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

Really Concerned About Reopening Ptsd/mst Claim

Rate this question


cowgirl

Question

  • HadIt.com Elder

Trying to keep on task, but today my feelings are really deflated. Long story shortened, for years been unhappy (aka depressed) that I didnt appeal original claim disability issues. Really think I was in denial for years for depression, didnt start counseling until near decade later.

Edited by cowgirl

For my children, my God sent husband and my Hadit family of veterans, I carry on.

God Bless A m e r i c a, Her Veterans and their Families!

Link to comment
Share on other sites

  • Answers 20
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

Recommended Posts

In this case, "perfect" is being used as a verb.

As I understand it, "perfecting a claim" is the process of accumulating and organizing your claim's evidence, to get it ready to submit to the VARO for a decision. It's the stage of the claims process that comes after meeting the "well-grounded" requirements of a claim although there usually isn't any distinct line between one and the other since most vets send in all their evidence at the very beginning...but often you get additional evidence later and send it in as you get it. Or the VA takes a while to locate records. In these cases, you can't send in everything up front.

You could say that meeting the well-grounded criteria for a claim is Phase I of the claims process and perfecting your claim is Phase II...even though you can really be doing both at the same time.

But I mention the two "phases" because if a claim is not well-grounded, the VA has no duty to assist and will just deny said claim right up front. If the claim IS well-grounded, the VA's duty to assist then begins. So this phase of perfecting a claim is you getting your evidence together and the VA has to help you get any medical records re: your claim.

It doesn't mean having a "perfect" (used as an adjective) claim.

Hope that makes sense,

- John D.

Perfect Claim? I am currently sc for mdd, thank God. Gotcha on gaf. Just truly believe mdd (with clearly stated ptsd.mst. anxiety diagnosis) should have EED SC to original claim. Again, trying to understand 'perfect'. thanks, spinnin' cg here. :D

70% TDIU/P&T

Army - RVN - 1969-70 (10th Cav/4th ID, II Corps RVN)

USCG - Galveston, TX - 1976-78 (USCGC Valiant, WMEC 621)

Link to comment
Share on other sites

  • HadIt.com Elder

Thank yee Cloud, got quite the understanding of perfect (accumulating&organizing) related to legal papers filing. So, after I reopen a claim, if I dont have it all together, I get to 'perfect' the claim by supporting it with the 'total data' evidence I have. Mmm, praying the VA raters sees it as 'perfect' also. Will update on progress, thanks again, g'nite,cg

In this case, "perfect" is being used as a verb.

As I understand it, "perfecting a claim" is the process of accumulating and organizing your claim's evidence, to get it ready to submit to the VARO for a decision. It's the stage of the claims process that comes after meeting the "well-grounded" requirements of a claim although there usually isn't any distinct line between one and the other since most vets send in all their evidence at the very beginning...but often you get additional evidence later and send it in as you get it. Or the VA takes a while to locate records. In these cases, you can't send in everything up front.

You could say that meeting the well-grounded criteria for a claim is Phase I of the claims process and perfecting your claim is Phase II...even though you can really be doing both at the same time.

But I mention the two "phases" because if a claim is not well-grounded, the VA has no duty to assist and will just deny said claim right up front. If the claim IS well-grounded, the VA's duty to assist then begins. So this phase of perfecting a claim is you getting your evidence together and the VA has to help you get any medical records re: your claim.

It doesn't mean having a "perfect" (used as an adjective) claim.

Hope that makes sense,

- John D.

For my children, my God sent husband and my Hadit family of veterans, I carry on.

God Bless A m e r i c a, Her Veterans and their Families!

Link to comment
Share on other sites

  • HadIt.com Elder

"Perfecting your claim" also means being well versed with Title 38. Know and apply the rules and regulations that support your argument/claim. ~Wings

USAF 1980-1986, 70% SC PTSD, 100% TDIU (P&T)

Link to comment
Share on other sites

  • HadIt.com Elder

I want to thank everyone here at HADIT for the help on my concerns reopening my claim. Emotions and facts are tough to combine or seperate. For now, I feel that I can at least try my best. I think having a place to discuss the 'ifs/ands/buts' of this alien VA regulation world helps so much. Its special being here cause there are few places other than HADIT where we can get sincere help while struggling to confirm our military (and VA) experiences and disabilities. My husband, a dedicated listener, just doesn't speak 'militaryize'. My plans, at this stage are to reopen the claim for specified psych and health issues, organize (re-organize) my information, get a correct IMO, review Title 38,MFR etc. and submit a perfected package to the best of my abilities.tryin' to cg'up here!

"Perfecting your claim" also means being well versed with Title 38. Know and apply the rules and regulations that support your argument/claim. ~Wings

For my children, my God sent husband and my Hadit family of veterans, I carry on.

God Bless A m e r i c a, Her Veterans and their Families!

Link to comment
Share on other sites

Wings,

I don't think a vet MUST be well-versed on VA regs...it would be GREAT if we all were but few vets can do that because of a mental disorder, being on meds for same, not being academically inclined, or whatever. I know I sure can't.

Besides, it's supposed to be up to the VARO, BVA and CVA -- not to mention VSOs/SOs -- to know that stuff. Yes, I know we shouldn't leave that to chance, expecting that those people are savvy re: the regs, but they are SUPPOSED to be and vets can't be expectd to be Title 38 experts.

I agree, however, that a vet should TRY to know the regs that particularly apply to his/her claim because as we all know, no one should care more about a claim than the vet who filed it. But lots of vets have to rely on others to know the "book learning" stuff. And as we somtimes see here, some vets can't even write coherent posts...they'll definitely need help writng statements to the VA and such.

But a vet can at least make sure he/she has all the evidence possible for a positive decision on their claim, rather than sketchy evidence that is likely to get denials and a long drawn-out appeals process.

True, even seemingly "slam-dunk" claims can be denied, but the more persuasive and convincing evidence you have RIGHT UP FRONT, the sooner one's claim should be favorably decided.

cowgirl,

Good luck...

-- John D.

Edited by cloudcroft

70% TDIU/P&T

Army - RVN - 1969-70 (10th Cav/4th ID, II Corps RVN)

USCG - Galveston, TX - 1976-78 (USCGC Valiant, WMEC 621)

Link to comment
Share on other sites

  • HadIt.com Elder

x

x

x

I should have refrained from the verbage: perfect your claim!

All I really meant to say is concentrate on one claim at a time, regardless of how many medical problems are at issue.

Each claim or issue must meet a certain threshold before it's rated sevice-connected.

In the not so distant past, claims had to meet a "well-grounded" threshold; VCAA did away with that requirement and was supposed to be vet friendly . . . not so!

Now that same claim that would have been developed or "perfected" by the vet or SO to meet 'well grounded status' is bounced back and forth trying to meet the VCAA legal requirements.

The vet would have been better off without VCAA - and stuck with the idea of presenting a plausable claim:

Medical evidence of a current disabling problem

Medical evidence of problem while in active military service - you suffered an injury or disease - service medical records are the best evidence

Nexus: You have to prove a medical link or nexus or relationship between the bad thing which happened inservice and the present disability.

Over and Out. ~Wings

Edited by Wings

USAF 1980-1986, 70% SC PTSD, 100% TDIU (P&T)

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

    • Lebro earned a badge
      First Post
    • stuart55 earned a badge
      Week One Done
    • stuart55 earned a badge
      One Month Later
    • Lebro earned a badge
      Conversation Starter
    • Sparklinger earned a badge
      First Post
  • 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