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

Currently Rated At 100% , Waco Tx Varo Wants To Re Examine Two Conditions In June 2014.

Rate this question


jhorak101

Question

Hello I have been reviewing 38 CFR Part 4 for some information; I am looking for the "Chapter & Verse" if you will within 38 CFR Part 4 for how the VARO Rated each one of my conditions. The Decision report dated 28 Nov 2012 does not give the details that I am looking for. After my Title 10 USC Chapter 61 Disability Retirement from the Air Force in June 2005 , I filed for disability with the VARO in Waco TX July 2005, In February 2006 I was found to be 80% disabled , then in June 2011 I was increased to 90% by winning some appeals. In October 2011 I filed again for worsening conditions and in December I was increased again to 100% overall NOT for Individual unemployables. The report listed all conditions as Static except for two conditions, Tension Type Headaches and Gastroesophageal Reflux Disease (GERD) both rated at 30% , I am looking for these conditions in 38 CFR part 4 but cant find them listed , right now all my conditions are 70%,30%,30%,20%,20%,10%,10%10%,10%,10%,0%,0%, as of November 28, 2012 and they made it retroactive from September 2011. The VARO wants to re examine me in June 2014 for Headaches and GERD, so I want to look up these conditions in 38 CFR part 4 if anyone can help me I would appreciate it. And yes I am a member of a VSO but they did nothing to help me research this information all they did was give me the web site to the Government printing office and said go wade through it yourself. I did but have not been able to pin point these two conditions.

Thanks

James M. Horak, TSgt USAF Retired

P.O. Box 2167

Belton Texas 7653

Email jhorak101@gmail,com

Link to comment
Share on other sites

  • Answers 10
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

  • HadIt.com Elder

The VA can and will examine a 100 percent veteran at any time they want to.

Now that isn't a bad thing but they want to see if a disability has improved or not.

The have the right to do this. Is your rating Permanent and total?. If it i s, It really doesn't matter.

http://cfr.vlex.com/vid/3-327-reexaminations-19775463

Now for some good news. there are protections available after 5 years and thereafter with a 20 year rule.

Hang in there and don't worry too much about it. It your situation hasn't changed it should be no problem.

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

The VA can and will examine a 100 percent veteran at any time they want to.

Now that isn't a bad thing but they want to see if a disability has improved or not.

The have the right to do this. Is your rating Permanent and total?. If it i s, It really doesn't matter.

http://cfr.vlex.com/vid/3-327-reexaminations-19775463

Now for some good news. there are protections available after 5 years and thereafter with a 20 year rule.

Hang in there and don't worry too much about it. It your situation hasn't changed it should be no problem.

J

Has something changed what is this 5 year protection you speak of.....

Link to comment
Share on other sites

  • HadIt.com Elder

From an earlier Hadit Topic: Carlie

When the issue of Protected Ratings comes up
it usually is in reference to the 10 and 20 years
levels of protection.


Sometimes a comment might be thrown in about
a 5 year level of protection.


I just finished reading (2 hours of reading) a document
that makes specific mention of the 5 years protection rule.


http://www.bva.va.go...ages220-262.pdf

Due Process in the Wake of

Cushman v. Shinseki: The Inconsistency of Extending

a Constitutionally-Protected Property Interest to

Applicants for Veterans’ Benefits

Emily Woodward Deutsch and Robert James Burriesci




" Once a beneficiary has been in receipt of benefits at a

particular rating for five or more years then the rating is considered

to be stabilized and additional requirements must be met prior

to reducing the evaluation.

191

After five years, in addition to the

above requirements, VA must provide the beneficiary with a full

and complete examination, in comparison with the examination

that was relied upon to grant the evaluation, prior to reduction,

and reduction will not be effected unless the examination reveals

sustained, material improvement.

192

In addition, after a particular

evaluation has been in effect for 20 years or more, then ordinarily

it may not be reduced.

193

The special protections triggered by an attempt to sever

or reduce a beneficiary’s entitlement make clear that VA provides

protections in excess of those required by the Due Process Clause’s

provision for a fair hearing as these due process protections focus

the burden of proof on the Government. As such, VA regulations

more than comply with the Due Process Clause."




The five years is alo supported by 38 CFR

Sec. 3.344 Stabilization of disability evaluations.

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

  • HadIt.com Elder

My advice no matter what your rating is to go to the VA and get a PCP and do labs and see a doctor regarding your SC conditions even on a minimal basis. Be sure to complain every time you go about pain, depression, anxiety, and any other medical or psycho/social issues you have that relate in some way to your SC conditions and the impact they have on your life.

I know there are vets here who don't do this and some have good reasons. I don't like going to the VA, but I make minimal attempts to stay in the loop. If there was a clinic nearby I would make good use of that, but I hate a 15 mile drive to give urine. I do it to get my pills and they are always late. Is it possible to use a military hospital to give blood or urine samples for the VA?

John

Link to comment
Share on other sites

VARO told be your not considered P&T until you have been rated at your current rating for 20 years. From the decision I got they are only going to re examine two conditions in June 2014 , the others are considered static. But what amazes me is how the medical profession can think that a condition can improve, controlling it with medication is not improvement. I am still looking for these two conditions in 38 CFR part 4.

Thank You

James M. Horak, TSgt USAF Retired

P.O. Box 2167

Belton Texas 7653

Email jhorak101@gmail,com

Link to comment
Share on other sites

My advice no matter what your rating is to go to the VA and get a PCP and do labs and see a doctor regarding your SC conditions even on a minimal basis. Be sure to complain every time you go about pain, depression, anxiety, and any other medical or psycho/social issues you have that relate in some way to your SC conditions and the impact they have on your life.

I know there are vets here who don't do this and some have good reasons. I don't like going to the VA, but I make minimal attempts to stay in the loop. If there was a clinic nearby I would make good use of that, but I hate a 15 mile drive to give urine. I do it to get my pills and they are always late. Is it possible to use a military hospital to give blood or urine samples for the VA?

John

I have learned to keep an excel spreadsheet AKA Log book of my conditions and log in entries with dates and times when ever conditions bother me and interfere with my ability to function. I also send secure messages to my VAMC Doctor using myhealthe vet secure messaging, for example when I need medication renewals I write in a comment on how my condition is effecting me without the medication and or with it. My healthe vet messages are tracked and become part of your VAMC record.

James M. Horak, TSgt USAF Retired

P.O. Box 2167

Belton Texas 7653

Email jhorak101@gmail,com

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
      Week One Done
    • 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
  • Our picks

    • These decisions have made a big impact on how VA disability claims are handled, giving veterans more chances to get benefits and clearing up important issues.

      Service Connection

      Frost v. Shulkin (2017)
      This case established that for secondary service connection claims, the primary service-connected disability does not need to be service-connected or diagnosed at the time the secondary condition is incurred 1. This allows veterans to potentially receive secondary service connection for conditions that developed before their primary condition was officially service-connected. 

      Saunders v. Wilkie (2018)
      The Federal Circuit ruled that pain alone, without an accompanying diagnosed condition, can constitute a disability for VA compensation purposes if it results in functional impairment 1. This overturned previous precedent that required an underlying pathology for pain to be considered a disability.

      Effective Dates

      Martinez v. McDonough (2023)
      This case dealt with the denial of an earlier effective date for a total disability rating based on individual unemployability (TDIU) 2. It addressed issues around the validity of appeal withdrawals and the consideration of cognitive impairment in such decisions.

      Rating Issues

      Continue Reading on HadIt.com
      • 0 replies
    • 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.   
×
×
  • Create New...

Important Information

Guidelines and Terms of Use