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

New Guy Wth Big Problem.

Rate this question


kymike

Question

Hello everyone, my name is Mike. I'm a veteran of the first Gulf War. I been coming to this forum for about six months but until now I've never posted anything.

My computer and writing skills are a little rusty and been hesitent to speak up. But these are desperate times for me, so I'm forced to overcome my social anxiety and awkwardness.

I'm pleased to find this forum and all you great vets. Just being amongst you all and knowing somebody out there cares has made a big difference in my attitude.

I'll get to the chase. I'm sure on of you guys can point me in the right direction. I've a history of lower back and SI joint problems going back to GW1 in 1991.

I had a Lumbar fusion L2-S1 on 3/3/10 at VAMC Louisville for my " service connected" degenerative disk disease and HNP. VARO payed my temporary UI.

Everything seemed fine. Before surgury, on 12/30/2009 I filled for an increase for my DDD which was at 40%, and for unemployability,bi-lateral radiculapathy, stenosis,

... basicly residules from my service connected surguries. On 12/21/10 I get a letter from RO saying that they are denying all my secondary claims, unemployability,

and a proposing to reduce my SC from back to 10% because the rater made a mistake when he increase me from 10% back pain/ SI joint pain and recharacterized it as

DDD w/ HNP in june of 2005 without asking for a medical opinion from the C&P doc.

I'm angry, depressed, in severe pain, on Morphine and can't tie my own shoes. So they want to pull this crap now.

I need you guys help sorting this out. I'm hoping that you moderators out there can help me ask the right questions in the appropriate forum.

Thanks in advance. I hope somebody else can't sleep and can clue in on the first steps I need to take to staighten out this mess.

Link to comment
Share on other sites

  • Answers 33
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

Posted Images

Recommended Posts

I would consult a lawyer immediately, because the clock is ticking. Consultations are free. You only have a limited amount of time to respond to their letter or they will decrease you automatically - with the assumption that you agree to their BS.

Just my opinion...

"It is a terrible thing, when you lose your train of thought and you only have a one track mind"... Me

96C2P/96F2P (old MOS designations)

97E2P/37F2P (new MOS designations)

Link to comment
Share on other sites

Welcome to Hadit.com

I am moving your topic to the Claims / Benefits Research Forum

in hopes more eyes will read it and if so inclined, post their reply.

Carlie passed away in November 2015 she is missed.

Link to comment
Share on other sites

"a proposing to reduce my SC from back to 10% because the rater made a mistake when he increase me from 10% back pain/ SI joint pain and recharacterized it as

DDD w/ HNP in june of 2005 without asking for a medical opinion from the C&P doc."

What is the exact documented medical diagnosis of your back disability?

Since their rationale is based on no C & P opinion in 2005-what is their rationale for proposing reduction now- as I assume they have not ordered a C & P for the reduction. ???

Have they?

Can you scan and attach the decision here so we can see their exact way of wording this BS? (Cover the [personal stuff)

Do you get SSDI? If so what for?

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

  • Moderator

Ok. Here is what is going on. You, of course, want to fight the proposed reduction, and you need to act quickly. You need to ask for a hearing on the proposed reduction..you are entitled to one. This is the first thing you need to do...exercise your right to a hearing on the Proposed reduction.

This will at least continue your benefits, until they can schedule a hearing, and will "buy you some time" to plan your strategy on this proposed reduction, and, of course, appeal your denial of the increase, probably at the same time.

There are very specific rules the VA must follow to do a reduction, and the first one is that they have to give you 60 days notice, and a right to a hearing. Ask for the hearing....and then you need to get someone competent and qualified probably to represent you at the hearing...not necessarily an attorney, but possibly a competent VSO, or, depending on where you live, it may even be possible for someone here to represent you at the hearing. If you live near me, I would, for example do my best as I have read up on reductions. I am not a VSO, tho. And, of course, I would never charge a Vet.

Link to comment
Share on other sites

  • Moderator

If you dont at least dispute the proposed reduction, they can (an probably will) reduce your benefits in 60 days. The hearing is a no brainer. If it takes them a year to get you a hearing, then even if the hearing goes terribly wrong, your benefits continued for that year.

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