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

Cue On Granted Claim, Help!

Rate this question


Mooncookiez53

Question

Hi everyone!

I was finally able to speak my vso about my ptsd claim last week. Im at 50% now but he thinks it should be 70 or 100 so filed a disagreement on the evaluation.

Something has been keeping me up at night now though. Please bear with me because it's kind of complicated and this also may not be the right place for this question(s), I really felling pretty confused and anxious with this...

Ok, so my claim was for prsd/mdd due to mst :(...

I had only one c&p done which was not favorable. The examiner diagnosed depression only (but didnt really ask many questions) and her opinion was that it wasn't related the depression I had in service. ( Was discharfed for depressionamd anxioty but didnt talk to anyone about what happened then) I've been diagnosed with ptsd and depression at the va and also other places over the years. The social worker I've been doing treatment with write an opinion that its defiantly related to the mst stuff.

Claim was denied due to the crummy C&P but I got a vso and files a nod. So at the DRO hearing, the vso pointed out all the evidence that could be used as "markers". The DRO agreed that examiner was an idiot was going to schedule another C&P exam but changed mind later and went ahead and granted service connection. Should be happily ever after, but wait... There's a catch:

The vso believes there a a CUE with the decision. He explained it like this:

The law says in order to use the "alternative evidence" or "markers" to verify the stressor on a ptsd claim, it HAS to be diagnosed by a C&P examiner. Snap. Because of this he feels its best to appeal the evaluation and then leave it alone. He said he wouldn't recommend fileimg any new claim or asking for any kind of increase in the future because if someone else reviews the decision in the future, it's risky that because there was a CUE in granting it that it could be reversed.

I'm worried that because of this the rug could be pulled out at a any time. Is this correct? Is there anything that can fix this? This whole process has been stressful enough and I'm felling like this is the last straw. Things have been really bad for awhile now. When I finally went to the va for counseling i was homeless and they filed a claim at the same time. I defently wasn't ready to do all this and doing the treatment has been hell to say the least. I haven't left my house for over a year except to go to MH appts. Not sure if I really want to be at 100 because work won't be an option later but I'm losing hope that this is ever going to get better anyway. Then there's this CUE thing to worry about. I know that ptsd claims at 100% are more likely to be like randomly reviewed then those at 70.

The situation boils down to this: should I go ahead for 100 or maybe tdiu OR let them know I'd be more comfortable with 70 in order to keep from rockimg rhe boat? 70% seems safer, but what happens if later on if things just don't get any better and I'm stuck with it? It's so worrisome my claim has this issue and I don't know what to do. Shutting up and not rocking the boat is what got me into this ptsd mess to begin with! Just want to do the best thing. It's like I only have this one shot it get it right. What would happen it I was at 100 and that CUE rears its ugly head? Would they be able to just do another C&p to make it square?

Ok. So I know that was a lot to take in but this is the three headed monster Ive been trying to get my head around. Thanks for reading my ridiculously long post. It could fit under any number of topics, so moderators, please feel free to move this wherever is best. Any wonderful expert opinions on this would be appreciated alot!

Link to comment
Share on other sites

  • Answers 20
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

Carlie-

I got the same Dog and Pony show from my V-rep Ron Ampe, now one of the hierarchy of the DAV emeritus clan. He admonished me not to press for an increase for my newly minted 0% for tinnitus and never even mentioned the (relatively) new avenue of the COVA in 1992. He said (and I paraphrase) "Dude, let's not rock the boat. You got a win on hearing and tinnitus. We can come back later and scoop up the compensable rating in a few years. You sure don't want to appear greedy, do you? That will work against us."

I have always pointed out to Vets I help that the VA has a very limited repertoire of ploys to spring on us. In conjunction with their lackeys, the VSOs, they exert a lot of pressure and false information to intimidate Vets. We are led to believe VA can, and will, come down on us like a cheap new suit if we step out of line. Having"hadit" myself after 20 years of this treatment and three VSO who echoed the same sentiments, I struck out on my own and hit back. I won it all and then began the task of dispelling all these old wive's tales Most have heard of the travails of Keith Roberts and his four-year imprisonment for doing something similar. http://asknod.wordpress.com/2012/01/18/roberts-v-shinseki-a-miscarriage-of-justice/ The difference is that I'm bulletproof. They can't hang me. They did deny for 6 years but that's what attorneys are for.

VA would be in deep doo-doo if they tried a stunt such as Mooncookiez's VSO suggests in 2013. If you think they are having credibility problems now with Congress and Vets, venturing down this road would be foolhardy. This has already cost them their precious bonus awards for doing little or nothing. Until Congress and the mainstream media (and the backlog) subside Vets are going to enjoy a rare popularity they seldom do. Then, once again, we'll melt away into a prolonged peacetime army with wooden guns and say "bang" when we pull the virtual triggers.

Edited by asknod

 

 

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