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

File a claim even though you have 100%?

Rate this question


Knees-n-Da Breez

Question

Hello all,

I was awarded 100% PT but I have other valid issues that could be filed. I have heard more times than one, even from my VSO, that the VA can take my percentage if I try to file more claims. I am curious to know if anyone has any insight on this matter. Like I said, I have other legitimate issues but I do not want to put the standing decision in jeopardy. Thanks for any input.

Link to comment
Share on other sites

Recommended Posts

  • 0

The VA may do a five year review on one of your disabilities.  Filing a claim does not necessarily put all claims in play.  I myself am 100% P&T and requested an EED on my decision.  Now the VA has put my most serious disabilities in play since I requested an EED.  You can never guess what the VA is going to do but most times you do not get penalized for claiming more disabilities or a secondary.

Link to comment
Share on other sites

  • 0

Maybe I have been lucky, but I don't think there is any truth to the va reevaluating medical conditions simply because you claim additional disability.

I started out with a 30% rating in 1986, I I have held every rating above 30% at one time or another, and I have a TDIU that was never revoked when I was awarded 100% in 2007. In the last three years alone  I have received a 40% rating for TBI, 50% rating for sleep apnea, 10% rating for knee injury.  At no time in the last 33 years has the VA ever reviewed my ratings unless I requested an increased rating on an issue. In a few cases I was actually awarded rating for items that I did not even know I was entitled too, for instance,  a K award for loss of use of my left foot due to my back injury.  In fact, I have two issues waiting to be rated right now, one is a request for an increase the other a new claim secondary to my lung disease, and I also have two claims at the BVA. 

I can't say they won't every review someone's ratings  without being asked too.. but  based on my experience alone its  a myth.  

I have always said if you think you have a valid claim submit it.. I have and still do.. and honestly if I had not I would never have been rated 100%  or received adapted Housing or the auto grant with adapted equipment , and I would still be wishing I had Aid and Attendance.... 

I Look at it this way... you will never get more unless you try, if you don't try, you may regret it later....  I know... I waited a long time before I got some ratings for disability that should have been rated in 1986, and I literally lost thousands of dollars because I failed to claim some issues back then......

 

ADDED:  One reason to keep filing is to get special monthly compensation...  I am at L 1/2  ( which is 100% plus 50% ) for aid and attendance...  that would not have happened if I had not continued to file..

Edited by Richard1954

                                                                                I am not a lawyer so take my opinions with a grain of salt...

If I had listened to the nay sayers, I would never have acheived any ratings after I was awarded TDIU in 1999. Now I have not one but two 100% ratings, a TDIU  and 4 SMC awards !  I say JUST GO For It

Two things are infinite: the universe and human stupidity; and I'm not sure about the universe.” -Albert Einstein.

 

 

 

 

 

Link to comment
Share on other sites

  • 0
3 hours ago, Knees-n-Da Breez said:

Hello all,

I was awarded 100% PT but I have other valid issues that could be filed. I have heard more times than one, even from my VSO, that the VA can take my percentage if I try to file more claims. I am curious to know if anyone has any insight on this matter. Like I said, I have other legitimate issues but I do not want to put the standing decision in jeopardy. Thanks for any input.

Do you have an unprotected disability, such as a mental health disorder? You will want to continue going to therapy at least every six months to establish that your disability has gotten worse or is unchanged from your current symptoms.

 

Link to comment
Share on other sites

  • 0
  • HadIt.com Elder

Actually in my opinion  when a Veteran is service connected and given a rating (the right rating  no lowballing) this makes the Veteran seem  more creditable  in his/her claims  in the eyes of the VA with filing claims and the VA takes that into consideration (maybe not) but since I got all me appeals won and  YEARS later filed for another disability and got it service connected and a correct rating  it just seems  this is the way the VA Works   of course having a well prepared claim is the way to  always file.

So if a Veteran has now contentions come up later on in life and he/she feels its because of his primary  service connected condition or secondary to it  or maybe a whole completely different condition  if he/she feels its related to their military service  then definitely file for that.

I am not an Attorney or VSO, any advice I provide is not to be construed as legal advice, therefore not to be held out for liable BUCK!!!

Link to comment
Share on other sites

  • 0
On 6/13/2019 at 10:48 PM, Richard1954 said:

Maybe I have been lucky, but I don't think there is any truth to the va reevaluating medical conditions simply because you claim additional disability.

I started out with a 30% rating in 1986, I I have held every rating above 30% at one time or another, and I have a TDIU that was never revoked when I was awarded 100% in 2007. In the last three years alone  I have received a 40% rating for TBI, 50% rating for sleep apnea, 10% rating for knee injury.  At no time in the last 33 years has the VA ever reviewed my ratings unless I requested an increased rating on an issue. In a few cases I was actually awarded rating for items that I did not even know I was entitled too, for instance,  a K award for loss of use of my left foot due to my back injury.  In fact, I have two issues waiting to be rated right now, one is a request for an increase the other a new claim secondary to my lung disease, and I also have two claims at the BVA. 

I can't say they won't every review someone's ratings  without being asked too.. but  based on my experience alone its  a myth.  

I have always said if you think you have a valid claim submit it.. I have and still do.. and honestly if I had not I would never have been rated 100%  or received adapted Housing or the auto grant with adapted equipment , and I would still be wishing I had Aid and Attendance.... 

I Look at it this way... you will never get more unless you try, if you don't try, you may regret it later....  I know... I waited a long time before I got some ratings for disability that should have been rated in 1986, and I literally lost thousands of dollars because I failed to claim some issues back then......

 

ADDED:  One reason to keep filing is to get special monthly compensation...  I am at L 1/2  ( which is 100% plus 50% ) for aid and attendance...  that would not have happened if I had not continued to file..

Wouldn’t this be 100% plus 60% which would be SMC S?

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

    • Lebro earned a badge
      First Post
    • stuart55 earned a badge
      Week One Done
    • stuart55 earned a badge
      One Month Later
    • Lebro earned a badge
      Conversation Starter
    • Sparklinger earned a badge
      First Post
  • 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