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Benefit Amount Dropped But Percentage Remains The Same


Fire Courage

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Today on ebenefits my claim went from prep for decision to Closed- Decision Notification Sent. It says notification was mailed out today. So, I went into download VA letters on ebenefits and found out that I lost money.

My benefit amount last month was $1,949 but this month it is $1,847 but my percentage remains at 80%. I do have a dependents claim that I filed in August of last year but the 1800 number says a decision has not been made on the dependency claim yet.

How can my benefit amount drop but my percentage remains the same?

Edited by Fire Courage
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  • HadIt.com Elder

Has the VA been paying you for some time, or was the 1,949 a one time payment, that might have included more than the usual monthly benefit?

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  • HadIt.com Elder

To add further complications.

The VA pharmacy charges may or may not be actually due.

Turns out that the VA often "forgets" to change a veteran's

status from co-pay to no co-pay when appropriate. I had to request an

"insurance audit" from my VAMC. That disclosed that the pharmacy charges were

improper, and resulted in the VA paying the funds back with interest.

For a few months, there were even instances of "someone" in the VA changing

no co-pay status prescriptions to co-pay. ????

It's also of note that there is language in the myriad of VA's utterings etc. that co-pay for "presumptive"

conditions should not be charged. Yet it may be charged anyway. ???

This one has to do with how the VA sometimes interprets presumptive, vs. everyone else.

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