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Va Reimbursement For Dental Care - 100% Disabled Retro To 2002


usmc79
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I was granted total dis. in November 2013. It was backdated and I received retro-pay dated back to 2002. I've been reading about getting reimbursed for dental (and possibly some medical) fees that I've had since the 100% was back-dated to 2002. Does anyone have any experience with this?

Questions:

I've paid for dental insurance through Delta for the past 10 years, since I would have been covered under VA dental (had the 100% been assigned back in 2002) and would have been eligible for dental, will the VA reimburse me for that?

OR

Does the VA have certain diagnostic codes for dental care that they use to figure out reimbursement amounts?

I'd greatly appreciate anyone's advice and/or information. Thanks.

Semper Fi

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  • HadIt.com Elder

Ye Yes, I got reimbursed for dental expenses while waiting for TDIU appeal which I finally won. You file via Unauthorized Expense to Fee Base. You need the bills from your doctor and you need to show the amounts you paid that were not reimbursed by insurance,. I wonder if you could get reimbursed for premiums for the insurance? I had no insurance and had a crown done and some other stuff. I got about 70% back from what I spent. It took 6 months and at first the Fee Base Office threw my form in the trash. You must be persistent. I have asked them for $13500 recently because they refused to do crowns and implants for me. I don't know what if anything I will get back but I am prepared to appeal.

John

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Thanks for the info. I'll let you know if I find out anything about premiums and insurance payments. s/f

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  • 2 weeks later...

I went to the DAV today to see how to go about claiming dental reimbursements. He said to get all my bills (co-pays and monthly insurance payments) together and file a form requesting reimbursements based on being granted total/permanent. I'm getting everything together and will be taking it down to the VA medical center billing office on Monday!

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  • HadIt.com Elder

I do think you will need to file with Fee Base. You want copies of the bills and date you got 100% or TDIU. You don't have to be P&T. Unless I am nuts you must claim it as an unauthorized expense because it was not pre-authorized. Now this is what I did. When you file it get date stamped copy of your claim and your bills etc. You cannot trust these jerks as far as you can throw them. My fee base office threw away my claim because the lazy CE did not want to do the work involved. Like I say it took six months. Fee base harassed my private dentist and were nasty. They practically called him a thief and me too. I think you should be reimbursed for out of pocket expense back to 2002. Since your insurance was out of pocket you should ask for that as well. That may be a harder nut to crack. Fee Base are cheap as all know here.

John

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