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

     

Awarded 10%

Rate this topic


TiredSgt

Recommended Posts

I received my official notice the other day - The VA awarded me 10% for PTSD, retro to May 05. :rolleyes:

However, I have a GAF of 48 - shouldn't my rating have been at least 30%, if not 50%? I'm not complaining by no means, I was happy to get the 10% and the retro, but of course 30% would have been better.

Is their a certain percentage assigned for particular GAF's?

Oh well, at least I got something! B)

I'm going to appeal and also submit my paperwork for my pacemaker implant and link it to PTSD....does anyone have any info on this?

Tim

Edited by TiredSgt

Only God Can Judge Me

Link to comment
Share on other sites

  • Replies 12
  • Created
  • Last Reply

Top Posters In This Topic

Tim- getting the heart disability service connected is most likely going to take strong medical linkage showing it is due to the PTSD.

Cases like that involve not only psychiatrict opinion but often strong cardiologists opinion-

it has been done but it is difficult.

In another topic I posted a BVA case- the vet got his High Blood Pressure secondarily service connected to PTSD- the case shows the medical evidence that took.

Since the rating at 10% is low- that too factors in-to any heart from PTSD claim- so best to NOD the 10%.

A GAF score has very litle to do with the actual ratings for PTSD- it is only one part of the whole medical package.

EXample- my husband's Gaf was 34 and then 26-catastrophic PTSD per the doc-

He was rated at 30% in his lifetime and claimed higher rating in 1992.

Over three years after he died they granted the 100%SC PTSD , with a back date of 1991 for 100% SC. That claim took almost 6 years.

You can see how little his gaf score affected his claim.They never even mentioned it in the award.They used other medical evidence that supported a 100% finding of SC for PTSD.

This case shows how they determine ratings for PTSD:

The vet had GAF of 45 and was rated at 50% SC. The BVA awarded him to 70%.

http://www.va.gov/vetapp05/files1/0501329.txt

In the narrative under where they say PTSD is DC 9411 you will note that the vets GAf score

is not even mentioned as they coordinate the vets medical evidence with his rating.

In the decision for the 10% they should have expalined why they did not award a higher rating. If you have medical evidence they did not consider that puts you into a higher catergory in the Schedule of Ratings-

attach copy of this evidence and refer to this in your NOD.

This vet got 70 for 45 GAF because his other medical evidence warranted a higher rating.

Edited by Berta

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

  • HadIt.com Elder
I received my official notice the other day - The VA awarded me 10% for PTSD, retro to May 05. :rolleyes:

However, I have a GAF of 48 - shouldn't my rating have been at least 30%, if not 50%? I'm not complaining by no means, I was happy to get the 10% and the retro, but of course 30% would have been better.

Is their a certain percentage assigned for particular GAF's?

Oh well, at least I got something! B)

I'm going to appeal and also submit my paperwork for my pacemaker implant and link it to PTSD....does anyone have any info on this?

Tim

Tim, sounds like they're really screwing you. I believe Alex Humphrey used to say he could get 100% for anyone with a GAF of 50 or lower. Yup, they're screwing you. What's their explanation?? I would have thought at least 30%, if not 50% and that's a lowball. I haven't seen a 10% given out in years. May be the new trend as they try to cut expenses. The good news is you are now SC, so the hardest part is over. You have PTSD and it's due to your service. Appeal, appeal, appeal. jmo

pr

Link to comment
Share on other sites

Tim,GAF is just a part of the process,but personally i thank you should been rated more than 10%.I am guessing that you have a cib or purple heart that was used as your inservice stressor and only medical evidence was C&P.This is just my guess if so,I would file a NOD And ask that my claim be reconsider and looked at by a decision review officer (DRO) and in the mean time try to get in a couseling program at the va.You got 60 days to ask for a DE NOVO DRO after time claim was granted.A reconsideration mean that your claim will be consider from original date you file it.Ihope this helps.GOOD LUCK!

mobie16r

Link to comment
Share on other sites

  • HadIt.com Elder

I got 70% with a GAF of 50 plus I was unemployed and on SSDI so that helped. If you are working it is hard to get a higher rating for a mental/emotional disorder. I had 10% then 30% and finally 70% when I retired on disability. I think being employed is the biggest factor in rating emotional disabilities. About the only difference in my symptoms over the years was my employment status.

Link to comment
Share on other sites

  • HadIt.com Elder

I don't see how anyone could be 10% PTSD it does not make sense.

Veterans deserve real choice for their health care.

Link to comment
Share on other sites

Guest
This topic is now closed to further replies.


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • 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
    • karlduerr earned a badge
      One Month Later
  • 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