Jump to content
Using an Ad Blocker? Consider adding HadIt.com as an exception. Hadit.com is funded through advertising, ad free memberships, contributions and out of pocket. ×
  • 0

Super fast denial


Riplip

Question

So I opened a claim for OSA 2 weeks ago secondary to my vestibular disorder stating that the vertigo and balance issues make it impossible to keep and excercising routine and the weight gain I have at this point is due to the lack of excercise and the meds. I'm on for Anxiety / depression which is also service connected due to my severe hearing loss. They sent a paper saying the outsourced people will call if they need to for a physical. No calls. I checked my work in process and both were denied. I didn't even put it in for a fully developed claim yet because I have my follow up appointment with my sleep doctor this Friday. I guess they don't even let you get all your info. in before denying now. My other claims never went this way. Not sure what to do at this point. Didn't even get a chance this time. Hope you all are having a better day. Thanks

Link to comment
Share on other sites

Recommended Posts

  • 0
  • HadIt.com Elder

Hmmmm,

I would wait a couple days and give it another look.  What we see online can change hour by hour, much less day by day.

You could look at your disabilities list on the old Ebenefits site.  If it shows up there, not service connected, then you are probably right, but still wait for the envelope.

Good luck,

Hamslice

 

Link to comment
Share on other sites

  • 0
3 minutes ago, Hamslice said:

Hmmmm,

I would wait a couple days and give it another look.  What we see online can change hour by hour, much less day by day.

You could look at your disabilities list on the old Ebenefits site.  If it shows up there, not service connected, then you are probably right, but still wait for the envelope.

Good luck,

Hamslice

 

Yes it is on the old benefits stating denied in my disabilities list. 

 

Link to comment
Share on other sites

  • 0
25 minutes ago, Riplip said:

Not sure what to do at this point.

Bottom line, you are going to need an IMO (INDEPENDENT MEDICAL OPINION). If you can get one from one of your VAMC doctors that would be great, but you are definitely going to need one. Some have paid out of pocket. I could never afford one and seem to find a way to get my VAMC doctors to write one. Even if they write a statement in your progress reports that will do but you are going to need it to overcome this decision. I used a CCP (COMMUNITY CARE PROVIDER) to fill out one of my DBQs and got service connected that way. It needs to say that your sleep apnea is as least likely as not (50/50 probability) caused by or the result of your service-connected disability and name that service-connected disability and give a good medical rationale (reason how they connect). The sleep specialist could do it also. Keep in mind to get the 50% rating you are going to have to be on the CPAP machine and using it as a medical necessity. 

Your disability shows that you are currently 90%. A Sleep Apnea award with a 50% rating would most likely award you a combined 100% scheduler rating.

 

Edited by pacmanx1
Link to comment
Share on other sites

  • 0
37 minutes ago, pacmanx1 said:

Bottom line, you are going to need an IMO (INDEPENDENT MEDICAL OPINION). If you can get one from one of your VAMC doctors that would be great, but you are definitely going to need one. Some have paid out of pocket. I could never afford one and seem to find a way to get my VAMC doctors to write one. Even if they write a statement in your progress reports that will do but you are going to need it to overcome this decision. I used a CCP (COMMUNITY CARE PROVIDER) to fill out one of my DBQs and got service connected that way. It needs to say that your sleep apnea is as least likely as not (50/50 probability) caused by or the result of your service-connected disability and name that service-connected disability and give a good medical rationale (reason how they connect). The sleep specialist could do it also. Keep in mind to get the 50% rating you are going to have to be on the CPAP machine and using it as a medical necessity. 

Your disability shows that you are currently 90%. A Sleep Apnea award with a 50% rating would most likely award you a combined 100% scheduler rating.

