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

Tdiu Denied.. Help, Feedback, Aynything....

Rate this question


Tig

Question

I received my TDIU denial today and it's seems they only considered my service connected conditions, that are not presently on appeal in D.C. for the decision?? Do I read this correctly.. they only used three SC conditions for their decision?

"You reported several service connected conditions prevent you from obtaining and maintaining gainful employment. Because a claim for individual unemployability is essentially a claim for an increase in your service connected conditions, we have considered whether an increased evaluation may be assigned for your service connected hypertension, radiculopathy of right upper extremity, and radiculopathy of your right lower extremity. The other service connected conditions which you claim prevent you from employment, including your cervical spine condition, hypothyroidism, thoracic and lumbar spine condition, chondromalacia of right knee, and ulcerative colitis with aggravation of hemorrhoids, are currently on appeal for increased evaluations. Therefore, the conditions on appeal were not addressed in this decision."

"Entitlement to individual unemployability is denied. We received the Social Security Administration Disiability decision dated August 29, 2007, which you submitted in support of your claim. This decision notes you were granted disability benefits due to your post traumatic stress disorder, status post cervical fusion and degenerative disc disease of your lumbar spine. At this time, you are not service connected for post traumatic stress disorder. The examiner concluded that it was his opinion, after interviewing and examinging you, that the serverity of all your service connected conditions does not preclude you from obtaining or retaining substantially gainful sedentary employment."

To date I am rated at 80%, 130% in regular math..

Now what an appeal?? Is this SOP When over half of SC coditions are in D.C....

Any thoughts or suggestions would be greatly apperciated..

Link to comment
Share on other sites

  • Answers 7
  • Created
  • Last Reply

Top Posters For This Question

Popular Days

Top Posters For This Question

Recommended Posts

Is this SOP When over half of SC coditions are in D.C....

Any thoughts or suggestions would be greatly apperciated..

Tig,

This seemed a bit confusing for me.

Where you say "When over half of SC coditions are in DC..."

Do you currently have issues under the jurisdiction of the BVA

that have not yet been SC'd ?

Carlie passed away in November 2015 she is missed.

Link to comment
Share on other sites

"The other service connected conditions which you claim prevent you from employment, including your cervical spine condition, hypothyroidism, thoracic and lumbar spine condition, chondromalacia of right knee, and ulcerative colitis with aggravation of hemorrhoids, are currently on appeal for increased evaluations. Therefore, the conditions on appeal were not addressed in this decision."

All of the above listed are yes presently at the BVA, they are all serviced connected,rated in the ordered listed above at.. 30%, 10%,20%,10% and 10%.. PTSD and few other claims are also at the BVA, and are not service connected at this time.

Sorry for the confusion, I'm a little ticked right now.. and not sure I'm reading their remarks I put in quotes correctly..

Where you say "When over half of SC coditions are in DC..."

Do you currently have issues under the jurisdiction of the BVA

that have not yet been SC'd ?

Link to comment
Share on other sites

  • HadIt.com Elder

You have SC'd conditions that you have on appeal for an increase. Filing for TDIU is, in essence, a claim for increase. They can't decide two different claims for increase at the same time.

They also cannot consider your PTSD simply because you are not service connected for it.

So, that just leaves the three conditions that are not "up in the air" as far as decisions are concerned.

Yes, they did the correct thing, actually the ONLY thing that they could do under the circumstances.

You would be well advised to simply wait until all the issues are decided, then file a NEW claim for TDIU. All the rest of this stuff is just muddying the waters of your current TDIU (denied) claim.

"It is cold and we have no blankets.

The little children are freezing to death.

My people, some of them, have run away to the hills, and have no blankets, no food; no one knows where they are-perhaps freezing to death.

I want to have time to look for my children and see how many of them I can find.

Maybe I shall find them among the dead.

Hear me, my chiefs! I am tired; my heart is sick and sad.

From where the sun now stands, I will fight no more forever."

Chief Joseph

Link to comment
Share on other sites

  • HadIt.com Elder

As I see it the disabilities that are under appeal are "fluid," in that they may change and therefore can't be used when figuring TDIU. Once those are decided, they will come back into play. Whether this is "proper" is anyone's guess. I personally understand it but . . . . jmo

pr

Link to comment
Share on other sites

Ok... thank you... Starting to makes sense now... I'm just wondering why my VSO(no longer a VSO) urged me to file it?? I mean the last thing I want to do is "muddy the waters" for the rest, it takes long enough now.

This is going to be interesting, I'm currently under SSD three year review and I'm guessing when they read the denial for TDIU they won't catch the fact that my entire spine was not taken into consideration.. Thanks again.. I usually don't post much.. just read.. I wish i would have read more in this case, rather than listening to my VSO...

Link to comment
Share on other sites

"This decision notes you were granted disability benefits due to your post traumatic stress disorder,etc."

Is this PTSD that is not related to your service in any way?

If it does stem from your service , have you filed claim for the PTSD too with the VA? Then again that too would 'muddy the waters even more at this point.

I suggest that you definitely appeal this denial of TDIU and try to keep the TDIU claim open until the BVA makes a decision.

"Therefore, the conditions on appeal were not addressed in this decision." You can protect the TDIU EED by trying to appeal this until the BVA decides as they have stated they didnt use those conditions in the decision.

Do you have any more evidence for the BVA case? I sent them stuff the whole time my appeal was there.

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

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

    • 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