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@  carlie : (30 August 2014 - 06:27 PM) Vet211060 - I Guess They're Not That Shameful After All : - ) Congrats On Some Positive Adjudication
@  vet201060 : (30 August 2014 - 04:24 PM) Dav Sent Letter Saying I Am 100% Effective Oct 2013
@  MarkInTexas : (30 August 2014 - 12:35 PM) Wish There Was A "like" Button For Some Of These Comments.......
@  MarkInTexas : (30 August 2014 - 12:26 PM) Amen To That!
@  vet201060 : (28 August 2014 - 09:55 PM) Va Is So Shameful!!
@  artlouis : (27 August 2014 - 11:36 AM) Code 7019
@  vet201060 : (26 August 2014 - 11:41 PM) Damn Post It Notes
@  vet201060 : (26 August 2014 - 11:41 PM) True That
@  Asiadaug : (26 August 2014 - 07:46 PM) I Have Yet To Deal With Any Piece Of Va That Isn't A Dysfunctional Mess...ebenefits, Claim Filing, Billing...and To Think Our Tax Dollars Are Used To Perpetuate That Calamity!
@  carlie : (26 August 2014 - 05:39 PM) notorious kelly - loved your shout ! ! !
@  GlassRose1500 : (26 August 2014 - 03:40 PM) Would Someone Add Smc Housbound Plus Smc A&a Regular And One Smc K For Me? I Can't Seem To Do That Math!
@  Notorious Kelly : (26 August 2014 - 03:12 PM) Ebenefits Is Not A Thermometer In The Rectum Of Your Claim; It Is A Post-It Note That May Or Not Be Updated Or Accurate. Try Not To Obsess ;)
@  mcassidy : (26 August 2014 - 01:25 PM) Osa
@  Jaluluah11B : (26 August 2014 - 10:05 AM) My Reconsideration Finally Showed Up On Ebenefits As A New Claim.  gathering Evidence.  [font=Arial][size=3]Automated 5103 Notice Response Needed. [/size][/font]
@  vet201060 : (26 August 2014 - 10:00 AM) Went From Pending Decision Approval To Review Of Evidence Today, I Need To Stop Looking At It. Drives You Crazy Waiting
@  GlassRose1500 : (25 August 2014 - 09:30 PM) @coriemboh I Get My Best Claim Advice Here, But My Dav Guy Gets The Best Intel Once The Claim Is Filed
@  coriemboh : (25 August 2014 - 08:57 PM) The Average Processing Time Is 9 Months More Or Less. Every Time I Call The 800#, I Get A Different Answer. Goe, Roe....make Up Your Mind!
@  coriemboh : (25 August 2014 - 08:56 PM) I Just Want To Know Ballpark Figure Of How Much Longer My Claim Will Take. The Bills Are Piling Up. Adds To My Anxiety And Depression. Sure Wish I Could Tell Bill Collectors The Same Things Va Tells Me!
@  coriemboh : (25 August 2014 - 08:54 PM) @glassrose1500-No, I Don't. I Put In For Representation A Few Days Ago, But I'm Sure That End Won't Pan Out Until The Claim Is Closed.
@  GlassRose1500 : (25 August 2014 - 12:11 PM) Would Appreciate Feedback On My Smc Draft - Posted In The Smc Section! Tkx!

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What To Do Once Rated At 100%

100%

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13 replies to this topic

#1 GoldDvlDog

 
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Posted 22 July 2012 - 10:42 AM

Just got a letter from vso stating they just reviewed my claim that is pending notificaton. And the va took favorable actions on my claim and a combined rating of 100% has been assigned. I was given a differed rating of 30% in 2011, so now I need to get the ball anrolling as of what benefits I get because my wife is currently in the hoapital. My questions are as fallows...
1. Do I get insurance for dependants and how do I start it?
2. Is there any special benefits for 100%?
3. Any stipulations regarding still working? I've looked and I get mixed responses..
4. Do I still pay co-pays on va meds and apps?
5. Pretty much what do I do now lol I'm 29 and have multiple sclerosis and I don't know any local vet friends that are 100% to talk about what's next

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#2 silke

 
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Posted 22 July 2012 - 11:18 AM

Congratulations

1. In order to get CHAMPVA (med insurance for your dependents) your condition must be considered permanent in nature. When you get your award letter they will tell you if you are eligible and include all the paperwork.

