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Fully Developed Claim

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OSC

Question

Fully Developed Claim

This is more of a rant than a question as the answer really is: that it will be done when it is done.

In September 2014, I submitted a simple single item Fully Developed Claim (FDC) for an increase of benefits immediately upon discharge (2 days) from my hospital care at the Las Vegas VAMC and VA approved follow-on treatment. This claim was for (1) Secondary Service Connection for a single new contention of my SC Diabetes and (2) Temporary 100% Total Disability for this hospital stay. All my paperwork, including admission and discharge dates, was submitted at once and all treatment was under the VA.

Now 4 months later, the VARO is finally looking at my claim. There was movement on eBenefits where my claim jumped from Under Review to Gathering of Evidence with notes that they will be sending a Development Letter and a request for additional evidence which is the reason for me being here today.

The additional evidence they want is and I quote:

  • In support of your claim for a temporary 100% evaluation, we need medical evidence showing you had surgery and/or received medical treatment for a service connected disability which required a convalescence period of at least one month, or hospitalization of at least 21 days.

So after a delay of 4 months where my claim sat with no movement, the VARO is now asking me to send in the same information they already have. The medical side of the VA was involved 100% of the way from the ER to my actual stay at the VA Hospital to the transfer to the VA approved outside care facility.

This makes absolutely no sense to me why this kind of a delay happens on a simple single item claim, in which all of their investigative work and research has been done, submitted and available at the Rater’s fingertips.

THEY have to approve the Service Connection first before I can submit this “additional evidence”; so two hours after seeing the notice on eBenefits, I resubmitted to them the admission and discharge documents along with a letter showing the dates equaling 31 days. I felt like singing the Arlo Guthry song Alice’s Restaurant by submitting “8 by 10 glossy photos along with circles and arrows”….

One additional thing the snail mail letter did say was that they would be scheduling me for a C&P exam which was expected.

The good news is that there is movement in my claim, but the length of time to get here is ridiculous when everything was done already

Of course I leave for the Philippines in 2 weeks, so the hoop jumping will probably start all over again but then again maybe changing VAROs might actually be good…who knows.

Thanks for listening.

OSC

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Well the good news hit about a month and a half after my arrival in the Philippines.....100% P&T.

Thanks for all the encougagement everyone, it was well worth the wait.

Yes I think things are getting MUCH better with the VA, I hope it all works out the same for everyone here.

OSC

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OSC,

Congratulations on your award. I am glad everything worked out for you. Some extra benefits go with 100% P & T: free Champva healthcare and Chapter 35 DEA educational benefits for your eligible family members, base commissary & exchange privileges for you and your family, free VA dental care for you, additional lfe insurance available for you, etc. I don't know if there are any local benefits avaiable to you in the Phillipines but in the USA, many of the states offer additional benefits. Depending on the state, significant property tax breaks are offered, free vehicle tags, state income tax breaks, etc.

Good luck and take care.

GP

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auenone,

Perhaps VA Secretary McDonald should send all stateside VAMC & VARO employees to the Phillipines to be retrained as to how their respective offices should operate. JMO

GP

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