100 Percent , Does My Family Rate Champus

[CHARLES]

I have been rated 100 percent for about 3 years. I had a re evaluation about 6 months ago and the rating remaigned the same. However, they did not make it permament, they feel that thier is a chance that I can get better since it is a mental illness (anxiety and depression). They also say I am currently unemployable. The doctor said I could eventually apply for permament. My questions is

1. Because I am not permament they say my family does not rated champus medical benefits. Is that true and are there any suggestions to get my dependents medical coverage?

2. When will they make it permament and is thier anything I can do to initiate it, or to quicken the descion.

Not having medical coverage for my dependents is tuff. I just dont understand (if it is true) why one person who is 100 percent rates medical coverage for his family thru champus becuase that person is permaament but another percent who is 100 percent doesnt because tier is a possibility he could get better. Shoudnt they rate it until that time comes, if it even does?

[JON]

My experience: I was total 100% for almost a year no p&t. I couldn't even get a dental appointment as "you're only temporary and by the time you get a dental appointment, you will probably no longer be 100%".

I haven't worked in a year and was finally awarded t&p. It was tough to survive. I didn't have health insurance for my wife. In our town, we have a health clinic that sees you based on ability to pay- sometimes no charges. They also have dental service. You can use this service for dental also. Check around your county agencies (ie health department, social services etc). My wife received good care at these clinics. They also offered referrals to specialists.

I don't know the reason why va doesn't give temp 100% same benefits, other than the hassle to them to have to change paperwork etc if you become abled again. Also I think it is a perk as if you are permanent, your prognosis to ever get better is slim or marginal.

Good luck and stay patient.

[Berta]

I would request that the VA consider you for P & T status and then try to get a medical opinion to support that-

it might even be worth it if the opinion costs money-

to get this medical benefit for your dependents-

are you within time to file a NOD? Did you get a rating decision about 6 months ago that gave you appeal rights?

CHAMPUS isnt what you mean-that's something else- CHAMPVA is what can be generated with the 100% P & T award.

What ever rationale the VA stated in the decision that determined you were not P & T is what a good independent medical opinion can challenge.

[JON]

p.s. I applied for CHAMPVA and was told it takes at least 90 days. You also have to submit a copy of your award letter. they also say a copy of marriage license and dd-214 will expedite the application.

[windy city]

p.s. I applied for CHAMPVA and was told it takes at least 90 days. You also have to submit a copy of your award letter. they also say a copy of marriage license and dd-214 will expedite the application.

Anybody,

Can somebody explain what is the difference being 100% schedular and P&T, I am rated 100% for PTSD plus my family was awarded Champva benefits, DEA benefits, PX and Commisary. How can I find out what is my rating. Thanks.

[Pete53]

P&T is the key which means the VA does not expect things to change for the better. Schedular P&T is 100% pure and simple. TDIU P$T is less than 100% that is bumped to 100%. It seems that its pretty hard to get schedualr 100%.

[Testvet]

Pete I always knew that I was an oddity 100% P&T schedular PTSD rofl