Jump to content
VA Disability Claims Community Forums - HadIt.com Veterans
  • veterans-crisis-line.jpg
    The Veterans Crisis Line can help even if you’re not enrolled in VA benefits or health care.

    CHAT NOW

  • question-001.jpeg

    Have Questions? Get Answers.

    Tips on posting on the forums.

    1. Post a clear title like ‘Need help preparing PTSD claim’ or “VA med center won’t schedule my surgery instead of ‘I have a question.
       
    2. Knowledgeable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title.
      I don’t read all posts every login and will gravitate towards those I have more info on.
       
    3. Use paragraphs instead of one massive, rambling introduction or story.
       
      Again – You want to make it easy for others to help. If your question is buried in a monster paragraph, there are fewer who will investigate to dig it out.
     
    Leading too:

    exclamation-point.pngPost straightforward questions and then post background information.
     
     
    Examples:
     
    • Question A. I was previously denied for apnea – Should I refile a claim?
      • Adding Background information in your post will help members understand what information you are looking for so they can assist you in finding it.
    Rephrase the question: I was diagnosed with apnea in service and received a CPAP machine, but the claim was denied in 2008. Should I refile?
     
    • Question B. I may have PTSD- how can I be sure?
      • See how the details below give us a better understanding of what you’re claiming.
    Rephrase the question: I was involved in a traumatic incident on base in 1974 and have had nightmares ever since, but I did not go to mental health while enlisted. How can I get help?
     
    This gives members a starting point to ask clarifying questions like “Can you post the Reasons for Denial of your claim?”
     
    Note:
     
    • Your first posts on the board may be delayed before they appear as they are reviewed. This process does not take long.
    • Your first posts on the board may be delayed before they appear as they are reviewed. The review requirement will usually be removed by the 6th post. However, we reserve the right to keep anyone on moderator preview.
    • This process allows us to remove spam and other junk posts before hitting the board. We want to keep the focus on VA Claims, and this helps us do that.
  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • VA Watchdog

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

  • 0

What Additional Evidence Do I Need For My Claim To Be Successful?


willidx4

Question

What additional evidence do I need for my claim to be successful?

I was denied a PTSD claim back in 2005. I was in the Gulf and served in the grunts in a combat zone. I was diagnosed with PTSD by a Psychiatrist (private Doctor) in 2005 my GAF score was a 43. The VA needless to say stated I didn't have PTSD according to the VA Psychologist that did my 30 minute C&P exam I had a severe personality disorder and in her notes she gave me a GAF score of 38. I never filed a NOD at the time I just wanted to be done with the VA after reading the C&P examiners notes I was basically called a scam artist. I filed again for PTSD in August 2012 and was diagnosed again by the same private Doctor what other material evidence do I need to make sure my claim is successful

Link to comment
Share on other sites

  • Answers 22
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

Willidx4 you might try describing your symptoms to your PCP (assuming you go to a VA facility).

Try asking for a referral to see a MH DR. That may get the ball rolling. Good luck to you.

VetswifeIndy

Link to comment
Share on other sites

I agree with both... Get scheduled to see a VA mental health physician. They will prescribe medications if need be and schedule you for appts. There are other programs and classes that I attend in my out-patient clinic that are very helpful also. The Va Medical center also offers programs like trauma recovery program (TRP), classes on anger mgmt etc. I also got a letter from my treating psychiatrist to submit on my claim. But just remember....DON't miss your appointments. Good Luck to You!

