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      The following is on my About page, but some have been asking how this all happened. So here is my little story. Tbird US Navy 1983 – 1990 E-6 HadIt.com the website domain registered Jan 20, 1997 the domain is registered and paid for through Jan 21, 2023 at which time I plan to register it for another 15 years Lord willing and the creek don't rise. I guess the best place to start is Jan 1991; I had gotten out of the navy Dec 1990. At my separation seminar, there was a DAV rep Jim Milton he told us to bring our medical records in and he would look through them for us and let us know if we should file a claim with the VA. Well, bless his heart, he opened my medical file, reads the first insert, looks me straight in the eye, and says you will be 50% for the rest of your life and he would file the claim for me. 50% was for surgery I had in the service. True to his word he met with me and talked with me for a long time filled out my paper work and urged me to file for PTSD. I would not file the PTSD claim, nor even discuss it. By Feb 1991 I had moved to the San Francisco bay area and was staying at a friends apartment and pretty much I was just a puddle. In desperation one night I called suicide hot line, I had no job, no idea about going to the VA. They talked with me for a long time and explained to me that I could go to the local VA hospital even if I did not have insurance. Now, I know what you are thinking if I was 50% why didn't I just go to the VA in the first place, two reasons 1, this was Feb 1991 and the 50% didn't come till May and 2, even if it had come through it is unlikely that I would have had the mental acuity at the time to put the two together. I relate this here because it is where so many of our brothers and sisters are coming from, perhaps where you started. Fuzzy and unsure, in pain and sometimes homeless they come to the VA hospital for help. And that is where I ended up. Up to the pysch ward I went, blah, blah, blah, a few days later I was released with a promise of a call from the out patient program, which I would soon be entering. Blah, blah, blah, after many missed communications, and no call backs I was at the Day Hospital everyday M-F. And this brothers and sisters is where I began to learn and formulate my plan for HadIt.com. Veterans, veterans everywhere…I spent a year in the day hospital and about another year at a sheltered workshop before I got back on my feet. So I just talked to veterans everyday waiting for appointments, waiting for prescriptions, waiting for a vet rep and I started to learn the system. While in the navy I was data analyst and had to learn a 5 volume manual and just about anything you were suppose to do was in that manual. So I figured there must be a manual on how to do a VA claim or at the very least regulations. So I found out about the Code of Federal Regulations, United States Code, Veterans Affairs Manuals and so on and so forth. Of course this was 1991/1992 I was living in a tiny studio apartment in a particularly bad neighborhood, working in a sheltered workshop making a nickel per envelope I stuffed throw in PTSD and you will see that it was a difficult task for me to get somewhere where they had copies of these, let alone that they would let me look at. And there was so much knowledge around me, it was like the gold rush in those days, I could just sit on a bench a veteran would sit down next to me a little conversation later I had another nugget, I made copious notes. Phone numbers to call, ask for this guy or that guy he'll give you the straight scoop and they'd slip me a piece of paper with a number on it. You want to read this regulation or that one and another slip of paper into my hand. I spent a lot of time on those benches watching the squirrels they gathered their nuts and I gathered mine :) So I'm thinking I could put a little handbook together print it out and hand it out at the VA. Or perhaps fliers. Still formulating, time goes by, 1994/1995 I am being treated for PTSD regularly and doing and feeling much better and I go to work for a company as a marketing systems analyst and I discover the internet. Well let me tell you that was perhaps one of the most significant life changing events I have ever experienced. And I might add finally a positive one :) It seemed only natural to me that surely there must be a website that contained all the knowledge I wanted, well as it turned out not so much, lots of stuff but I wanted to get straight to the claims information and there was a lot of stuff to wade through to get to it. So taking my lesson from the squirrels earlier I started to gather, gather, gather…and learn HTML and work as a marketing systems analyst and work my claim. 1996/1997 major PTSD cork blows and unemployed. Working my claim, working the website. 20 Jan 1997 register HadIt.com domain name right after getting off the phone with the VA and saying I've had it with this. As fate would have it the old DAV board goes down just as mine opens up and folks start to wander in. So HadIt.com has two main components the website which supports the discussion board with links, articles, research resources etc. The website starts to grow, I can't tell you how many times I had to switch servers for space and features. I continue on a downward trend and in 1998 ended up back home in St Louis living in my sisters basement in therapy and working it, I swear I would have swung a dead chicken around my head at midnight naked if I thought it would have helped. The website continued to do great during this time, I just stayed in the basement bought new software, new books, and learned how to make things work and I continued to use this knowledge to make HadIt.com better. My 100% finally came through from the VA and I had a friend who is an advocate who helped me thru my SSDI claim, he was literally at my side thru the entire process and that came through for me. My therapist and sister continued to try and get me to leave the basement, but to no avail. At some point in 1998 or 1999 I put a counter on the website and was shocked to discover how many visitors we were getting. Time goes by my sister gets married and I move from the basement to the upstairs, there is much celebration that Aunt T is living in the light again. More time goes by and I settle into my life in St Louis and spend more time on the site trying new things, finding more information. 2003 I buy my own home VA loan. For years now I have just considered HadIt.com my job and I get up every morning go to the office and work for several hours, take an afternoon break and see where the rest of day takes me. I have a place in the office to use the computer and a comfortable to place to read journals and articles and take notes. Blah, blah, blah so that is my story and HadIt.com's intertwined.
    • HadIt.com Pass It On Cards

