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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
JeanBean217
Hi Berta. Thanks for answering on my other post. I'm posting this here to answer the questions you asked, since my other post got burried somewhere. I guess my initial post was a little confusing. Let me see if I can state it more clearly. (This was about the bladder dysfunction problems that returned after a surgical proceedure was reversed.)
The surgery for the bladder dysfunction was performed while I was active duty, by a military doctor at BAMC, Ft. Sam Houston, TX. It is fully documented in my SMRs. I dug it out last night and read it. The VA knew about it, they obtained the complete copy of my SMR, and all aspects of the surgery were on my list of things that I wanted to be evaluated for when I retired and went through the VA's initial rating process. I forget the form number, but it basically gave them a list of all my conditions/diagnoses. I did find my initial award letter, and it was SC at 0%, since the surgery corrected the problem and I wasn't having symptoms at that time.
After I retired from active duty, I began to have complications from the sling. That is why a civilian doctor did the removal surgery, because I was retired and using Tricare.
Yes, I am currently 70% PTSD. As far as I know, they did not "infer" or offer TDIU. The only income I had was from some lesson plans I posted for sale, online. Certainly not gainful employment and not coming close to the income threshold. I don't remember if the VA even asked about employment, but I have not held a job since retirement.
I receive CRDP, if I understand it correctly. Concurrent pay - retirement monthly payment, plus a VA payment.
After my initial claim, I did all my NODs, appeals, etc... on my own. My vet rep guy was not a lot of help, so I did it on my own. I ended up winning the three things that I was after. (These conditions are different from the ones I'm inquiring about now.) The VA sided with me in the end and awarded me the ratings. I did a lot of reading online to help myself through the process. I bet this site would have been a big help.
No, I haven't applied for SSDI. I didn't know if I should, since I'm not at 100%, and really don't know where to begin with that. I was wore out by the time I got finished fighting with the VA last time, and just didn't have it in me to start another big process. I guess that is why I've let this bladder thing go on for so long without filing anything. The claims process is just hard, and draining.
Now for my questions:
1. As far as my PTSD being at 70%, is it a CUE, that the VA did not offer or "infer" TDIU? My other ratings are 30%, 30%, 10%, 10%, 10%, 10%, 10%. Plus a bunch of SC at 0%. I listed them by condition on that initial post that got burried.
2. I do not have the copy of the award letter to increase the PTSD to 70%, so I guess I will have to request that from my C-file. I think they may have sent it to an old address. I saw the increase on e-benefits. Other than obtaining a copy of the increase, what else should I do? I suppose a copy of the C&P mental exam would be helpful too.
3. If it is a CUE / oversight on their part for the TDIU, would it backdate to the time of the 70% award? It was 4 years ago.
4. As far as the bladder issue, (I know this is a seperate thing from a CUE), I'm assuming I would have to request an increase, since the symptoms are back. Is that different than opening a new claim, or do I do it the same way? Would that be backdated from the time the sugery was reversed? I'm assuming not, since I haven't requested the increase yet.
5. Is the best route to address the bladder issue with an increase request first to see if I make it to 100%, or also apply for TDIU / file a CUE for it at the same time?
5. If/when would it be appropriate to apply for SSDI? Do you know of a site/link that would help me with that process? I could really use the extra income to help me get by, as my ex is a dead beat dad and hasn't paid child support in years. Raising teens alone is a big expense.
Just thinking of all this wears me out and gives me a headache. Agghhh.
Edited by JeanBean217Link to comment
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