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

Question Regarding Initial Start For Granted Benefits

Rate this question


emptyshell

Question

I filed a form 21-4138 on 1/19/1994. Statement basically says "I wish to open a claim for benefits for mental health condition"

It was stamped as being received on 1/26/1994. I was granted a Pain disorder in May 2010

In the Decision from Department of VA Region it states:

"Service connection for pain disorder associated with Psychological features and a general medical condition / dysthmic mood disorder is granted with an evaluation of 30% effective October 19th 1994(date of claim under appeal)"

Dont they have to go back to my initial filing for this claim..seems to me I have seen this come up before in discussions. RO never sent me a breakdown on my retro monthly benefit would be....just curious are they supposed to?

The benefit was direct deposited in the bank.

I know when I received an increase on my lumbar fracture of an extra 10%, they had to go back to 1994 when I filed an appeal regarding this issue. Both of these claims were on the same docket.

Both issues were seperated when it came up for a decision though...about 9 months prior the RO granted me that extra 10%lumber issue to go back retro to 1994. I had to send them all my dependents and there ages back to 1994.

I figured they based the amount I received for pain mood disorder on the same paperwork cause they had to go back as well. But now I think they only went back to Nov. 1994 instead of basing mental issue on the initial filing which is Jan 1994.

How do I get them to send me out a breakdown on the months they paid at the starting date?

What are they meaning when they state "date of claim under appeal"?

Link to comment
Share on other sites

  • Answers 17
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

  • HadIt.com Elder

Yes, I believe given what you say the award should be effective to the date you file the claim. I would get to the bottom of this by visiting the VARO and seeing a counselor if possible. Why did it take six years to win this claim?

Link to comment
Share on other sites

Today I found out that the RO has every right to only go back to the date to the granting of the extra 10% lumbar compression fractures(which is Nov 1994. They consider my pain/mood disorder to be a secondary which is tied up with my physical lumbar granting. Now don't understand how in one case ...they tell me that pain/mood disorder is a mental disorder but they have every right to exclude it as a mental when they have to go back and pay out my award. It is funny...first I am told that the VA will not seperate a PTSD and a Pain/Mood disorder(because they are two mental conditions) because they decide which is more prominant of the two...and on the other hand when I have a mental disorder they will not go back to an initial claim for mental and pay me accordingly. What do you think of that??

Link to comment
Share on other sites

"and on the other hand when I have a mental disorder they will not go back to an initial claim for mental and pay me accordingly. What do you think of that??"

Can you scan and post their reasons and bases for that? (Cover the personal stuff)

"I filed a form 21-4138 on 1/19/1994. Statement basically says "I wish to open a claim for benefits for mental health condition"

Did you continuously prosecute the mental health claim????

Did you formally appeal it?

"Service connection for pain disorder associated with Psychological features and a general medical condition / dysthmic mood disorder is granted with an evaluation of 30% effective October 19th 1994(date of claim under appeal)"

Is this award recent???? when did you get this award?

This is confusung.

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

  • Lead Moderator

I agree with John and Berta...you probabbly should file a NOD, but you will get more specific help on what your reasons for appeal should be if you post at least the relevant parts of your decision.

However, if you are getting close to the one year appeal date, dont wait to try to figure out reasons for your appeal, just do a "generic" NOD something like:

Notice of Disagreement:

I disagree with the decision dated ..........1 January 1994 and plan to contest the result electing a DRO review. The issue(s) I am disputing is the effective date.

(If you have more issues with the decision, percentages, unadjuticated claims, etc, then dont neglect to include those other issues in your NOD also.)

DONT get your NOD in LATE, ever. A generic NOD timely filed is much better than a detailed well written out NOD filed late.

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

    • kidva earned a badge
      Conversation Starter
    • Lebro earned a badge
      Week One Done
    • spazbototto earned a badge
      Week One Done
    • Paul Gretza earned a badge
      Week One Done
    • Troy Spurlock went up a rank
      Community Regular
  • Our picks

    • These decisions have made a big impact on how VA disability claims are handled, giving veterans more chances to get benefits and clearing up important issues.

      Service Connection

      Frost v. Shulkin (2017)
      This case established that for secondary service connection claims, the primary service-connected disability does not need to be service-connected or diagnosed at the time the secondary condition is incurred 1. This allows veterans to potentially receive secondary service connection for conditions that developed before their primary condition was officially service-connected. 

      Saunders v. Wilkie (2018)
      The Federal Circuit ruled that pain alone, without an accompanying diagnosed condition, can constitute a disability for VA compensation purposes if it results in functional impairment 1. This overturned previous precedent that required an underlying pathology for pain to be considered a disability.

      Effective Dates

      Martinez v. McDonough (2023)
      This case dealt with the denial of an earlier effective date for a total disability rating based on individual unemployability (TDIU) 2. It addressed issues around the validity of appeal withdrawals and the consideration of cognitive impairment in such decisions.

      Rating Issues

      Continue Reading on HadIt.com
      • 0 replies
    • I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful.  We decided I should submit a few new claims which we did.  He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims.  He said that the VA now has entire military medical record on file and would find the record(s) in their own file.  It seemed odd to me as my service dates back to  1981 and spans 34 years through my retirement in 2015.  It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me.  He didn't want my copies.  Anyone have any information on this.  Much thanks in advance.  
      • 4 replies
    • 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.   
×
×
  • Create New...

Important Information

Guidelines and Terms of Use