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

Have You Ever Heard Of This

Rate this question


gatz

Question

I have a couple of questions. I was rated 10% for migraines in 2004. Filed a NOD and was denied for lack of evidence in 2005. Jan 27, 2006 filed another NOD with stronger evidence. On May 31st. went to a QTC exam. July I was sent a letter for IU

I want to know has this ever happened to anyone else and is this a good sign. For migraines all you need for IU is 50%. How long does it take to receive benefits after you have sent in a IU form

thank you for any help

Link to comment
Share on other sites

  • Answers 6
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

6 answers to this question

Recommended Posts

  • HadIt.com Elder

Gatz,

"I have a couple of questions. I was rated 10% for migraines in 2004. Filed a NOD and was denied for lack of evidence in 2005. Jan 27, 2006 filed another NOD with stronger evidence. On May 31st. went to a QTC exam. July I was sent a letter for IU"

When were you denied in 2005 (meaning you should have received a Statement of the Case)? When did you file your "second NOD?" You cannot file multiply NOD's on one issue. Your second NOD was proabaly understood by the VA as new evidence, and if you didn't send in that new evidence within 60 days of the SOC, then the VA has no choice but to "reopen" your claim and you lost your original effectice date. If you sent in the new evidence within the 60 days of being issued the SOC. The VA must issue a Supplemental Statement of the Case (SSOC) or grant the benefits sought, and you retain your original effective date of the claim.

Regardless of when you sent in the new evidence, the new evidence probably prompted the new C&P exam and the results from that exam revealed a more disabling condition then currently rated. It also probably revealed that you were unable to work due to this condition. So, the VA sent you the IU form to so they can look into the possiblity of granting it.

"For migraines all you need for IU is 50%. How long does it take to receive benefits after you have sent in a IU form"

In order to qualify for IU you need to have one disability rated at 60% or when you have multiply disabilities, one needs to have a 40% rating with the rest bringing you to 70% combined. However, in certain circumstances, if you do not meet the schedular requirements, the VA can still consider IU. This isn't done very often, but I have seen it done a couple of times.

Keep in mind that only your service-connected condition(s) must clearly show that you are unable to follow any sustantial gainful occupation.

Vike 17

Link to comment
Share on other sites

Guest jstacy

Your question is a good one for this board.

8100 Migraine:

With very frequent completely prostrating and prolonged 50

attacks productive of severe economic inadaptability.........

With characteristic prostrating attacks occurring on an 30

average once a month over last several months................

With characteristic prostrating attacks averaging one in 2 10

months over last several months..............................

With less frequent attacks.................................... 0

Severe economic inadaptability

Does that Qualify for IU? If a Vet has a good case for a 50 percent rating, he can use this against the VA to get IU. After a few Vets are awarded IU for this then watch for the VA to change the wording for Migraines.

ALso have the DOC write a statement that your Migraines are preventing you from work as well as previous employers stating that the migraines effected your past work. Have you filed for SSD benefits as well?

Link to comment
Share on other sites

I'd hazard a guess that it's a good sign you'll get the 50% max.

This is what IU is for. By law it isn't possible to be rated higher than 50% for migraines no matter how debilitating they are. My head hurts daily and two or three days a week I literally wish I'd die. So I know 50% is not a reasonable rating and IU needs to be granted in these circumstance.

Mine are post traumatic head injury migraines and not rated seperatly.

Link to comment
Share on other sites

I'm sorry if I was not clear here is a time table

May of 2005 NOD was denied because of lack of evidence. Did not even get a QTC

Jan of 2006 filed another NOD

May 31 received a QTC app. everything went well.

July 20th received a IU form. This is the question I never recieved this during a claim before is this a good sign or not.

I've been telling every doctor that I not been able to work due to my migraines for 3yrs.

And if everything is going well how long does it normally take after a QTC exam

Link to comment
Share on other sites

gatz,

"I've been telling every doctor that I not been able to work due to my migraines for 3yrs".

This isn't meant to poke a hole in your balloon, but this is only evaluated as patient

history - complaints of etc...

What VA will probably request is medical documentation of completely prostrating and prolonged attacks, any and all medications, statements from employers for

the last few years documenting time taken off being too sick to work due to

your headaches etc...

Good luck,

carlie

Carlie passed away in November 2015 she is missed.

Link to comment
Share on other sites

Guest jstacy

GAtz ther eis no average time. I had a 60 day wait in 2004. I also had one last december and still nothing. It depends I guess on how many other claims you have ongoing. I hope it will be less than 90 days for you.

Link to comment
Share on other sites

Guest
This topic is now closed to further replies.


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • spazbototto earned a badge
      Week One Done
    • Paul Gretza earned a badge
      Week One Done
    • Troy Spurlock went up a rank
      Community Regular
    • KMac1181 earned a badge
      Week One Done
    • jERRYMCK earned a badge
      Week One Done
  • Our picks

    • 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.   
    • 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

       
×
×
  • Create New...

Important Information

Guidelines and Terms of Use