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

     

My Successful VA Claim Story

Rate this topic


Recommended Posts

My Successful VA Claims Story

Thanks to all on this site who have shared information, web site links, successes, failures, delays, processes, procedures, and advice. Your advice helped my complete my claim on-line with zero issues. I didn’t post or comment on any threads while I was in the process, but waited till all was done; now I have time to comment and return the favor and answer any questions.

At the time of my retirement in 2001 after 20 years of service, filling a claim was the farthest thing from my mind. Sure I had aches, pains and scars but I was 39, didn’t feel disabled and honestly didn’t want anything to delay me from getting out on time and honestly felt there were more deserving of compensation. It took me several years to understand I did have injuries that affected me and I should file a claim.

 I was also going thru a divorce, custody battle, relocating from overseas, looking for a house and a job to pay for it all at the same time. Luckily I was successful on all accounts.

Fast forward to 2015 I finally decided to start my claim after close to 15 years.

After reading numerous postings and threads on this site and reading the length of time people have waited and hearing the horror stories associated with so many claims, I decided that while there are some very knowledgeable, dedicated and helpful people and agencies out there to help with claims that no one probably cared about my claim as much as I did.

I went to work learning the process and reading the CFR cover to cover and read it again and read it again (did I mention I read it again).

Obtained my records, civilian and military and made a list of each condition no matter how small that I believed I had solid enough documentation on. I then got busy making medical appointments for each the conditions I claimed. I did these one at a time to ensure everything was correct before moving on to the next.

After each Dr. Visit I scheduled another appointment with the sole purpose of having the Dr. Complete VSARD. (This process took me approx. 8 months)

After submitting claim on e-benefits I started preparing for my C&P Exam. Simply made an outline for each item I wanted to address and had copies of everything I submitted (which I was glad I brought with me, three items had not been uploaded to my file). The C&P exam was painless and professional the Dr. simply asked questions on each issue and did the exam to confirm what had previously been submitted.

My appointment lasted 3.5 hours. I recommend you be patient and quiet while the Dr. reads your C-File and types notes for each condition and completes a VSARD for each. Don’t distract them let them work. I know I make errors typing if someone is talking at the same time and my claim was too important to have something missed by me talking and asking questions while they are typing their medical opinion. They take the issues one at a time and complete each before moving onto the next.

You will be afforded a time at the end for questions, take notes of questions that pop into your head and save them to the end of your appointment. My Dr. was very thorough and took her time for each issue. Honestly I was blown away by the way I was treated at the Houston, VA after some of the horror stories I have read about C&P exams.

I simply followed advice I came across from those that were successful with their claims and treated the C&P Exam like a business meeting. After the Doctor introduced herself the conversation basically went like this.

I simply said...”Thank you for making time to speak with me today, Have you been given time to review my file for the following conditions”? Gave her a list of my claimed conditions (I listed all 10 on one piece of paper). She said all but these three. I then showed her the screen shot where they had been submitted and gave her paper copies which she appreciated. (Later in the exam she was able to retrieve them from the system as it was uploading slowly that day)

At the end she asked what questions if any I had, I had two or three that I wrote down for clarification which she answered. I simply thanked her for her time and left the appointment.

Recommend getting an account on the VA Blue Button, my exam notes were online in two days and after reading the Doctors notes I knew my claim would be just fine. My time line is below.

Dec 1 2016 Claim submitted                                                         

Dec 4 2016 Under Review/Gathering of Evidence

Jan 25 2017 C&P Exam

Mar 08 2017 Initial Review Complete/Preparation for Decision

March 20 2017 Moved back to Gathering Evidence

March 27 2017 Moved to Pending Decision Approval

March 28 2017 Preparation for Notification

March 28 2017 Complete awarded 90%

 Thanks again to all those that posted info and advice! Best wishes....OSC (SW) Retired

Link to comment
Share on other sites

Excellent!!!!!!! Congratulations!

I am sure you know that CRDP is automatic but CRSC has to be applied for.

I assume you would fall into either CRDP or CRSC catergory....???

"I went to work learning the process and reading the CFR cover to cover and read it again and read it again (did I mention I read it again)."

 

Yippee and that puts any vet onto the path to success ,among the other steps you took.

The CFRs and VASRDs are templates to what evidence we need.

The time it takes to read and re read the regs and all of the medical evidence you have is well worth that effort (as you know!)

This is superb:

"After submitting claim on e-benefits I started preparing for my C&P Exam. Simply made an outline for each item I wanted to address and had copies of everything I submitted (which I was glad I brought with me, three items had not been uploaded to my file). "

I always prepared what I called "War Plans" for my claims....an outline that included every avenue of attack possible, and what I needed to prove the claim.

When we get organized and narrow our focus to what we need, it all can get easy (and no one else such as a vet rep, will be willing or able  to do that for us).

 

 

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

Congratulations, you did all the leg work and it payed off, I read the CFR pretty thoroughly too and it payed off for me to get what I was looking for. You have to be your own advocate. And I have to give a lot of credit to the people on this site for all the advice. Good luck in your future battles!

USMC 79-85

100% P&T

SMC R1

70% loss of use of right arm due to multiple sclerosis

100% suprapubic cystostomy due to multiple sclerosis

100% loss of use of both lower extremities due to multiple sclerosis

30% left upper extremity weakness

30% insomnia with hypersomnolence

10% neurogenic bowel

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

    • kidva earned a badge
      Collaborator
    • dennis simpson earned a badge
      Collaborator
    • Dave119 earned a badge
      One Month Later
    • ShrekTheTank went up a rank
      Contributor
    • kidva went up a rank
      Rookie
  • Our picks

    • These decisions have made a big impact on how VA disability claims are handled, giving veterans more chances to get benefits and clearing up important issues.

      Service Connection

      Frost v. Shulkin (2017)
      This case established that for secondary service connection claims, the primary service-connected disability does not need to be service-connected or diagnosed at the time the secondary condition is incurred 1. This allows veterans to potentially receive secondary service connection for conditions that developed before their primary condition was officially service-connected. 

      Saunders v. Wilkie (2018)
      The Federal Circuit ruled that pain alone, without an accompanying diagnosed condition, can constitute a disability for VA compensation purposes if it results in functional impairment 1. This overturned previous precedent that required an underlying pathology for pain to be considered a disability.

      Effective Dates

      Martinez v. McDonough (2023)
      This case dealt with the denial of an earlier effective date for a total disability rating based on individual unemployability (TDIU) 2. It addressed issues around the validity of appeal withdrawals and the consideration of cognitive impairment in such decisions.

      Rating Issues

      Continue Reading on HadIt.com
      • 0 replies
    • I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful.  We decided I should submit a few new claims which we did.  He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims.  He said that the VA now has entire military medical record on file and would find the record(s) in their own file.  It seemed odd to me as my service dates back to  1981 and spans 34 years through my retirement in 2015.  It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me.  He didn't want my copies.  Anyone have any information on this.  Much thanks in advance.  
      • 4 replies
    • 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.   
×
×
  • Create New...

Important Information

Guidelines and Terms of Use