Jump to content


  • veteranscrisisline-badge-chat-1.gif

  • Advertisemnt

  • Trouble Remembering? This helped me.

    I have memory problems and as some of you may know I highly recommend Evernote and have for years. Though I've found that writing helps me remember more. I ran across Tom's videos on youtube, I'm a bit geeky and I also use an IPad so if you take notes on your IPad or you are thinking of going paperless check it out. I'm really happy with it, I use it with a program called Noteshelf 2.

    Click here to purchase your digital journal. HadIt.com receives a commission on each purchase.

  • 14 Questions about VA Disability Compensation Benefits Claims

    questions-001@3x.png

    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
     
  • Ads

  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • VA Watchdog

  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

  • 0
Sign in to follow this  
taylor88be8

PTSD increase A&A added

Question

I have been TDIU P&T for over 6 years well since I medically retired from the Army for PTSD on June,26,2012 (PDRL).  

My current ratings are 70% PTSD. ,30%Migraines  30% Gerd 10% Tinnitus 0% ED  combines total of 90%

 

I was awarded VA Caregiver from 2012-2014 until my wife left me them I lost Caregiver 

 

question is if apply for a increase in my 70%PTSD and I have a DBQ signed rom a medical doctor stating “Total Occupational and Social Impairment”  and the same MD filled out the VA Form 21-2680 A&A Form stating I need it.

 I’m also on SSDI since 2012 for PTSD as well   

I already have SMC-S and SMC-K

 

What are my chances for any of this?  

 

Thanks 

 

Edited by taylor88be8

Share this post


Link to post
Share on other sites

Recommended Posts

  • 1

Sure, Gastone. I just read his first post at the top. His wife left. Sayonara SMC (t). No caregiver = no dice. So... He says he is currently SMC (s)with a K-about $3380/mo. I could see him maybe being entitled to a 100% schedular for the PTSD but you have to be prepared to go up to the BVA to win it and especially any A&A. VA is going to choke and puke. Most guys work with VSOs and most VSOs would refuse to file it because they are good buddies with the raters and were taught never to help a Vet do this. Most don't even know what SMC is. Most attys. would shy away because he already has P&T- there's no money in it. There are about 800 Vet attys. you can turn to and 350 of us agents. That's a whole lot of you folks chasing good legal help.  I have clients literally show up dying and asking me for help who have already been waiting at the BVA two years. Their VSO forgot to ask for advancement and never filed a Waiver of Review in the First Instance to prevent a remand.

With the above disabilities mentioned, even if, arguendo, he got the 100 for the bent brain, he still has to show he meets the requirements of §3.352 regardless of what kind of fiction the good doctor writes on the 21-2680. VA wasn't born at night. They'll ask for a c&p. Does PTSD prevent you from feeding yourself? Does the MDD prevent you from attending to the wants of nature? If so, who changes your diaper? Bedridden? Can't dress yourself because your brain isn't working right? Can you heat up a Hot pocket in the microwave? Need help bathing yourself in the tub/shower? If all you can rustle up is you may be a danger to yourself or others, VA would have you declared unable to manage yourself or your affairs and assign a fiduciary to "be your financial caregiver". There are a lot of possibilities at play here. Pick the wrong one and you'll wish you hadn't. You can't recall a bullet... or a VA claim.

If you are living all by yourself and asking to be rated essentially as burnt toast and need A&A, VA is going to ask themselves if you are playing fast and loose with the dictionary.  To get into A&A, the very essence of it is what it means-AID & ATTENDANCE. If you have no Attendee to perform the Aid, how is it you could even make it to the doctor to have him fill out the 2680?  Forget that 100% homie, it's time for domiciliary care.That's VAspeak for nursing home. My advice is to get married again pronto and only then mount up the posse and file for the (t). In cases like this the r(t) caregiver stipend is the greater benefit than SMC (l) for Aid & Attendance and already a proven need. Never try to reinvent the wheel.  

  • Like 2

Share this post


Link to post
Share on other sites
  • 1

There are four flavors of A&A. One is the first tier or SMC(l). Next comes r(1), then r(2).  Last  but not least is SMC r (t). It is staged into several tiers with the highest equaling the payment of r(2). Because the Veteran is from whom the entitlement flows, all funds are paid to him for disbursement unless he has a fiduciary. With a divorce, his ex-spouse loses her spousal entitlement. With no caregiver living in the home, Mr. 88 loses the smc r(t) and drops back to SMC (s). If the caregiver were someone other than the spouse, the $ would be paid to him/her directly.

Buck is correct. If a new caregiver was found who could live there 24/7 and be trained by VA to provide the function, he would be entitled to the smc r(t) again. It would not require a relative but that would be optimal here probably. Again, VAF 21-2680 is rather pointed in what constitutes the requirements to attain A&A and especially any A&A at the higher tiers. CAVC precedence says you have to have "most but not all" of these problems listed in order to get the $. But if you only have one risk, it almost always has  to be bedridden or blind. VA is pretty sticky when handing out these big ticket SMCs. I'd say there are less than 5,000 r (1) & (2) ratings out there. One thing no one discusses is r(t) is considered "transitional" as in 'you're going to get better some day and won't need it.' I've never done a r(t) yet, just a couple of r(2)s and and 3 r(1)s. I aced them all.

With the PTSD rated for over 5 years, it's "substantially protected" but that's no guarantee. One thing I've found is the more screwed up you are, the less chance of getting dunned by a c&p and reduced. I did see a Vet get whacked at 19 years and 4 months. He fought to the BVA and got it overturned. These guys are vicious. Remember that.

