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

How To Enforce A Bva Decision.

Rate this question


jamescripps2

Question

I am a Vietnam era US Army Veteran. In October, 2005, I filed a claim with the VARO in Nashville Tennessee for several diseases associated with my Agent Orange exposure during my military service,1967-1970. My claim was denied at the VARO so I appealed to the BVA in Washington DC. The VARO had also denied me a C&P exam, although I had asked for the C&P exam, in writing, many times. I have never been afforded a C&P exam.

.

On November 2, 2009, The BVA rendered a partial grant. Despite being denied access to a C&P exam and based upon my overwhelming evidence I was granted service connection for type II diabetes and chloracne as due to herbicide exposure. Coronary artery disease was also granted as a residual of the diabetes. (BVA decision here) http://www4.va.gov/vetapp09/files5/0941553.txt

Three issues on the appeal, peripheral neuropathy, a hand and foot fungus, and ED were remanded back to the VARO, via the Appeals Management Center. The remand directs that a C&P be preformed and that the claim be re-adjudicated.

The AMC remanded my claim back to the VARO. The BVA decision also ordered that the claim be given expeditious treatment. The BVA’s order for the C&P exam was ignored by the VARO and no exam was ordered. My file was sent back to the AMC by the VARO on March 26, 2010, with no C&P exam having been ordered or performed. There was also no re-adjudication at the VARO as ordered by the BVA. Due to ineptness of the VARO my claim will once again be in limbo for a long time due to the backlog. When the matter finally does come up for consideration it will again be remanded back to the VARO for lack of a proper C&P exam.

My wife and I have been forced to survive on my small Social Security Disability check for more than thirteen years now. It required more than four years to get a favorable decision at the BVA level. The financial strain has been tremendous. The VA has even garnished my SSD check for medication co-pays that I can’t afford to pay. The numerous medications, ( fifteen per month), are for the granted conditions, now proven to be service connected disabilities. We exist off of the Vietnam Veterans of America food program. I have asked the VA to separate the granted issues from the remanded issues and to please give me a rating decision on the granted issues. After five months, I still do not have a rating decision.

I have talked official at the Nashville VARO. They admit that the remand order was not followed and that I should have been allowed a proper C&P exam as ordered by the BVA. They also say that although they sympathize with me, there is nothing that the VARO can do to correct the mistake or to right the wrong that may cost me another year or more in poverty.

I am proud of my honorable military service, but I am ashamed of the VA whose employees are not held accountable for accuracy and proper handling of the veterans claims for the honorable veterans who have served this country! Any ideas as to how to resolve this matter would be appreciated. What are my options and where do I go from here?

Link to comment
Share on other sites

  • Answers 17
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

James- I picked this up early this AM from snakecharmer's site- this is GREAT NEWS!!!!!!!!!!

Like you-I had BVA award of my AO death claim (April 2009)but I had to put a foot up their rear ends to get the cash-had to ask them to CUE their RO award letters 3-4 times-which they did-but they still forgot the cash- and then I had to get the General COunsel involved.And the Sec too- whose letter was handled by Office of Communications and Management and that also became part of the record when I did the big push with the General COunsel.At first even the GC tried to blow me off but it didnt work.The worse battle I had was not the claim itself - but getting the money they owed me in retro.

I finally started getting the proper awards and retros in Feb and March this year-almost a year after the BVA award letter came.

You gave excellent advise here to all- and especially to Nehmer Class Action members like you and me-

VA loves to screw around with some (not all) AO retro claims- and those are the claims that seem to have the largest retro amounts involved.

I dont know why- because Nehmer pays our next of kin anyhow-even if a vet has no spouse or an AO widow dies too.

Then again VA counts on many claimants and Vet reps and NSOs who still don't know that and have never taken the time to read the Nehmer COurt Order.

(When I filed my claim in 2003 my former rep said "Nehmer who?"= the dope-I should have walked out And like many- he too said my claim was 'impossible' to win)

YOU are a True inspiration-

and you prove that if one goes the whole nine yards they will succeed.

Evidence is everything and yet even with the evidence - sometimes you have to practically hit them over the head with it.What I mean is =====making it impossible for them to ignore the evidence.

I COMMEND YOU!!!! 1st CONUS AO AWARD EVER!

Edited by Berta

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

  • HadIt.com Elder

Congrats and I am sure that you have helped a lot of other Veterans

Veterans deserve real choice for their health care.

Link to comment
Share on other sites

The retro check came in todays mail.

The retro check came in todays mail.

Link to comment
Share on other sites

The post was great to view this a.m. "Another Winner!"

Invest some of that check, don't get wild with spending. But most of all, take a breather and enjoy!! :D

Doing the happy dance 4 u...in my mind that is, really in bed and typing my reply.

Be sure to post your 100% in your personal member hadit section, so all can see it.

Link to comment
Share on other sites

  • HadIt.com Elder

James congratulations on your 100% plus award that 5 years of back pay will be a great windfall remember unless you happen to win the lottery that will probably be that last huge check you will ever see again so spend it wisely and I advise you put some cash away for that inevitable rainy day and find out what benefits the state of Tennessee has for 100% disabled vets you will probably have to ask the VARO for letters for your ID cards and your property tax exemptions and your vehicle exemptions and if your state does it for your free fishing or hunting licenses if you do either of those hobbies don't waste it on a new mustang though rofl

Edited by Testvet

100% SC P&T PTSD 100% CAD 10% Hypertension and A&A = SMC L, SSD
a disabled American veteran certified lol
"A journey of a thousand miles must begin with a single step."

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

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

  • 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