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

My Nod For Forum Review.

Rate this question


carlie

Question

Here is what I will be sending on Monday. i want to have the entire weekend for you guys to opine.

TO: Department of Veterans Affairs

This is a Notice of Disagreement with your rating decision dated 11-1-12 which denied my claim for bilateral shoulder, bilateral knee, and lung condition . I request my claim be afforded a de Novo review by a Decision Review Officer and a Statement of Case (SOC) be prepared and forwarded to me. I also hereby request all copies of my Service Medical Records to be used for review by my private physician.

Thank you.

Disgruntled Vet. (ok i might put my real name here lol)

Link to comment
Share on other sites

  • Answers 102
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

Here's the way I see it: Any time the VA receives additional evidence, they are required to re-decide the claim, either for or against. Failure to do that is an error in procedure. Once they decide a new year begins.

pr

thanks for the support PR and broncovet who posted a link in this thread stating the same thing.

Link to comment
Share on other sites

  • HadIt.com Elder

I agree w/Carlie, tho, that the main thing to work on is service connection (sc), as w/o it you have nothing. While aiming at the SC, don't fail to keep the original effective date, by missing a deadline or by allowing at any point for the VA to call it a "reopened claim" requiring new and material evidence. jmo

pr

Link to comment
Share on other sites

The great thing about all of this is that I have new personal insurance for the first time ever starting tomorrow. I no longer will have to seek delayed and unprofessional service from the North Texas VA hospital in Dallas. I would like to ask should I attempt to find a doctor with orthopedics background or what. i see how hard this has been and want to ensure that everything is done correctly. My clock is counting down and i need to have everything ready once my SMR's (eventually) get here. My claims office is in Waco Texas (about 1.5 hour drive) Is there anyway that I could go there and pick up copies due to my C-File being there?

Link to comment
Share on other sites

I have another question and an observation.

Observation: I do believe that the VA has shown their hand to me on how to appeal. The VA stated that i claimed that a tank accident in 1994 is what caused all of my disabilities. This statement is false. I stated that this tank accident AGGRAVATED my shoulder injury due to it already being injured. My denial was based on "did the tank accident in 1994 cause the disability. I know this due to the RO sending another question to the examiner that if it was preexisting could that tank accident have AGGRAVATED an injury. Why would they ask this? Preexisting injuries can be service connected if they are agrravated by military service and it is clear and unmistakable that it is not a natural progression of the disease.

My question: Should I just simply appeal this with documentation from my medical records and entry exam for a preexisting injury?

Please respond for me. Thanks

Link to comment
Share on other sites

  • HadIt.com Elder

Yes they can but remember this one fact: Only to the extent of the aggravation.

For example of the shoulder is rateable at 20 they will lower it to zero or 10 percent because they can.

J

A Veteran is a person who served this country. Treat them with respect.

A Disabled Veteran is a person who served this country and bears the scars of that service regardless of when or where they served.

Treat them with the upmost respect. I do. Rejection is not a sign of failure. Failure is not an option, Medical opinions and evidence wins claims. Trust in others is a virtue but you take the T out of Trust and you are left with Rust so be wise about who you are dealing with.

Link to comment
Share on other sites

" I stated that this tank accident AGGRAVATED my shoulder injury due to it already being injured. My denial was based on "did the tank accident in 1994 cause the disability. I know this due to the RO sending another question to the examiner that if it was preexisting could that tank accident have AGGRAVATED an injury. Why would they ask this? Preexisting injuries can be service connected if they are agrravated by military service and it is clear and unmistakable that it is not a natural progression of the disease."

I see murkiness that may not bode well.

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

    • KMac1181 went up a rank
      Rookie
    • 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
  • 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