  • Like 1

Share this post


Link to post
Share on other sites
  • 1

It's better to research something before opening the piehole and making pronouncements that others may follow to their own detriment. The Google Search bar, or any search engine for that matter, gives you a wealth of information. In fact, Hadit has numerous discussions that encompass SMC in all it's iterations. Search and ye shall find. Or, you can be lazy and misinform others.  Remember, a forum model like this has no filter to erase misinformation.  You must be responsible. If you do not know the answer, it's best not to hit the reply button and expose your ignorance or harm others. Here's a quick study on SMC that will hopefully help newcomers to better understand the ins and outs of SMC. It is one of the most absolutely misunderstood subjects in VA law and takes several years to wrap one's noggin around. More errors are committed by VA raters  on this one subject than any other.    https://asknod.org/2013/02/27/special-monthly-compensation-what-is-it/

  • Like 1

Share this post


Link to post
Share on other sites
  • 1

         So for the ones that said I wouldn't be approved for A&A,    I was approved for  ( SMC-L 1/2)  Based on Aid and Attendance.               The (1/2)  step came from my additional ratings totaling (60%) that were not used on the award of (SMC-L).                                                                                                                                                                                                                                                                      So I was (70%) (PTSD TDIU P&T)   I asked for a Increase of the( PTSD) and received the bump to (100%)  PTSD and awarded A&A .   I'm not sure how the TBI got so confused,  at no point did I say or ever claim TBI or A&A Based on a  TBI.                                                                                                                                                                                                                                                                                                          I was not given a C&P for the (PTSD) Increase or the A&A Claim either i was approved just off my medical records and doctors notes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Thanks again

Edited by taylor88be8
  • Like 1

Share this post


Link to post
Share on other sites
  • 0

Based on what you posted, your chances are good.  Im a little unclear of your motive, tho.  Since you are already at 100 percent with TDIU, it doesnt seem likely that an increase in PTSD to 100 percent, even if it happens, will increase your compensation.  

Of course, if you meet the criteria for SMC S, housebound (100 percent plus an additional combined 60 percent), that could result in an increase, as could your A and A that you applied for.  

The housebound, however, would be moot if awarded A and A.  A and A and housebound are mutually exclusive to each other.  You dont get a and a and housebound, at least not if I get that correctly.  I have read the VA regs and it certainly would appear you get EITHER A and A  OR housebound, but never both.  

Due to the fact you are not apparently working, then you probably should get housebound, according to this:

https://asknod.org/2014/08/25/cavc-howell-v-nicholson-what-smc-s-really-says/

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Answer this question...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Sign in to follow this  

  • Ads

  • Our picks

    • Enough has been said on this topic. This forum is not the proper forum for an attorney and former client to hash out their problems. Please take this offline
    • Peggy toll free 1000 last week, told me that, my claim or case BVA Granted is at the RO waiting on someone to sign off ,She said your in step 5 going into step 6 . That's good, right.?
      • 7 replies
    • I took a look at your documents and am trying to interpret what happened. A summary of what happened would have helped, but I hope I am interpreting your intentions correctly:


      2003 asthma denied because they said you didn't have 'chronic' asthma diagnosis


      2018 Asthma/COPD granted 30% effective Feb 2015 based on FEV-1 of 60% and inhalational anti-inflamatory medication.

      "...granted SC for your asthma with COPD w/dypsnea because your STRs show you were diagnosed with asthma during your military service in 1995.


      First, check the date of your 2018 award letter. If it is WITHIN one year, file a notice of disagreement about the effective date. 

      If it is AFTER one year, that means your claim has became final. If you would like to try to get an earlier effective date, then CUE or new and material evidence are possible avenues. 

       

      I assume your 2003 denial was due to not finding "chronic" or continued symptoms noted per 38 CFR 3.303(b). In 2013, the Federal Circuit court (Walker v. Shinseki) changed they way they use the term "chronic" and requires the VA to use 3.303(a) for anything not listed under 3.307 and 3.309. You probably had a nexus and benefit of the doubt on your side when you won SC.

      It might be possible for you to CUE the effective date back to 2003 or earlier. You'll need to familiarize yourself with the restrictions of CUE. It has to be based on the evidence in the record and laws in effect at the time the decision was made. Avoid trying to argue on how they weighed a decision, but instead focus on the evidence/laws to prove they were not followed or the evidence was never considered. It's an uphill fight. I would start by recommending you look carefully at your service treatment records and locate every instance where you reported breathing issues, asthma diagnosis, or respiratory treatment (albuterol, steroids, etc...). CUE is not easy and it helps to do your homework before you file.

      Another option would be to file for an increased rating, but to do that you would need to meet the criteria for 60%. If you don't meet criteria for a 60% rating, just ensure you still meet the criteria for 30% (using daily inhaled steroid inhalers is adequate) because they are likely to deny your request for increase. You could attempt to request an earlier effective date that way.

       

      Does this help?
    • Thanks for that. So do you have a specific answer or experience with it bouncing between the two?
    • Tinnitus comes in two forms: subjective and objective. In subjective tinnitus, only the sufferer will hear the ringing in their own ears. In objective tinnitus, the sound can be heard by a doctor who is examining the ear canals. Objective tinnitus is extremely rare, while subjective tinnitus is by far the most common form of the disorder.

      The sounds of tinnitus may vary with the person experiencing it. Some will hear a ringing, while others will hear a buzzing. At times people may hear a chirping or whistling sound. These sounds may be constant or intermittent. They may also vary in volume and are generally more obtrusive when the sufferer is in a quiet environment. Many tinnitus sufferers find their symptoms are at their worst when they’re trying to fall asleep.

      ...................Buck
        • Like
  • Ads

  • Popular Contributors

  • Ad

  • Latest News
×
×
  • Create New...

Important Information

{terms] and Guidelines