diabetes C&p Rating

[philusmc]

I spoke with my DAV rep this morning to inquire about the status of my claims and he said that a rating decision had been made for both claims: 20% neuropathy (10% each leg) and 30% for PTSD. The claim still has to go through further processing for them to prepare my letter and to calculate retro pay which he said may take some time.

I filed my claim for neuropathy in February 2011 and for PTSD in July 2011. I currently receive 20% for diabetes.

If my calculations are correct for the "combined" rating, I figure my combined rating should be 60% (I think).

Now, trying to figure out my retro pay for neuropathy and PTSD rating is beyond my pea brain. Does anyone know how the VA calculator works in this regard.

Semper Fi Phil

[USMC_HVEQ]

hi Phil,

Yes your rating will go to 60% COMBINED (56 ACTUAL)...

10 + 10=19 then bilateral factor pushes it to 20.9 =21%. which is added to your current 20% for a combined 37 which pays at 40%. Then when you PTSD is added you go from 37 actual to 56 actual and 60% combined rating pay.

You back pay will be the difference. You will be paid the month following the effective date. As a reminder, they pay us at the end/begining for the previous month.

so backpay for neuropathy should be from March 2011 to now and backpaid the difference from 40% rating pay which would be the combined rating for then minus the 20% you were already receiving.

40 combined pay -20% diabetes pay already receiving=Difference for Neuropathy backpay from 3/2011.

then in the PTSD back pay would be from 8/2011 to present and you would receive the difference of 60% from the 40%=another 20% difference pay out.

another way to look at it would be this:

3,4,5,6,7/2011 you will be paid the difference of 40%-20% for neuropathy....then starting 8/2011-present you would be paid the difference from 60%-20% for PTSD..

sorry tried to help.......

2011 40% single rate (using the 2009-2010 rate table) was 541. the 20% rate was 243. so the difference is 298 x 5 months=1490$ backpay on the neuropathy (estimated)

then 8,9,10,11,12/2011 @ 60% was 974- 243 =731 x 5=$3655 for 2011

1-12/2012 (2011 pay table)@60 1009-251=758 x 12=$9096 for 2012

1-12/2013(2012 pay table)@60 1026-255=$9252 for 2013

1-12/2014(2013 pay table)@40 1041.39-258.83=782.56 x 12=9390.72 for 2014

i probablly used the wrong tables, ugh...you get the idea...so ballpark 33K if I am right........sorry if my info is wrong, like I said I tried

[philusmc]

Thanks USMC_HVEQ. I simply could not understand how they calculate the retro pay. This really helps me to understand it. I surely appreciate you taking the time to educate me on this. Have a great day. semper fi phil

[Navy04]

Congrats and a great way to start a New Year. Good luck

[georgiapapa]

Congratulations and good luck to you.

Semper Fi.

[philusmc]

hi Phil,

Yes your rating will go to 60% COMBINED (56 ACTUAL)...

10 + 10=19 then bilateral factor pushes it to 20.9 =21%. which is added to your current 20% for a combined 37 which pays at 40%. Then when you PTSD is added you go from 37 actual to 56 actual and 60% combined rating pay.

You back pay will be the difference. You will be paid the month following the effective date. As a reminder, they pay us at the end/begining for the previous month.

so backpay for neuropathy should be from March 2011 to now and backpaid the difference from 40% rating pay which would be the combined rating for then minus the 20% you were already receiving.

40 combined pay -20% diabetes pay already receiving=Difference for Neuropathy backpay from 3/2011.

then in the PTSD back pay would be from 8/2011 to present and you would receive the difference of 60% from the 40%=another 20% difference pay out.

another way to look at it would be this:

3,4,5,6,7/2011 you will be paid the difference of 40%-20% for neuropathy....then starting 8/2011-present you would be paid the difference from 60%-20% for PTSD..

sorry tried to help.......

2011 40% single rate (using the 2009-2010 rate table) was 541. the 20% rate was 243. so the difference is 298 x 5 months=1490$ backpay on the neuropathy (estimated)

then 8,9,10,11,12/2011 @ 60% was 974- 243 =731 x 5=$3655 for 2011

1-12/2012 (2011 pay table)@60 1009-251=758 x 12=$9096 for 2012

1-12/2013(2012 pay table)@60 1026-255=$9252 for 2013

1-12/2014(2013 pay table)@40 1041.39-258.83=782.56 x 12=9390.72 for 2014

i probablly used the wrong tables, ugh...you get the idea...so ballpark 33K if I am right........sorry if my info is wrong, like I said I tried

you were spot on, just got my notice today -- retro pay is $32,948.58 -- great calculations. thanks for your input. semper fi -- phil

[georgiapapa]

USMC_HVEQ,

Great job on the award computations for our fellow jarhead Phil.

Phil,

You may want to put a little cash aside in the event you need an IME and/or IMO for future claims or rating increase requests. Also, consider a donation to Hadit.com so it will always be available for vets.

Since you are now in priority group one (1) in the VA healthcare system, you are entitled to the following:

Free VA medical treatment and prescriptions for all medical condtions with no copays. It doesn't matter if the medical condition is service connected or not.

Travel pay for all VA appointments. (You became entitled to this when you hit the 30% rating level). Make sure you submit a travel pay form within 30 days after future VA appointments.

Reimbursement for all of your VA appointment copays and VA prescription copays retroactive back to the effective date of your award that put you at a rating level of 50% or higher.

Retroactive travel pay for all VA appointments back to the effective date of your award that put at a rating level of 30% or higher. Based on your info in your posts, this effective award date would be about four (4) months earlier than your copays reimbursement effective date.

Good luck to you and thank you for your service.

Semper Fi.

Georgiapapa