdominal aorta. There is no appreciable infrarenal abdominal aortic aneurysm. There is no moderate or severe stenosis of the infrarenal abdominal aorta." It then goes into description of the Arteriogram which shows a greater than 20 cm occlusion.
Since then, I have gone thru several tests and procedures with the VA, for which I have not received records at this point.
Several questions: Should I file any of the above diagnosis's secondary to my PTSD? Do I have a claim for IHD? Should I simply let it all go? I believe the fact that I avoided all medical care from my discharge in '71 - '98 would make a claim difficult to prove.
I would really appreciate any advice I can get since I have very little knowledge on filing VA claims.
Note: I do not have health insurance so it would be very difficult for me to work outside the VA right now.
Does The Va Have A Dtuy To Order C&p Exam
in VA Disability Claims Research
Posted