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Caluza Triangle defines what is necessary for service connection
Tbird posted a record in VA Claims and Benefits Information,
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”-
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Tbird, -
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Post in ICD Codes and SCT CODES?WHAT THEY MEAN?
Timothy cawthorn posted an answer to a question,
Do the sct codes help or hurt my disability ratingPicked By
yellowrose, -
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Post in Chevron Deference overruled by Supreme Court
broncovet posted a post in a topic,
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.Picked By
Lemuel, -
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Post in Re-embursement for non VA Medical care.
broncovet posted an answer to a question,
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
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Lemuel, -
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Post in What is the DIC timeline?
broncovet posted an answer to a question,
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.Picked By
Lemuel, -
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Question
betrayed
Could a form 9 be a NOD? When the DVA informed me of my win, he faxed me the dro decision, sleep apnea wasnt listed. When I was on the phone with my VSO I questioned it and he said something about not submitting a NOD.
If you checked you do not want a BVA hearing then what is a form 9 used for?
In Block 9 you list the issues you want to appeal.
In Block 10 it states HERE IS WHY I THINK THE VA DECIDED MY CASE INCORRECTLY: Then you fill in your argument.
OK Heres the story, while in service my X wife used to tell me that she thought I had Sleep Apnea because I would stop breathing at night.
A year before I retire I see a ENT Specialist and he looked in my mouth and said I bet you snore real loud. I said yes my wife thinks I have sleep apnea. Someone wrote in my SMR possible sleep Apnea.
I retire and file for compensation but dont list sleep apnea.
I go to my C&P and the doc and I discuss sleep apnea, she writes it in the C&P Report.
I get 50% and am entitled to care at the VA hospital. June 04 I go to my very first appointment with the PA who is still my VA PCP. We discuss a laundry list of issues including sleep apnea. He puts in a consult for a sleep study. July 8th,04 I get a letter from the VAMC telling me I have a years wait for a sleep study, On July 25th, 04 I file for Sleep Apnea, Depression, and two others which I cant remember. Sep 05 I get a duty to assist letter including sleep apnea but no VCAA Form .Dec 2005 they denied sleep apnea and on Feb 3rd 2006 they mail the letter. Reason for denial no evidence of treatment or diagnosis. I cant argue with that, I dont file NOD.
I know somewhere somehtime I wrote them a letter and requested that the sleep apnea issue be deffered until I could get a sleep study. I cant find this anywhere, in my 3 ring binder my PC files maybe i just drafted it I dont know, my only hope is that THE DVA may have a copy of it.
Nov 2006 Sleep Study confirms sleep apnea, cpap sleep study also confirms sleep apnea.
DEC 2006 I send a fax to the DAV and request they forward it to the VA informing them of the diagnosis. I also fax a copy to the County VSO for their files.
Jan 07 I file a form 9 with 3 issues listed one of them sleep apnea, I check the box I do not want a BVA Hearing and tell them why I think they decided my case wrong on sleep apnea.
August 07 I have formal DRO Hearing (the one I just won won won) In the transcript Sleep Apnea is listed as a issue for the hearing.
Today I get my official big brown envolope for the VA. The info that I won won won came early from the DAV.
So in my official letter dated Jan 10. 2008
I also get a Letter to Assist with a VCAA election form.
In the first paragraph it states (last sentance) We are also working on your reopened
claim for service connection for sleep apnea and hemorrhoids.
Then in big black letters "What do we still need from you"
Then it states You were previouslly denied service connection for sleep apnea and hemorrhoids. You were notified of the decision on Dec 6 2005. (that is the date on the attached rating decision, but the award letter was dated Feb 3rd 06. The appeal period for that decision has expired and the decision is now final.
Now if you go up about 7 or 8 paragraphs you will see I submitted a form 9 1/22/07 which is under a year from the notification letter. Also the fact that this was discussed at the DRO Hearing as a issue ????????
The letter then tells me how to reopen a case with new evidence.
What do you all think????
Betrayed
540% SC Schedular P&T
LOWER YOUR EXPECTATIONS AND THE VA WILL MEET THEM !!!
WEBMASTER BETRAYEDVETERAN.COM
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You hit the street, you feel them staring you know they hate you you can feel their eyes a glarin'
Because you're different, because you're free, because you're everything deep down they wish they could be.
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