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I'm Rated At 100% For Ptsd Is My Spouse Elegible For Any Medical?


About 5 years ago after I returned from Iraq, I filed a claim for compensation and was awarded 100% for PTSD, but not p&t. The award letter stated that there would be a future examination on my claim. Well, I thought by now I would have been reevaluated. My spouse and I recently moved to Texas, and she has not been able to find employment yet, and has no medical insurance. I understand she is not eligible for CHAMPVA because I'm not p&t. Is there something she does qualify for her medical? She is a diabetic and her medical expenses are piling up on us right now. Thanks in advance for any insight you might be able to provide.

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In my previous life I was a Licensed Mental Health Practitioner and it was informally referred to as SSD by everyone. I used to do evaluations for GAU and SSA to help determine eligibility for SSDI. Don't sweat it. If you are awarded SSDI you children may be eligible for a stipend paid to a custodial parent. The kids won't get medical. What is cool is my daughter turned 18 last year and SSA dropped her, but I am receiving nearly the same amount with one dependent. So once you get it and your kids start leaving the nest the child benefit doesn't change much. Now that is for two children. I don't remember if the same thing applies to more kids, but I know their is a cap.

I think a lot of Vets, myself included are afraid if they assert themselves they'll lose everything. I had a similar experience. I was awarded 70% TDIU 100% and it was about 4 years since my award and I went to my VFW DSO and filed a request for P&T award. Within 3 months I had another C&P and P&T, but the key for me was that I had to be the driving force duing the process. The only reason that I got it so fast is follow-up, follow-up, follow-up. It was taking forever for the contractor to send my C&P results to VA so I wrote a letter of compleint to VA that the contracted provider was dragging her feet. I talked to the provider's boss and kept things moving. Download and complete VA Form #21-4138. Make sure you attach supportive documentation indicating in support of P&T. The amount of time to become eligible to use Medicare I will tell you be longer than filing claim for P&T from my experience. Just saying. I even asked and received a note from my VA shrink stating that he "agreed with me, that given my current mental status blah, blah attemtping to return to work would cause my condition to worsten." I think the first line of offense should be pursuing P&T.

Just get the upgrade to P&T and then your dependents will be eligible for CHAMPVA.

Follow the link to the CHAMPVA Web Site and read. Information is power.


Once you get P&T go down to SSA Local Office and work with them up close...not to close.

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Yeah, PR, really now! If you get toooo technically precise some of us that are on "medication" will simply wig-out and go to sleep...............thereby losing the most interesting participants in this gang of hooligans.

That would be me. I am glad to be back on Hadit. This forum and the information helped me at the beginning of my journey through the VA system some years ago. All I can hope to do is give back something.

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      It can be a bit daunting. Just remember the U.S.C. is the law, the C.F.R. is how they interpret the law and last but certainly not least is the V.A. adjudication manuals that is how they apply the law. The section of the law that covers the veterans benefits is Title 38 in the U.S.C. in the C.F.R. is usually written 38 C.F.R. or something similar.

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      U.S.C. United States Code United States Code is the law and the U.S.C. is the governments official copy of the code.

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