Link to comment
Share on other sites

Thanks folks I feel better about the direction Im going in now. I have a current Dx of PTSD and Major Depression from a private Psychiatrist and that evidence has been submitted to the VA. I still see my private Psychiatrist once a month and I have contacted a local vet center to make arrangements to attend some group counseling sessions once a week. I went to my Regional Office and requested to be seen by a MH doctor and was informed my income disqualified me from being seen. I have been prescribed Wellbutrin SR, Klonopin and Remeron by my private Psychiatrist

Link to comment
Share on other sites

  • HadIt.com Elder

I got a DX from a local Vet's Center "PTSD: chronic & severe" The VA just ignored that DX and went with a very old DX to grant TDIU. Since the VA has made themselves the sole power to DX PTSD in veterans if I could not get the VA to dx me with PTSD I would get an IMO to DX me with either depression,Panic or GAD. This way you side step the PTSD roadblock. It all boils down to the same thing.

Link to comment
Share on other sites

I got a DX from a local Vet's Center "PTSD: chronic & severe" The VA just ignored that DX and went with a very old DX to grant TDIU. Since the VA has made themselves the sole power to DX PTSD in veterans if I could not get the VA to dx me with PTSD I would get an IMO to DX me with either depression,Panic or GAD. This way you side step the PTSD roadblock. It all boils down to the same thing.

Thanks for the advice John999 are you saying rather than fight the VA on the PTSD issue I should get another Doc and get a dx of GAD? I had no idea they boiled down to the same thing in terms of compensation.

Link to comment
Share on other sites

  • HadIt.com Elder

Thanks folks I feel better about the direction Im going in now. I have a current Dx of PTSD and Major Depression from a private Psychiatrist and that evidence has been submitted to the VA. I still see my private Psychiatrist once a month and I have contacted a local vet center to make arrangements to attend some group counseling sessions once a week. I went to my Regional Office and requested to be seen by a MH doctor and was informed my income disqualified me from being seen. I have been prescribed Wellbutrin SR, Klonopin and Remeron by my private Psychiatrist

If you are "enrolled" in VA health care, income or net worth has nothing to do with medical care. What I would do in your situation is to get something in writing denying the care. You might have to make a request for care in writing to the VAMC's director, in order to get a written reply. Then, there may be some further options available. I can think of other things as well, but I have no personal experience to go by in this area. I'd think that the current debacle concerning mental health care and PTSD can be made to work in your favor. It sounds like you currently have no service connected conditions.

In other words, it may be Lawyer time. Is the VA providing the drugs under the veterans drug act?

Edited by Chuck75 (see edit history)
Link to comment
Share on other sites

If you are "enrolled" in VA health care, income or net worth has nothing to do with medical care. What I would do in your situation is to get something in writing denying the care. You might have to make a request for care in writing to the VAMC's director, in order to get a written reply. Then, there may be some further options available. I can think of other things as well, but I have no personal experience to go by in this area. I'd think that the current debacle concerning mental health care and PTSD can be made to work in your favor. It sounds like you currently have no service connected conditions.

In other words, it may be Lawyer time. Is the VA providing the drugs under the veterans drug act?

Chuck 75 I am not enrolled in VA health care soley based on the fact that I have been denied multiple times for health care from the VA based on income alone. I have been told by the VA in Durham NC (twice) and the by the DAV that I must be service connected before they will issue me an ID card or helthcare of any kind. I have been pretty lucky I have private insurance so all of my MH care and drugs are taken care of by United Health Care. The last time I went to the VA I was basically informed that with 3 dependants, in Raleigh NC making over 68k a year made you richdry.png so I could not be treated by the VA without being service connected. You mentioned getting an Attorney to help with my PTSD claim what can a Lawyer do for me concerning paper work that I can't do for myself. I thought about just handing the entire thing over to a Lawyer and letting them deal with the VA however what more access would they have to the VA that I don't. I would love to gets some answers so I can have an excuse to find a good lawyer and let him or her worry about this stuff.blink.png

