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    • The 5, 10, 20 year rules...



      Five Year Rule) If you have had the same rating for five or more years, the VA cannot reduce your rating unless your condition has improved on a sustained basis. All the medical evidence, not just the reexamination report, must support the conclusion that your improvement is more than temporary.



      Ten Year Rule) The 10 year rule is after 10 years, the service connection is protected from being dropped.



      Twenty Year Rule) If your disability has been continuously rated at or above a certain rating level for 20 or more years, the VA cannot reduce your rating unless it finds the rating was based on fraud. This is a very high standard and it's unlikely the rating would get reduced.



      If you are 100% for 20 years (Either 100% schedular or 100% TDIU - Total Disability based on Individual Unemployability or IU), you are automatically Permanent & Total (P&T). And, that after 20 years the total disability (100% or IU) is protected from reduction for the remainder of the person's life. "M-21-1-IX.ii.2.1.j. When a P&T Disability Exists"



      At 55, P&T (Permanent & Total) or a few other reasons the VBA will not initiate a review. Here is the graphic below for that. However if the Veteran files a new compensation claim or files for an increase, then it is YOU that initiated to possible review.



      NOTE: Until a percentage is in place for 10 years, the service connection can be removed. After that, the service connection is protected.



      ------



      Example for 2020 using the same disability rating



      1998 - Initially Service Connected @ 10%



      RESULT: Service Connection Protected in 2008



      RESULT: 10% Protected from reduction in 2018 (20 years)



      2020 - Service Connection Increased @ 30%



      RESULT: 30% is Protected from reduction in 2040 (20 years)
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    • https://community.hadit.com/searching-for-va-claims-information-on-hadit.com/

       

      Your question has probably been asked before so the fastest way to find the information you need is to search for it.
      • 3 replies
    • How to get your questions answered...


      All VA Claims questions should be posted on our forums. Read the forums without registering, to post you must register it’s free. Register for a free account.

      Tips on posting on the forums.

      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’.


      Knowledgable 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.


      Use paragraphs instead of one huge, 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 to:

      Post clear questions and then give background info on them.

      Examples:

      A. I was previously denied for apnea – Should I refile a claim?


      I was diagnosed with apnea in service and received a CPAP machine but claim was denied in 2008. Should I refile?



      B. I may have PTSD- how can I be sure?

      I was involved in 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 from your claim?” etc.

      Note:

      Your firsts posts on the board may be delayed before they show up, as they are reviewed, this process does not take long and the review requirement will be removed usually by the 6th post, though we reserve the right to keep anyone on moderator preview.

      This process allows us to remove spam and other junk posts before they hit the board. We want to keep the focus on VA Claims and this helps us do that.
      • 2 replies
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flyfisher

Dental

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  • Similar Content

    • By Bigkevo44
      I am so grateful for all the assistance and helpful advice that I have received from the many caring people on this site. Approximately a year ago, I was finally awarded TDIU (IU) through the VA after a long six year battle. As a result I am entitled to all the "bells and whistles," it provides. Fast forward to May 17th of 2017, when I was scheduled to receive my much needed dental implants. I went in for the procedure and met a young dental intern "doctor" who looked to be around 23 years of age. In spite of my nervousness, I allowed her to proceed with the surgery. These medical students typically work at the VA for one year or so for the experience, then leave to jockey for real jobs in the medical field. After the surgery was over, I discovered that it would take approximately six months for the appliance to adhere to my jawbone prior to them installing the caps. The "doctor" informed me that she would not be around in six months and that the next intern would install the two caps.
      It wasn't until approximately July or so that I was informed by the new intern that my implant on the right side had been put in improperly and as a result would leave a gaping space between my teeth. She determined this from the x-rays. Just as predicted, this past November 2017, I was called in to have the appliances installed just to discover the new intern was right. When asked what could be done to correct the situation, I was told that nothing could be done. As a result of the placement of the implant, I now experience discomfort and the inconvenience of having to remove food deposits from between the one implanted molar and my real tooth. I am so distressed about this situation. I may have been better off leaving well enough alone. I guess everything that is free isn't really free, huh?
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    • By Navy4life
      I am S/C for my Eating Disorder.....I have numerous fainting spells documented which is what helped get me S/C for Anorexia Nervosa....

      In November 2014 I passed out and was rushed to the VA hospital. I damaged both front teeth due to my eating disorder. I was treated for other issues while at the ER and released. I had two consults to the VA dental denied due to no S/C for my teeth.

      I had to get over $4,500 in dental work done on the outside. I had both my dentist and specialist dentist fill out DBQ's and I submitted them along with all receipts and I did an FDC. I filled out everything needed and submitted in Feb 2015...

      QUESTION...Can you get your teeth S/C(secondary) if you already have a S/C disability (Anorexia Nervosa) that attributed to the secondary issue?

      I noticed on the VA site for FDC claim's it states:
      Who Can File an FDC? Veterans may file an FDC for disability compensation for the following reasons:
      An injury, disability, or condition believed to have occurred or been aggravated by military service. A condition caused or aggravated by an existing service-related condition.
    • By Navy4life
      Hi there! Hope all had a Merry Christmas and a Happy New Year!

      Here is background.....I am service connected for Anorexia Nervosa and in November I fainted/passed out and hit my head/face/mouth on the concrete pavement. I was taken to the VA ER and treated for my issues dealing with my eating disorder. When I fell I injured my mouth pretty good! I damaged my two front teeth and because of this I now have endured $4,500 in dental bills to repair my teeth.

