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Caluza Triangle defines what is necessary for service connection
Tbird posted a record in VA Claims and Benefits Information,
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”-
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Tbird, -
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Post in ICD Codes and SCT CODES?WHAT THEY MEAN?
Timothy cawthorn posted an answer to a question,
Do the sct codes help or hurt my disability ratingPicked By
yellowrose, -
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Post in Chevron Deference overruled by Supreme Court
broncovet posted a post in a topic,
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.Picked By
Lemuel, -
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Post in Re-embursement for non VA Medical care.
broncovet posted an answer to a question,
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
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Lemuel, -
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Post in What is the DIC timeline?
broncovet posted an answer to a question,
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.Picked By
Lemuel, -
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Question
WomanMarine
I was discharged in 1975 with a recurring subluxing Patella. The DoD rated me 10% and stated my injury was Service Aggravated. Two months after I was discharged, my patella sublexed again, tearing my meniscus. I was seen at the Los Angeles V.A. where they applied a full leg cast that I was to wear for 6 months. I had just started working for Southern Pacific Railroad, who terminated me because of this 'on the job' injury.
After the cast was removed I applied for Vocational Rehabilitation. I was not aware of the V.A. and DoD dual rating system at that time and stated that I was 10% service connected. I was denied.
The cast must have stabilized the area. I did not have an episode of tearing my ligaments till 1980. I was then seen at the V.A. and this time applied for compensation. I was denied. The reason for the denial was because the V.A. stated that I had not had any other issues since my discharge. They failed to address the first issue, only two months after my discharge, which also cost me a good job. After that I pretty much gave up on the V.A. :(
In 2012 my knee injury came back to visit me on a 120' communications tower. I was 80' in the air when it gave way. Good thing for my safty harness! I have since re-applied for my disability as this injury has now cost another job.
In May I contacted the original V.A. that did my first medical intervention, two months after my discharge in 1975. I have made numerous requests over the last few months. At first I was told that they located my records. I have been told multiple times that they have been mailed.
Today I received a response from IRIS:
"" Based on the information available to us we were unable to locate (in your electronic claim file) the Los Angeles VA Medical Center (VAMC) medical records to which you refer in your inquiry, from the time frame 1975 to 1976.
We also note the regional office has requested these same records multiple times: we have not yet received these from the VAMC."
My pending claim has now turned into a DRO. NOD submitted 8/18. The reason for the denial this time is the fact that the V.A. is using the same verbiage as the denial in 1980, stating that I never had any followup medical treatment.
I have had to apply for a Financial Hardship, as I am sinking ... I am behind on my utilities and received a disconnect notice for my electric. I have not been informed if it has been granted.
What happens if the V.A. cannot locate these medical records? They do have the DoD records where it shows that they considered my injury 'Service Aggravated' However the medical records prove that I was treated only two months after discharge and that I lost my employment because of my injury. These medical records are in direct conflict with the 1980 denial.
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