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    • VA Training and Fast Letter Forum Index

      VA Training and Fast Letter Forum Index The following is the index with links to the various Training and Fast Letters plus a few miscellaneous. These letters are not necessarily in the original formatting. I have tried to present them in an easy-to-read form instead of some forms as originally presented. Some of the paragraphs were WAAAAYYY too long. lol - HadIt.com Member fanaticbooks Something to be aware.... Some of these letters may be rescinded, outdated, or otherwise no longer viable. I have still included them because sometimes they provide additional insight or just plain more information than the newest version. Use them wisely. The oldest letters will display at the bottom with the latest letters displayed at the top, all in sequential numbers. Coding of the letters... FL = Fast Letter TL = Training Letter First two numbers = last two digits of year of origin Training Letter http://www.hadit.com/forums/index.php?/topic/40694-va-tl-00-07/ http://www.hadit.com/forums/index.php?/topic/40693-va-tl-00-06/ Fast Letter Number Title http://www.hadit.com/forums/index.php?/topic/44262-va-fl-11-15/ http://www.hadit.com/forums/index.php?/topic/44260-va-fl-11-13/ http://www.hadit.com/forums/index.php?/topic/44261-va-fl-11-11/ http://www.hadit.com/forums/index.php?/topic/44310-va-fl-11-09/ http://www.hadit.com/forums/index.php?/topic/42151-va-fl-11-03/ http://www.hadit.com/forums/index.php?/topic/40957-va-fl-10-49/ http://www.hadit.com/forums/index.php?/topic/40958-va-fl-10-46/ http://www.hadit.com/forums/index.php?/topic/40959-va-fl-10-45/ http://www.hadit.com/forums/index.php?/topic/40960-va-fl-10-42/ http://www.hadit.com/forums/index.php?/topic/40961-va-fl-10-39/ http://www.hadit.com/forums/index.php?/topic/40962-va-fl-10-35/ 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Getting Re-Imbursement From Vamc For Copays

7 posts in this topic

Posted · Report post

Hi Folks,

I thought I would share what I learned about getting a re-payment of copay fees and medicines from the VA. This is not a quick process and the do not even care that it takes quite a while to accomplish. As with all issues dealing with the VA, there is no recourse, except maybe the OIG.

First, I was awarded 10% for Agent Orange exposure resulting in IHD with an effective date of 2003. Then in 2008 I was awarded an addition 20% for DMII, thus giving a total of 30% combined. I have other appeals pending but they are not the issue here today.

The latest rating decision had a toll free number for me to call and I did with a request to recoup my copays going back to 2003. In this case 99% of the copays were to the VAMC in Houston, TX.

So I called and they quickly set up a request for a review of my account by the staff at Houston MC.

I have been waiting just over 3 weeks and called the same number to check on the status. Each time I call, the call center person tells me I have to give a full 30 days before and escalation may be submitted. They also tell me that the VA is still reviewing my account . This means nothing has been updated since they submitted my request and may mean nothing has been accomplished at all.

So I asked about the minimum 30 day delay and she explained it was policy.

I then asked if they finished the review, do the send your refund to direct deposit. She then laughed and said no that would make sense. She said that the reviewer would instead send a note with request to the Treasury Department to cut a check and then send it to the last address they have for your account.

She also stated that the whole process can take awhile so to not get in a hurry.

Gee, dealing with the VA is just so much fun!

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Posted · Report post

I just received my co-pay reimbursement last week, it took about eight months.

Stever

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Posted · Report post

I just received my co-pay reimbursement last week, it took about eight months.

Stever

WOW! That is just ridiculous, even for the VA. I found out that some of the patient accounts are processed and managed by separate administrative centers grouped into regions. As usual with the VA, there is no direct communication with veterans, except through the resource call centers.This is the medical call centers, but the results are the same as when yo ask about a VA claim for compensation status.

I did call the Office of Inspector General staff for more info. They said to get in touch of your patient advocate at the VAMC where you get treatment. They said that they could get more detail where your claim is in the system.

I put a call into the advocate in Houston. So far they have ignored the call.

I guess there isn't anything related to a VA function that isn't FUBAR............................I just wonder if the veteran burial department is this efficient!

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Posted · Report post

Failure to receive notification, due to a wrong address, led me to call the VA 800 number. I was told that there are at least 4 different data bases within the VA system... VARO, VAMC , VSC, etc... that could have a vet's old address or wrong address. One would think that in this electronic age, all info would be coordinated. It could have just been VA double-talk, from the 800 guy... Who knows?

