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brokensoldier244th
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Posts posted by brokensoldier244th
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Thats okay, Ive been pestering Chris Attic at Veterans Law Blog for 2 days to cite where the exact changes he is discussing occur in the M21. So far I see a lot of conjecture and what if and a whole lot less of what it actually says, and I have chap 2 and 4 downloaded.. Its great for page count visits to his blog but he doesn't really say WHAT changed- just his interpretation of what he thinks it means, and even so does not show what it said vs. what it says now.
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Especially for something like SA.
DIC comes to mind as one very good reason.
- TALON II FE, Vync, FLTMEDOPS and 1 other
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That was my opinion on another forum and I was pilloried for it. Yes, the letter for necessity may be a pain, but its better than just having OSA and getting a CPAP and getting 50% BAM. Im sure there are doctors that will issue that stuff since insurance pays for it that don't document the rationale why they prescribed one- and even if they prescribed it that should take care of the letter requirements anyway. Not sure what the doom and gloom is to the first part of this change. I also see that Chris does not cite the relevant portion of the criteria, either.
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Of course its in the notes, as it should be. Would you rather they don't put it in the notes?
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Thats really a banking question, if im understanding it correctly. They can mail you a check (risky) or do direct deposit but where you are going would/should have a branch of whatever bank you use. It would make it easier. Like, my current C/P goes to my local bank but if I was moving out of country id move all my accounts to a Wells Fargo or USAA or something with an international presence that is known in the US also. Local presence where you are going, but also a familiar presence here. Best of both worlds and you don't have to worry about weird local banking regulations or rules in your country of choice.
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Bilateral factor is calculated after bilats are all factored up. You don't add 10%, you take the bilats total (combined of all of them) and multiply it * 10% of that number, then take the 10% of number and add it back to the bilateral combined total.
10 +10 bilat (say, feet)= 20. 20 *10% = 2, Combined now 22%
CAS
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They rated you 20% for left and right upper extremity already- they couldn't rate the other separately. The criteria the diagnostician uses for ''mild", "moderate", etc are different than what is in the CFR for the raters. What do the symptoms mesh with in the CFR?
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full excerpt from previous post.
CAS
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Of course it should be limited. Its a factual reality. They have X money to do Y with. The rational solution is to limit care in such a manner that it does not endanger the veteran in favor of being able to treat more veterans in the population as a whole- otherwise the VA Medical would just have to roll up its sidewalk every several months until the next budget year. Gas shortages and bread shortages at a supermarket are apt comparisons. Id rather they treat the population as a whole than expect Cadillac care. Im willing to settle for a Civic when I know that three other guys/girls are going to be seen, also.
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There is a delay of a few days for normal records, and at least 3 or more days for MH. Ive compared MyHealthVet and things ive gotten from Release of Records for the last few years and its been fine, so I just get them from Blue Button anymore, and every few months update what I have at home. Its not the full diagnostic paperwork that an insurance company might request but it is certainly enough to use to provide as evidence supporting something like an SSDI claim or LTD employer policy, and faster to get to.
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Bilat 30% comes out to 33%. You do Bilat math first, then the rest of the disabilities after.
https://www.microhealthllc.com/bilateral-va-disability-rating-compensation-calculator/
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Id go get a hearing test from audiology and mention it to them. Speech discernment is part of the test, and tinnitus usually also masks high frequency sounds so your audiogram will show that.
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Does your doctor say your PTSD causes your tinnitus? Its a nerve damage to the inner ear usually brought about by percussive or continuous exposure to loud noise. Id go that route instead. Look at your service jacket and find what you did- was it noisy, continuously, for long periods of time?
I was around loading equipment and stuff all the time (92A)( for example) so I have tinnitus in both ears. It was not difficult to draw the correlation, and there isn't a test they can do for it specifically- more like, i have trouble with speech discernment in noisy environment because my brain is always processing the constant noise from my ears.
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NO, if they only have X for a budget for the dental clinic, then that is what they have to work with. Implants are cosmetic dentistry that is expensive and doens't always take. I get it, we are entitled to dental care. That doens't mean porcelain veneers. It sounds like some of your dentists are trying to work with you within the constraints of the system they have in place. They don't set their departmental budgets, and the VA gets less money every year. Try looking at the bigger picture. Just because you want implants, and your neighbor got them doesn't mean you will get them - from the VA, anymore than you are going to get designer frames for glasses. If your VA dentist thought you needed implants then they would have told you. If your civilian dentist told you you need implants then they are trying to sell you something because they make a profit on it, not always because you need it. Its not coming out of their budget if you get implants- YOU pay for it, so they can tell you that you need whatever. It doesn't cost THEM anything. Im always suspect when my civilian doctor and my VA doctor are of different minds completely about something for this reason.
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Okay, not your dog. But no, they do not. Implants are not required dental care, not even in civilian dentist offices. Search many insurance plans- they are considered cosmetic.
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I dont' get sub par care, but I also am a realist, and realize that there is no point wasting limited monies and resources on someone that is not going to follow through on their end of care. This is not a denial of benefits- you don't get carte blanche whatever the hell you want. They are attempting to care for you, you just don't like what they have to say.
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Valid point as well. they are pretty limited in what they can accomplish as a specialty clinic, unless you have a full on hospital near you. Ive never had bad care from them, just conservative care.
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And that miserable, sub par dentist has multiple years of schooling and several degrees in their field. Why are you telling them how to do their job when they wouldn't try to tell you how to do whatever you did in the military? You may not like his advice but I would advise you to listen to what he has to say- he has you trumped in the expert department and refusing to help him help you just makes you obstinate.
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It, however, is NOT his job to provide non-responsible care, or care that deprives other veterans that DO take care of their teeth of his services or resources. You can file a complaint, I suppose, but this is not out of the ordinary at all for any medical clinic. They are required to give you care and advice- and advising you to put in some of the work before they will perform certain services is fully within the realm of their responsibility to you and to others.
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They can rate 0% but still service-connected .
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Being IU does not restrict or preclude travel. That you can travel has nothing to do with whether or not you can work.
Criteria the VA uses to assign a 50% rating to VA Sleep Apnea Claims has just changed
in VA Disability Claims Research
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I read that Part 1 portion already, but if that's all the change is, whats the big deal? The way VLBlog is spinning it its a huge doom and gloom factor about having to prove necessity. If someone never had to have a medical nexus for a CPAP and 50% rating before this change, thats just dumb. Anyone could just go buy one, then, and then try to claim a 50% rating. The part 2 portion is good, though, because other assistive therapies have been around for awhile.