      I tried at first to get a consult with dental but the Chief Dental Officer stated I had to be 100% S/C for it. So I took the route and went to see my dentist and a root canal specialist. Both dentist know of my eating disorder and are willing to fill out DBQ's on my behalf. They have read all my medical background and the most recent ER visit linking my teeth damage to my eating disorder.

      Questions:

      1) Should both dentist fill out a DBQ?
      2) Should I submit my bills for reimbursement? Or will I not get reimbursed?
      3) If I do get service connected would they reimburse me or just service connect me?
      4) Should I do an FDC since this is pretty much "cut and dry"?


      Any other suggestions, recommendations or comments? I would really appreciate it!
    • By Navy4life
      Okay I hope I am in the right section.....

      I have been s/c for my Eating Disorder Anorexia Nervosa. Most recently on 11/16/14 I took a pretty good tumble/spill and fainted due to my eating disorder and the fall resulted in me cracking/chipping my front upper teeth. They are turning grey/black as we speak and it is evident I am going to need dental work. The ER noted the fall due to Anorexia Nervosa so I want to get the dental s/c secondary to my anorexia nervosa.

      Both consults presented to Dental were denied due to I don't have 100% dental s/c. The consults were put in by my PCP and my MH doctor.

      Here are my questions:

      1) If I go to outside dentist to get the work done and pay for it out of pocket can I submit the payment request with an FDC?

      2) Should I get both PCP and MH to type a letter up on this?

      3) MyhealthyVet notes show the ER visit and the evidence of my teeth damage due to Anorexia Nervosa. I should submit this with FDC - is that enough? If not shoudl I;

      4) Get a statement from the dentist I am going to see to get my teeth fixed?

      I can't wait to get s/c because of the condition/infection I would risk with my teeth in the state they are in....

      5) Do you think I could get the s/c for my teeth????

      I think an FDC is warranted in this case?? Thoughts???
    • By red
      Does anyone know when the Dental program for the spouse of a 100% disabled vet will start and what will it consist of ?

      I hope I am on the right place to post this and I did not cut someone else off. Thanks and Happy new year.
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  • Our picks

    • The 5, 10, 20 year rules...



      Five Year Rule) If you have had the same rating for five or more years, the VA cannot reduce your rating unless your condition has improved on a sustained basis. All the medical evidence, not just the reexamination report, must support the conclusion that your improvement is more than temporary.



      Ten Year Rule) The 10 year rule is after 10 years, the service connection is protected from being dropped.



      Twenty Year Rule) If your disability has been continuously rated at or above a certain rating level for 20 or more years, the VA cannot reduce your rating unless it finds the rating was based on fraud. This is a very high standard and it's unlikely the rating would get reduced.



      If you are 100% for 20 years (Either 100% schedular or 100% TDIU - Total Disability based on Individual Unemployability or IU), you are automatically Permanent & Total (P&T). And, that after 20 years the total disability (100% or IU) is protected from reduction for the remainder of the person's life. "M-21-1-IX.ii.2.1.j. When a P&T Disability Exists"



      At 55, P&T (Permanent & Total) or a few other reasons the VBA will not initiate a review. Here is the graphic below for that. However if the Veteran files a new compensation claim or files for an increase, then it is YOU that initiated to possible review.



      NOTE: Until a percentage is in place for 10 years, the service connection can be removed. After that, the service connection is protected.



      ------



      Example for 2020 using the same disability rating



      1998 - Initially Service Connected @ 10%



      RESULT: Service Connection Protected in 2008



      RESULT: 10% Protected from reduction in 2018 (20 years)



      2020 - Service Connection Increased @ 30%



      RESULT: 30% is Protected from reduction in 2040 (20 years)
      • 4 replies
    • Wonderful news way to hang in. I hope this gives you some well deserved peace. 
    • If HadIt.com has helped you or you believe in it’s mission then please donate even $1 helps. I hope HadIt.com has provided $1’s worth of help to you. Imagine waking up and there is no HadIt.com it could happen and that is why I’m asking for your help now.



       



      Our traffic is going up and so are our expenses, however revenues have gone down and so I am reaching out to you to see if you can help me keep Hadit.com up and running.
      • 4 replies
    • https://community.hadit.com/searching-for-va-claims-information-on-hadit.com/

       

      Your question has probably been asked before so the fastest way to find the information you need is to search for it.
      • 3 replies
    • How to get your questions answered...


      All VA Claims questions should be posted on our forums. Read the forums without registering, to post you must register it’s free. Register for a free account.

      Tips on posting on the forums.

      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’.


      Knowledgable 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.


      Use paragraphs instead of one huge, 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 to:

      Post clear questions and then give background info on them.

      Examples:

      A. I was previously denied for apnea – Should I refile a claim?


      I was diagnosed with apnea in service and received a CPAP machine but claim was denied in 2008. Should I refile?



      B. I may have PTSD- how can I be sure?

      I was involved in 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 from your claim?” etc.

      Note:

      Your firsts posts on the board may be delayed before they show up, as they are reviewed, this process does not take long and the review requirement will be removed usually by the 6th post, though we reserve the right to keep anyone on moderator preview.

      This process allows us to remove spam and other junk posts before they hit the board. We want to keep the focus on VA Claims and this helps us do that.
      • 2 replies
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