 

 

37 minutes ago, pacmanx1 said:

Bottom line, you are going to need an IMO (INDEPENDENT MEDICAL OPINION). If you can get one from one of your VAMC doctors that would be great, but you are definitely going to need one. Some have paid out of pocket. I could never afford one and seem to find a way to get my VAMC doctors to write one. Even if they write a statement in your progress reports that will do but you are going to need it to overcome this decision. I used a CCP (COMMUNITY CARE PROVIDER) to fill out one of my DBQs and got service connected that way. It needs to say that your sleep apnea is as least likely as not (50/50 probability) caused by or the result of your service-connected disability and name that service-connected disability and give a good medical rationale (reason how they connect). The sleep specialist could do it also. Keep in mind to get the 50% rating you are going to have to be on the CPAP machine and using it as a medical necessity. 

Your disability shows that you are currently 90%. A Sleep Apnea award with a 50% rating would most likely award you a combined 100% scheduler rating.

 

Pacman I totally agree. I was planning on working on that this Friday with my appointment. They've never made a decision this fast so it caught me off guard. I plan to ask my sleep nurse to write in her notes and also see if my psychologist can write one as well. I hope they will. Oh and yes I am getting my CPAP this Friday. Thank you

Link to comment
Share on other sites

  • 0
  • Moderator

Don't trust ebenefits  you should wait and get the denial in the mail ...>there  lible to put anything on ebefits  try  ebenfits va. gov.

Was your C&P EXAM FAVORABLE ?  THE C&P Examiner can not put denied on his report. BUT THEY CAN FOOL YOU WHEN YOU THINK YOU GOT A GOOD dR AND THINGS SEEM TO BE GOING OK AND YOUR SURE YOU WILL BE APPROVE BY WHAT THE EXAMINER SAID TO YOU DURING THE EXAM  

AND YOUR SURE YOU WILL BE APPROVED  SOME TIMES THAT WORKS BACKWARDS BUT IF IT DOES THERE ARE WAYS TO WIN.

Appeal go get you a I private MO/IME  tell the dr what you need and why.

If your service connected for hearing loss  and they say your depression is due to your hearing loss   sometimes if your not 100% for depression and the symtomps   hearingloss can cause you to be 100% depressed  just need a quailfied  Dr to give his favorable  medical opinion, you also can be s.c. at 100% for other conditions  as long as you can connect to your military service   but there some conditions that wing off one another.  like sleep apnea  depression can case that   you maybe sc for S.A.?

  • Like 1
Link to comment
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.

  • Ads

  • Ads

  • Ads

  • Our picks

  • Ads

  • Popular Contributors

  • Ad

  • Latest News
  • veteranscrisisline-badge-chat-1.gif

  • Advertisemnt

  • How to get your questions answered...

    question-001.jpeg

    All VA Claims questions should be posted on our forums. Read the forums without registering, to post you must register it’s free. Register for a free account.

    Tips on posting on the forums.

    1. Post a clear title like ‘Need help preparing PTSD claim’ or “VA med center won’t schedule my surgery” instead of ‘I have a question’.
    2. Knowledgable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title. I don’t read all posts every login and will gravitate towards those I have more info on.
    3. Use paragraphs instead of one huge, rambling introduction or story. Again – You want to make it easy for others to help. If your question is buried in a monster paragraph there are fewer who will investigate to dig it out.

    Leading to:

    Post clear questions and then give background info on them.

    Examples:

    • A. I was previously denied for apnea – Should I refile a claim?
      • was diagnosed with apnea in service and received a CPAP machine but claim was denied in 2008. Should I refile?
    • B. I may have PTSD- how can I be sure?
      • I was involved in traumatic incident on base in 1974 and have had nightmares ever since, but I did not go to mental health while enlisted. How can I get help?

    This gives members a starting point to ask clarifying questions like “Can you post the Reasons for Denial from your claim?” etc.

    Note:

    Your firsts posts on the board may be delayed before they show up, as they are reviewed, this process does not take long and the review requirement will be removed usually by the 6th post, though we reserve the right to keep anyone on moderator preview.

    This process allows us to remove spam and other junk posts before they hit the board. We want to keep the focus on VA Claims and this helps us do that.

  • 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

×
×
  • Create New...

Important Information

{terms] and Guidelines