Link to comment
Share on other sites

well when I started going to the VA, they to asked me for my income infromation. I kindly told them that the Military did not ask me for my income infromation when I was drafted and sent to Viet Nam, so why is it a problem now. I do know that the VA will help veterans out that are not SC. my brother get his hearing aids and his glasses from the VA at no cost. But his meds do cost him more thru the VA than going to Walmart.,BTW I went thru 16 weeks of therapy for my PTSD and I to go to the MH hospital every 2 months to vet to vet meetings. I still see the head Doctor on a regular bases AND HAVE NOT BEEN RATED FOR PTSD as of yet, yes I have filed for it back last May . The Ebenefits is show 10/09/12 to 04/2013 for a decision. Oh well just waiting like most on here. Good luck

Link to comment
Share on other sites

I went to my Regional Office and requested to be seen by a MH doctor and was informed my income disqualified me from being seen. I have been prescribed Wellbutrin SR, Klonopin and Remeron by my private Psychiatrist

Go back and tell them the above is BS.

Your income does not disqualify you from receiving VAMC health care.

It would most likely put you in Priority Group 7 or 8.

Give this a try.

http://www.va.gov/healthBenefits/resources/eligibility_check.asp

Link to comment
Share on other sites

What additional evidence do I need for my claim to be successful?

I was denied a PTSD claim back in 2005. I was in the Gulf and served in the grunts in a combat zone. I was diagnosed with PTSD by a Psychiatrist (private Doctor) in 2005 my GAF score was a 43. The VA needless to say stated I didn't have PTSD according to the VA Psychologist that did my 30 minute C&P exam I had a severe personality disorder and in her notes she gave me a GAF score of 38. I never filed a NOD at the time I just wanted to be done with the VA after reading the C&P examiners notes I was basically called a scam artist. I filed again for PTSD in August 2012 and was diagnosed again by the same private Doctor what other material evidence do I need to make sure my claim is successful

will,

I believe if you were denied benefits due to a PD diagnosis versus a PTSD diagnosis,

during this period - your claim should be re-adjudicated.

Perhaps someone else has the link handy and will post it.

If not try doing a search on the web site.

Many claimants were denied for PTSD and stamped with a different label of Personality Disorder.

BTW - did you happen to have any TBI or mTBI while on active duty?

You might want to research through the links

at this link:

https://www.google.com/search?q=va+%2B+PTSD+%2B+Personality+Disorder&rlz=1C1CHFA_enUS484US484&oq=va+%2B+PTSD+%2B+Personality+Disorder&sugexp=chrome,mod=0&sourceid=chrome&ie=UTF-8

This one is also informative.

http://www.vva.org/ppd-faq.html

Link to comment
Share on other sites

  • HadIt.com Elder

Willie

You tell the VA that you are suicidal and they will treat you in a hurry. If you have PTSD, depression, panic or gad this would be a very common feeling. When I was dx'ed with a major mental illness the VA did not even have a dx of PTSD. You can get 100% for any mental illness that has a valid DX. You can't get it for mental retardation or personality disorder. I was discharged from the Army on my return from Vietnam as a personality disorder. The VA reversed this and changed to a compensable mental illness and I got compensation. This is pretty unusual at this time, but I had evidence. Once the VA has got it into their heads you are a PD they will look for any sign that you are a PD and ignore other evidence that you have a real mental illness. You have to fight them with medical evidence.

Link to comment
Share on other sites

will,

I believe if you were denied benefits due to a PD diagnosis versus a PTSD diagnosis,

during this period - your claim should be re-adjudicated.

Perhaps someone else has the link handy and will post it.

If not try doing a search on the web site.

Many claimants were denied for PTSD and stamped with a different label of Personality Disorder.

BTW - did you happen to have any TBI or mTBI while on active duty?

You might want to research through the links

at this link:

https://www.google.c...chrome&ie=UTF-8

This one is also informative.

http://www.vva.org/ppd-faq.html

re-adjudicated ?????? I reopened the claim from 2005 when you say "re-adjudicated" are yor referancing some other avanue besides just reopening my old PTSD claim? I read the below links I very informative reading. As far as TBI no and I thank God for that.

Link to comment
Share on other sites

Go back and tell them the above is BS.

