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Treatment completed, but checks keep coming. Am I in trouble?


Gone Fishing

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My Agent Orange Lymphoma claim sailed right through.  I used my company insurance plan instead of the VA.  2 1/2 years of treatments.  ended in August.  VA finally contacted me about a C&P exam which took place in December.  Still have not heard back from them, but the checks continue.  Am I in trouble now financially, and expected to pay back anything, or does the C&P ruling determine when the clock stops?  With the VA so backlogged, I would bet there are a lot of people in this position.

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18 minutes ago, Gone Fishing said:

My Agent Orange Lymphoma claim sailed right through.  I used my company insurance plan instead of the VA.  2 1/2 years of treatments.  ended in August.  VA finally contacted me about a C&P exam which took place in December.  Still have not heard back from them, but the checks continue.  Am I in trouble now financially, and expected to pay back anything, or does the C&P ruling determine when the clock stops?  With the VA so backlogged, I would bet there are a lot of people in this position.

Your pay will not change until the RO (REGIONAL OFFICE) makes their decision and they will assign it an effective date. If the mailed date causes a delay, you can always file a financial hardship claim. 

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10 minutes ago, pacmanx1 said:

Your pay will not change until the RO (REGIONAL OFFICE) makes their decision and they will assign it an effective date. If the mailed date causes a delay, you can always file a financial hardship claim. 

From your mouth to God's ears, pacmanx1!  Thank you!  

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Is this non hodgkins lymphoma" due to AO or multiple  melanoma due to AO?

Reason I ask: there is a distinct difference in the ratings as to NHL and the two year continuous 100%  rating:

https://www.medicalnewstoday.com/articles/multiple-myeloma-vs-lymphoma#:~:text=Multiple myeloma (MM) and lymphoma,is a cancer of lymphocytes.

 

"Both types of Lymphoma are granted the same rating, though under different sections of the Federal Register. Non-Hodgkin’s Lymphoma is listed under diagnostic code 7715, and grants a 100% rating when there is active disease and during the treatment phase. This rating continues until 2 years after treatment has ended, and will be reassessed following a mandatory VA examination."

https://vadisabilitygroup.com/va-benefits-for-veterans-with-non-hodgkins-lymphoma/#:~:text=Non-Hodgkin's Lymphoma is listed,following a mandatory VA examination.

https://veteranslawoffice.com/non-hodgkins-lymphoma-va-disability-benefits-based-on-agent-orange-exposure/

If  you mean muliple melanoma due to AO, that criteria is here:

 

"Therefore, as multiple myeloma is found to be related to both lymphoma and leukemia, it is rated analogous to either Hodgkin’s disease (DC 7709) or Leukemia (DC 7703).  If rated analogous to Hodgkin’s disease, the 100 percent disability rating is assigned if the cancer is active or undergoing treatment.  The 100 percent rating continues for six months after the last treatment, and the condition is then re-evaluated based on the ongoing symptoms.

If rated analogous to Leukemia, the 100 percent" etc

https://cck-law.com/blog/va-disability-ratings-multiple-myeloma/

My concern is ---was the C & P regarding the 2 year NHL criteria ( it appears to be but I am not sure) or the Multiple melanoma criteria?

The VA would still have to rate and compensate the residuals of the lymphoma, determined by a C & P exam., if ratable at 10% or more.

https://www.va.gov/vetapp21/Files6/21035182.txt

In part:

 

"CONCLUSIONS OF LAW 1.

The reduction of the 100 percent rating for NHL was proper. 38 U.S.C. §§ 1155, 5107; 38 C.F.R. §§ 3.102, 3.105, 3.344, 4.1-4.7, 4.117, Diagnostic Code (DC) 7715 (2015).

2. Effective December 1, 2015, the criteria for a 40 percent rating for residuals of NHL have been met. 38 U.S.C. §§ 1155, 5107; 38 C.F.R. §§ 3.102, 4.1, 4.2, 4.3, 4.7, 4.10, 4.117, DC 7715.

 

 

 

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