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

Claim Was For Iu But Was Rated At 100 Percent For Ptsd.

Rate this question


Armyofone64

Question

Hey brother and sister vets! I have visited this sight often, but this is my first post. Question for anyone. So I filed a claim for a PTSD increase (was 30 percent). In November I had a comp and pen and in December I was increased to 70 percent ptsd and went from 70 combined to 90 combined. I have been unemployed for most of the last year, so my vet rep encouraged me to consider applying for IU. I decided to do that about a week after I got my last rating (mid December.) I was called into a second comp and pen on January 26th. The doc in this exam said I was unemployable and added some symptoms the doctor from November missed. Today I found out I was approved to 100 percent PTSD...not the IU. The effective date for this increase was December 23 2014. So very little in the way of retro pay. However had my claim from December which had bumped me to 70 percent been at the 100 percent level as it is now, my effective date for the claim would have gone back to Feb 2013, the day after I left active duty. My question is, what shall I appeal? The December 70 percent rating or the effective date of the 100 percent I just got? Any advice would be much appreciated.

Link to comment
Share on other sites

Recommended Posts

  • 0

I agree with Mike on this one, I had a chance to fight the VA last year over their mistake. It was not worth fighting for $2500 and giving the VA a reason to come after me or my other disabilities. Only you can decide what to do. Congrats on the 100% and good luck

100% PTSD

100% Back

60% Bladder Issues

50% Migraines 
30% Crohn's Disease

30% R Shoulder

20% Radiculopathy, Left lower    10% Radiculopathy, Right lower 
10% L Knee  10% R Knee Surgery 2005&2007
10% Asthma
10% Tinnitus
10% Damage of Cranial Nerve II

10% Scars

SMC S

SMC K

OEF/OIF VET     100% VA P&T, Post 911 Caregiver, SSDI

 

 

Link to comment
Share on other sites

  • 0
  • In Memoriam

Maybe they decided to give you Permanant and Total (PT). Does your rating say no further visits? Were you granted PT. If you were granted PT you have Chap. 35 benefits and ChampVA.

Stretch

Just readin the mail

 

Excerpt from the 'Declaration of Independence'

 

We have appealed to their native justice and magnanimity, and we have conjured them by the ties of our common kindred to disavow these usurpations, which, would inevitably interrupt our connections and correspondence. They too have been deaf to the voice of justice and of consanguinity

Link to comment
Share on other sites

  • 0

DO you get SSDI and if so, is it for the same SC disability, with no NSC conditions?

If you do get SSDI solely for what is now SC, did VA know that when they made this decision?

Or are you going to apply for SSDI? .This award is good evidence for SSDI.

"So I filed a claim for a PTSD increase (was 30 percent)." When did you file that claim?

"However had my claim from December which had bumped me to 70 percent been at the 100 percent level as it is now, my effective date for the claim would have gone back to Feb 2013.................the day after I left active duty." hmmmmmmm.

Would you be able to scan their Reasons and Bases and Evidence list (cover C file, name and address prior to scanning it)

and attach it here?

"(1) The effective date of an award of disability compensation to a veteran shall be the day following the date of the veteran’s discharge or release if application therefor is received within one year from such date of discharge or release."

http://www.law.cornell.edu/uscode/text/38/5110

I wonder if they did a proper staged rating as well as considered the above regulation. The decision will tell us more.

They might be right. .....then again...... there might be something you need to appeal.

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

Link to comment
Share on other sites

  • 0

Berta,

Quick question, so If my SSDI was approved solely on PTSD, and I am currently 70% VA for PTSD, then does that mean that the VA should make my PTSD increase to 100%? I am asking because next week I have a PTSD Exam Review at the VA, and I am scared as Hell.

100% PTSD

100% Back

60% Bladder Issues

50% Migraines 
30% Crohn's Disease

30% R Shoulder

20% Radiculopathy, Left lower    10% Radiculopathy, Right lower 
10% L Knee  10% R Knee Surgery 2005&2007
10% Asthma
10% Tinnitus
10% Damage of Cranial Nerve II

10% Scars

SMC S

SMC K

OEF/OIF VET     100% VA P&T, Post 911 Caregiver, SSDI

 

 

Link to comment
Share on other sites

  • 0

Thanks everyone for responding. Stretch...it say that it will be reviewed in 5 years. So not yet permanent. Berta...I have applied for SSDI, about a month back. I haven't received my official decision from the VA, but saw that the effective date of the 100 percent rating was December 23rd, 2014. In December of 2013 I put in for an increase for PTSD...(within the one year post discharge period). Comp and pen for PTSD was in November and the rating for PTSD increased from 30 to 70 retroactive to February 3, 2013 (day after discharge). I then applied for IU on December 23rd 2014. Had a comp and pen for PTSD on January 26th 2015. Then I looked at my ebenefits docs and saw that I had been bumped to 100 percent PTSD (effective date December 23rd 2014. ). Can I appeal the earlier PTSD rating and use the January comp and pen as evidence showing the 100 percent? When someone appeals a rating do they often order another comp and pen? And what does the va do with conflicting comp and pens in that case? I'm not sure what a staged rating is. But anyway, as soon as I get the official letter I will scan and post it. Thanks so much everyone!

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

    • Ronald beecher went up a rank
      Rookie
    • Tim Walsh earned a badge
      First Post
    • Tim Walsh earned a badge
      Conversation Starter
    • BirddogM578 earned a badge
      Week One Done
    • BirddogM578 earned a badge
      One Month Later
  • 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