Your income does not disqualify you from receiving VAMC health care.

It would most likely put you in Priority Group 7 or 8.

Give this a try.

http://www.va.gov/he...ility_check.asp

Thanks for the link I applied however they did ask for my income/network but I read nothing stating I would be axed becuse of income. Thank You

Link to comment
Share on other sites

Willie

You tell the VA that you are suicidal and they will treat you in a hurry. If you have PTSD, depression, panic or gad this would be a very common feeling. When I was dx'ed with a major mental illness the VA did not even have a dx of PTSD. You can get 100% for any mental illness that has a valid DX. You can't get it for mental retardation or personality disorder. I was discharged from the Army on my return from Vietnam as a personality disorder. The VA reversed this and changed to a compensable mental illness and I got compensation. This is pretty unusual at this time, but I had evidence. Once the VA has got it into their heads you are a PD they will look for any sign that you are a PD and ignore other evidence that you have a real mental illness. You have to fight them with medical evidence.

Suicidal I'm not I have a security clearance and a job I really need to keep so I don't want to go that route with those folks.. I did make arrangments to see another Doc to get a Dx

Link to comment
Share on other sites

I got a DX from a local Vet's Center "PTSD: chronic & severe" The VA just ignored that DX and went with a very old DX to grant TDIU. Since the VA has made themselves the sole power to DX PTSD in veterans if I could not get the VA to dx me with PTSD I would get an IMO to DX me with either depression,Panic or GAD. This way you side step the PTSD roadblock. It all boils down to the same thing.

Thanks John I have an appointment with the local Vet Center on 10/16 to get me setup for some outpatient treatment. Now how that is going to work because I was denied for health care in the VA system is a mystery to me?

Link to comment
Share on other sites

re-adjudicated ?????? I reopened the claim from 2005 when you say "re-adjudicated" are yor referancing some other avanue besides just reopening my old PTSD claim? I read the below links I very informative reading. As far as TBI no and I thank God for that.

searched the term "re-adjudicated" is there a link some place that will tell me how to make the request

Link to comment
Share on other sites

Williedx4

they will give you treatment regardless of how much you make. Since your income is above their threshold what they will do is charge you a specific amount each time you visit the Hospital. Your insurance will still pay as though you were using your primary care Dr. However, if you are sent to a Vet Center that treatment is free regardless of how much you use it. Your pamplet or brochure they gave you at intake should give you an idea of the pharmacy charge. Your insurance carrier may have the VA listed under it's hospitals to get an idea of other costs.

Good luck and God Bless

Link to comment
Share on other sites

  • Moderator

You need 3 things to get compensated for PTSD:

1. Medical evidence of a current disability, that is a diagnosis of PTSD.

2. Verification of a "stressor" event in service. If you served in combat, the VA is supposed to make the verification of a PTSD stressor easier. Note: YOu do NOT have to be present at the stressor event. Example: Your close friend gets his head blown off in service. You did not have to actually witness his decapitation...hearing about it afterwords is enough to be a PTSD stressor.

3. A doctors statement linking the above together. This is a nexus statement and it should be similar to "the Veterans PTSD is at least as likely as not due to (event that happened in military service) while in the service.

If you are missing ANY of these three, you will need these before you can expect to be service connected for PTSD.

Link to comment
Share on other sites

"well when I started going to the VA, they to asked me for my income infromation. I kindly told them that the Military did not ask me for my income infromation when I was drafted and sent to Viet Nam, so why is it a problem now. I do know that the VA will help veterans out that are not SC. my brother get his hearing aids and his glasses from the VA at no cost.

During Pres. Bush's administration VA eligibility was changed to means tested, unless you had a service connected injury with a rating of 30% or more. In Iowa a few years ago it was around $33-35,000 a year. It is actually county by county for the threshhold.

Link to comment
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Answer this question...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

×
×
  • Create New...

Important Information

{terms] and Guidelines