Jump to content

Ask Your VA Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
Search | View All Forums | Donate | Blogs | New Users | Rules 

  • tbirds-va-claims-struggle (1).png

  • 01-2024-stay-online-donate-banner.png

     

  • 0

Closed Claim

Rate this question


hayley3

Question

I submitted my claim and I got turned down, according to the VA because I had not submitted all the information they requested. I resubmitted the information and I then received a notice about an Appeal and it would go thru the traditonal process.

Two years later I received a letter that this is the first step in the appeals process.

Normally I am on top of things, but the VA performed a hysterectomy on me and due to that have been experiencing anxiety/depression along with my immune system problems for which I am trying to get service connected, so my brain was under a lot of stress when I received this and could not deal with it. Long, long story.

Now that I am able to deal with it, it tells me I only had 60 days or the case would be closed. It also says I have a year to submit additional info. It's long past the 60 days.

Is there anyway to get this reopened. I started this process in 2003 right after the hysterectomy. Unfortunately, I didn't know they were going to take my brain when they did the surgery. :blink:

Why do they say to submit additional info up to a year, if they are going to close it?

Any ideas appreciated!

Link to comment
Share on other sites

  • Answers 6
  • Created
  • Last Reply

Top Posters For This Question

Popular Days

Top Posters For This Question

6 answers to this question

Recommended Posts

You can re-open the claim with new evidence.

If you mean 60 day response to the SOC (Statement of Case) the VA is proposing to lower that time limit to 30 days-

Did they ever acknowledge your evidence at all and refer to it in the SOC?

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

Link to comment
Share on other sites

On the second page it does say Statement of Case.

I do remember the reason they denied it now, it was because I didn't give them a LIST of the doctors. I had provided the information, but they didn't like the format I gave it to them in. So I assumed once I resubmitted it in their format, things would be okay. But instead of accepting that info, they just sent it to appeal. It took them two years to send me the appeal info. That doesn't sound right does it?

I'm going to contact the American Legion tomorrow. Maybe they can pull my records.

Thanks!

You can re-open the claim with new evidence.

If you mean 60 day response to the SOC (Statement of Case) the VA is proposing to lower that time limit to 30 days-

Did they ever acknowledge your evidence at all and refer to it in the SOC?

Link to comment
Share on other sites

  • HadIt.com Elder

hayley3,

If you could give us more information on your claim/appeal, such as date filed original claim and for what disabilities, date of the rating decision denying any claims, date you sent them a NOD, and any dates of SOC's or SSOc's, this would help us great deal as to giving you information as to what options are open to you.

Vike 17

Link to comment
Share on other sites

Hayley,

what i would do is submit new evidence to corroborate claim.you said va would close your claim in 60 days.Sometimes they give 60 days to submit new evidence and if you don't submit new evidence they would go ahead and work claim with the evidence they already have.Since you already have a timely appeal in, that's the reason you still have a year to submit new evidence.if you don't have a VSO, get you one to help you,But you can always help yourself by getting all your information from your private doctors and submit it as soon as possible.

mobie

Link to comment
Share on other sites

Thanks everyone!

My case was a little tricky in that I got a jerk for a doctor.

Instead of giving me a diagnosis, he said I have either Inflammatory bowel disease or reactive arthritis. The inflammatory bowel disease was ruled out by a colonoscopy, and so...., even though that leaves the other diagnosis, which I am claiming, they denied it.

The service connected disease I have is related to the arthritis.

I'm not sure what new information I could give them. I don't think they looked at anything I sent them. I also thought that they would follow the reasonable doubt rule. I would not have submitted this without being 100% sure it was service connected.

Thanks!

Link to comment
Share on other sites

  • HadIt.com Elder

You can appeal a VA decision when you are turned down or not awarded benefits for 1 year. If you are appealing a decision that was less than a year ago you need to fill out a Form 9 to protect your claim. Any Service Officer can help you with this.

To reopen your case you need new evidence. This is not as hard as it looks just a simple Doctors opinion can do it.

Good Luck you can learn a lot at Hadit to help you with your claim.

Pete

Welcome to Hadit

Veterans deserve real choice for their health care.

Link to comment
Share on other sites

Guest
This topic is now closed to further replies.


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • KMac1181 earned a badge
      Week One Done
    • jERRYMCK earned a badge
      Week One Done
    • KMac1181 went up a rank
      Rookie
    • Lebro earned a badge
      First Post
    • stuart55 earned a badge
      Week One Done
  • Our picks

    • Caluza Triangle defines what is necessary for service connection
      Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL

      This has to be MEDICALLY Documented in your records:

      Current Diagnosis.   (No diagnosis, no Service Connection.)

      In-Service Event or Aggravation.
      Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • VA has gotten away with (mis) interpreting their  ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.  

      They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.  

      This is not true, 

      Proof:  

          About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because  when they cant work, they can not keep their home.  I was one of those Veterans who they denied for a bogus reason:  "Its been too long since military service".  This is bogus because its not one of the criteria for service connection, but simply made up by VA.  And, I was a homeless Vet, albeit a short time,  mostly due to the kindness of strangers and friends. 

          Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly.  The VA is broken. 

          A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals.  I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision.  All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did. 

          I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt".   Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day?  Va likes to blame the Veterans, not their system.   
    • Welcome to hadit!  

          There are certain rules about community care reimbursement, and I have no idea if you met them or not.  Try reading this:

      https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/

         However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.  

         When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait!  Is this money from disability compensation, or did you earn it working at a regular job?"  Not once.  Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.  

          However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.  

      That rumor is false but I do hear people tell Veterans that a lot.  There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.  

      Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.  

          Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:

      https://www.law.cornell.edu/cfr/text/38/3.344

       
    • Good question.   

          Maybe I can clear it up.  

          The spouse is eligible for DIC if you die of a SC condition OR any condition if you are P and T for 10 years or more.  (my paraphrase).  

      More here:

      Source:

      https://www.va.gov/disability/dependency-indemnity-compensation/

      NOTE:   TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY.  This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond.    If you were P and T for 10 full years, then the cause of death may not matter so much. 
×
×
  • Create New...

Important Information

Guidelines and Terms of Use