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About mssoup1

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    E-5 Petty Officer 2nd Class
  1. I have not posted in quite some time, but as I read this post, I wanted to reply. I have Champva and while they have been great to me, I am sure not everyone has experienced this. If you need to see your EOB, you can do that online now through the Champva website. In fact, you can also access your Medicare EOB's from their website as well. They are not available though to see until some action is taken on the claim you filed and that still does not mean you may not end up having to make a call to them. But if you know the bill has been paid, then you should be able to access the EOB showi
  2. My husband is on fee basis outside of the VAMC because they no longer have a dermatology department. He was granted the fee basis and told to find a doctor who would accept him on a fee basis from the VAMC, then call them back and let them know who the doctor was. They then wrote a letter to that doctor, with a copy to my husband, stating that the VAMC was approving the outside care and to bill the VAMC. They also stated the terms of the fee basis visits; i.e., 4 visits within the next 6 months, then further approval would be needed for more visits, if needed. The doctor would have to requ
  3. I'm not sure that I am really for veterans using attorneys, but, there are cases where I still think that they could help a veteran. I have used SO's in the past for my husbands claims. Even though they were listed as his POA, I did all of the work and had to do research to try and figure out what it was I needed to do because the SO was not always up to par in being able to help me. The only correspondence I really would have with the SO was when he was assigned as my husbands POA and when I called to tell him the outcome of the decision on the claim. Yes, I had to call him. It took a
  4. Dean, I sent you an e-mail on your posting. mssoup
  5. Just my thoughts a few questions asked. As far as getting unemployability goes, the VA is basically rating you this way because you are stating that you have service connected disabilities which prevent you from working, therefore, you are considered to be unemployable. I have read where some veterans are rated this way, but still work. I am not saying that they should or shouldn't, but with the way the government is trying to reduce various ratings veterans are receiving, I would think twice about working. If you get a questionaire or the VA finds out by any other means that you are wor
  6. Just a followup. I filed a claim for my husband for hypertension. He is currently on medication and for the most part it had been controlled, until, as usual, the VAMC discontinued what he was taking and put him on what they stated was an equivalent to what he was on. While his BP is basically doing okay, it is not doing as well as it was. But to my point, he was service connected for his hypertension, but since it was considered controlled with medication, he was given a 0% rating. Just thought I would add my experience with this type of claim. mssoup
  7. Just thought I would add a few comments based on my experiences I had. The statement "The NP cannot override a Licsened MD" is not always true. A NP gave my husband an exam, but there was the doctor who oversaw her that signed that he agreed with her assessment. This, even though he had not even looked at my husband. We also had an IMO and was written in my husbands favor. The VARO denied the claim, based primarily on the NP's C & P. Also, as far as getting C & P exam results and finding out that they are inadequate. I would get my husbands C & P exam results as soon as th
  8. I am sure this has been asked and answered here before, but I could not find it. Can anyone tell me how often a veteran can receive a pair of glasses if he is eligible to receive them. Is it once a year, every two years? What happens if they break or lose their glasses? Thanks mssoup
  9. If I was not allowed in with my husband on his regular visits or C & P exams, I would immediately get up, go to the Patient Advocates office and blow my stack there. I have had to use the Patient Advocates office more than one time and they have been helpful in getting any problems resolved in our favor. The Patient Advocates are there to assist the patient with any problems that they have, regardless of what they are. For us, they have been quick in getting back with us on any resolution to the problem. I know that VAMC's are different, depending on where you live, but it shouldn't
  10. My husband has had a number of C & P exams done in the past and I have been with him on all of them. I didn't ask if I could be in there with him, I just walked in and sat down. I don't know of any regulation or rule that states that you cannot have someone with you during a C & P exam. Even if the examiner states that the spouse or whoever cannot stay with the veteran during the exam, the veteran should be able to state that they want that person there with them. When my husband first starting seeing the psychiatrist he sees now, she never really stated I could not go in with
  11. I personally have this and have to stay away from a lot of foods, especially those which I tend to love but can't have. While foods can cause the problem to be worse, so can smoking, alcohol and most of all, NERVES. As to what causes it, I don't really know. I know in our family it apparently is partly due to being hereditary. I have 7 siblings and most of them have some sort of GI problems, including IBS and Chrohns. My mother had colon cancer and now everyone in my family is tested every couple of years by having a colonoscopy done. I have had two stomach surgeries done in the past a
  12. If you have Medicare and a secondary insurance, then the VA cannot bill either one. They cannot bill Medicare since this is not allowed. And since they cannot bill Medicare for the service, your secondary insurance will not pay anything. If you only have a private insurance and not Medicare, then, yes, the VA can bill them. But, it is my understanding that the VA accepts whatever the private insurance approves and pays. You should not be billed for anything. If this is not correct, then I am sure someone will come along later who knows more about this and respond to your question.
  13. While my husband had a BVA traveling board hearing instead of having to go to DC, I think that the hearings are all the same, regardless of how or where they are held. I posted the experience that we had earlier and have copied that posting below. Hope this might be of some help to you. Just my 2 cents worth since I have been before two BVA hearings before. These were in person at the VARO office.Try to be as calm as possible. Getting nervous or upset will only cause you to forget important things you want to make sure you get communicated to them. Just remember, they put their pants on t
  14. You stated that your shrink was willing to write something up for your husband and you wanted to know if he could do that since he was your doctor. If he is a psychiatrist, would be willing to look at your husbands medical records , test him, talk to him and then render an opinion, then I do not see why the VA could deny the report and not use it. Just because he is your psychiatrist doesn't mean that he cannot treat your husband as well. Most psychiatrist don't like to do this, due to a conflict of interest, but there are some that do. There may be others, though, who know more on this su
  15. Kenny, I agree with Josephine in that your C & P reports should have already been completed and available to the RO to look at. It is also my understanding that the RO has a time limit on when they expect to be able to retrieve the report after the C & P exam has been completed. But, then again, I am not sure that this is being followed. In my husbands case, it wasn't. If I had not thrown such a fit about his report not being available after a period of time that I felt it should have been, no report would have ever been available as the doctor went on vacation after my husbands
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