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Tsgli Clam For Active Duty No Docs Will Do Part B


Michael.j.greene1

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hi there im mike im looking for some help for filling a TSGLI clam for something that happened in 2006 i have read the guild lines and i feel it is a valid clam bit i have goen to sick call at least 3 different times and have been told by the active duty docs at fort Campbell that they did not know anything about TSGLI one even told me he thought it was " bull s**t" that i should get anything for my wife taking care if me that is what a spouse should do and it would be a different story if i paid someone to take care of me my question is how do i find a doc that understands TSGLI clams if i am on active duty and i have to go to sick call to get seen any help would go a long way thank you

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Hey Mike,

Welcome on board. I can relate to what you are going through. I also filed for TSGLI, completed the form, signed, but it was rejected because I passed the timeline.

I don't understand. You are still on active duty? Lets start with that question.

I understand the part B section of the claim. My doc signed it without a problem. However, I was in the VA system for sometime and was being treated for TBI.

It will be very difficult to get any doctor to sign a form and have the services, VA and Prudential insurance approve the paperwork. The guidelines are very strict.

If you do qualify, your paper trail and evidence must be stone cold solid, this is different than a typical VA claim.

I hate to sound bleak about it, but I did go through this process. I hope I am wrong in your case.

Good luck

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Here is the story i was camping with the cub scouts fell down a revien broke my fib in my right leg and dislocated my right ankle with i had to have a total of 3 surges on to put it back together iwas on con leave from jun till Nov of 06 my clam is for the loss of daily actives while on con leave as for me still being on active duty i dodged the med board but i still have a P2 profile i hope that answers any of the questions you might have

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OK, so it was obviously a traumatic event.

Do you have a copy of all the medical records from your accident?

If at all possible, you should go back and see the surgeon or orthopedic specialist who helped you and ask them to fill out Part B.

If not then make an appointment at sick call, bring in the records and the forms, go over them with the doctor, if he refuses to sign them, ask him to please write a statement that he will not sign the forms because they are BS, and let him know you have to turn the forms in.

If all else fails, find a private doctor, maybe a Tricare doc your family uses, and have them review your medical records. If they can determine that you needed aid & attendance for the loss of DLA for 30, 60, 90, or even 120 day period, and they sign the form. then send it in.

Last year when they changed the rules, the claim I had was already done. They denied me on the fact my injury occurred stateside. So once they changed the law to anywhere in the world, I sent my paperwork back to my Primary Care Physician who saw me during the time and he signed part b.

TSGLI granted the full 100K award. I guess some of the med board docs were a little uppity about my PCM being a private doc, but the gal taking care of the claim said it doen't really matter who the Veteran is seeing, it only matters that they were able to prove there were 4 periods of loss for DLA.

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