However, if a vet moves, I would suggest the vet makes sure his/her new VSO has updated your correct address, system wide, to insure your reimbursement check is sent to your current correct address.

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Posted · Report post

I also got a runaround for quite some time. (Over a year!) Eventually, the action that triggered the eventual repayment seems to have been my request for an "insurance audit" by the VA. Ostensibly, this is to show what the VA was paid, and by whom.

The person that was doing the audit was made aware that virtually all the va provided drugs (co-pay was insisted on by the va) were for the treatment of either an already SC'd condition, or A.O. presumptive conditions.

The eventual check(s) cut were the better part of a thousand dollars. I did have a couple of problems, in that at one point, the va was charging a "service charge" for money still owed me, or money already refunded.

Several phone calls to both the originating VAMC and the finance center for the VAMC eventually solved that problem, and resulted in another check for just under a hundred. What galled me was that the va takes it's own sweet time if they owe you money, and wants "their" money in far less time. If you are contesting charges, and the va is dragging it's feet, don't be surprised when the va decides to subtract money from one or more of your va checks, IRS estimated account, or even from your SSA check.

In my case, I'm still not sure how far back the va went- - the date of a retro award, or an earlier date that I started getting drugs under the veterans drug act. I'm also not sure if the va repaid any of the insurance companies for years before the insurance companies raised the co-pay and or the deductible that I paid. The va's idea of audit documentation is less than I care for.

The VAMC was clearly ignoring VA directives and policy that state veterans with presumptive (A.O. Shad, etc.) conditions fall into "group 6" for those conditions, unless they become SC'd by adjucation, which changes them to "group 2" (Service Connected conditions)

They were charging group 6 veterans co-pay for various presumptive conditions, usually those more recently added to the presumptive list. The VA generally likes to ignore veterans concerning protests over co-pay, unless or until it becomes painfully obvious that the "heat" will keep increasing until they do things properly. I hope my experience and finally successful efforts help other veterans at the particular VAMC with similar problems.

Hi Folks,

I thought I would share what I learned about getting a re-payment of copay fees and medicines from the VA. This is not a quick process and the do not even care that it takes quite a while to accomplish. As with all issues dealing with the VA, there is no recourse, except maybe the OIG.

First, I was awarded 10% for Agent Orange exposure resulting in IHD with an effective date of 2003. Then in 2008 I was awarded an addition 20% for DMII, thus giving a total of 30% combined. I have other appeals pending but they are not the issue here today.

The latest rating decision had a toll free number for me to call and I did with a request to recoup my copays going back to 2003. In this case 99% of the copays were to the VAMC in Houston, TX.

So I called and they quickly set up a request for a review of my account by the staff at Houston MC.

I have been waiting just over 3 weeks and called the same number to check on the status. Each time I call, the call center person tells me I have to give a full 30 days before and escalation may be submitted. They also tell me that the VA is still reviewing my account . This means nothing has been updated since they submitted my request and may mean nothing has been accomplished at all.

So I asked about the minimum 30 day delay and she explained it was policy.

I then asked if they finished the review, do the send your refund to direct deposit. She then laughed and said no that would make sense. She said that the reviewer would instead send a note with request to the Treasury Department to cut a check and then send it to the last address they have for your account.

She also stated that the whole process can take awhile so to not get in a hurry.

Gee, dealing with the VA is just so much fun!

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Posted · Report post

I just called the 800 number and asked once again what was the status of my re-imbursement request. They have been auditing my account since the end of April this year.

The person found the latest update on June 29 which stated they found no copays for me to be reimbursed.

I was totally floored by this statement!

I guess they have sent me a written summary but it hasn't reached me yet.

I have been awarded 30% SC: for DMII (20%) and AO/IHD (10%). The DMII is not the issues here as they have never charged me for medication. I do take Atenolol,Lisinopril and Diltiazem and used to take Nitrates before the Lisinopril.

I have read that the heart medication is taken for both heart and hypertension and apparently they are disregarding my IHD in favor of my hypertension.

What a crock!

My EED goes back to 2003 for the AO/IHD and so thought there should be a nice refund coming.

So what if anything can I do about this?

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Posted · Report post

NSASaigon,

That definitely does not pass the smell test...

Here is what I experienced. A few years ago, I could go to the VAMC Business Office to request co-pay reimbursements. It was as simple as the request going in and a week or two later I would receive a check. Since the regional centers were put in place, everything got hosed. Docs were failing to notate SC treatment visits as being SC, so the VA sent me bills and also charged me service fees and even threatened to reduce my monthly compensation if I didn't pay. Even after my rating went above 50%, they still continued doing this. I got it all fixed with help from my VAMC Business Office manager. They could not believe how screwed up things became. Implementation of the regional centers ruined everything.

Chuck's idea of an insurance audit sounds like a good idea. Every time I go, they still charge my private insurance for SC treatment visits, but they claimed to have fixed this during my previous complaints. It also would be nice to see how far back they went.

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