2. You can get a military ID to use the commissary, bx/px, mwr. Dental care. Many states also offer benefits such as property tax exemption, car tags, etc.

3. You cannot work if your rated for a mental disorder. Otherwise you are free too. Educational benefits are available as well if that is something you are interested in.

4. No, and if you owe for any co-pays or meds from the past, those will be dropped.

5. I do not know how severe your disablity is, but if your able to, you should consider working or going back to school, even if its just part time. You are still young and sitting around the house for decades is gonna drive you nuts eventually. At the very least, find some hobbies to keep your mind occupied.

....Im sure others will chime in with more info....Thank your for your service!!!

#3 GoldDvlDog

 
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Posted 22 July 2012 - 11:36 AM

Thank you for the info. Unfortunately due to memory problems basically I can't retain anything new as far as education goes. I can't even hold a convo without repeating my self cause I forgot I just told the person the same thing 2 min ago. Stuff comes out but nothing new stays in :(. As far as severity I use a Cain for short periods of walking but for like stores or going to the park with my baby I have to use a scooter the va issued me cause I can't stand for long periods. As far as work I'm not Sure my last employer saw me as a liability but as a political favor for one of my in laws they kept me hired until this claim is final :) thankfully lol. I have lost the lateral gaze on left and right sides all I get is diploma due to sixth nerve palsy and optic neuritous scaring... Diplopia not

Edited by GoldDvlDog, 22 July 2012 - 11:58 AM.


#4 SP4RVN1971

 
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Posted 22 July 2012 - 11:47 AM

GolddvlDog, is it combined rating 100% or they giving you P&T 100%?


1. Do I get insurance for dependants and how do I start it? No if it is combined rating


2. Is there any special benefits for 100%? Yes you pay no co-pay at VA.


3. Any stipulations regarding still working? I've looked and I get mixed responses..You can continue to work full time!

4. Do I still pay co-pays on va meds and apps? No co-pay

5 Pretty much what do I do now lol I'm 29 and have multiple sclerosis and I don't know any local vet friends that are 100% to talk about what's next. You can find a local VFW or go to the VA hospital and talk to VSO or call the 1-800 number


Sorry for your family health conditions. Your dependants cannot get ChampVA until 100%P&T. If it is P&T you will be able to go back until the date you filed.

#5 GoldDvlDog

 
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Posted 22 July 2012 - 02:23 PM

Not Sure yet letter from day just said combined but after looking on the internet I found that multiple sclerosis is considered p&t. So I'm guessing p&t. I saw other vets with combined 100% and got pt

#6 SP4RVN1971

 
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Posted 22 July 2012 - 04:27 PM

Not Sure yet letter from day just said combined but after looking on the internet I found that multiple sclerosis is considered p&t. So I'm guessing p&t. I saw other vets with combined 100% and got pt


That would be great your family for insurance, car tags, and many more thing.

God bless and good luck.

#7 GoldDvlDog

 
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Posted 22 July 2012 - 04:57 PM

Thank you

#8 Commander Bob

 
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Posted 22 July 2012 - 04:57 PM

Just got a letter from vso stating they just reviewed my claim that is pending notificaton. And the va took favorable actions on my claim and a combined rating of 100% has been assigned. I was given a differed rating of 30% in 2011, so now I need to get the ball anrolling as of what benefits I get because my wife is currently in the hoapital. My questions are as fallows...
1. Do I get insurance for dependants and how do I start it?
2. Is there any special benefits for 100%?
3. Any stipulations regarding still working? I've looked and I get mixed responses..
4. Do I still pay co-pays on va meds and apps?
5. Pretty much what do I do now lol I'm 29 and have multiple sclerosis and I don't know any local vet friends that are 100% to talk about what's next


Greetings 'GoldDvlDog'...

My most positive thoughts are with you.

Bob

#9 midnight340

 
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Posted 22 July 2012 - 04:59 PM

I am happy for you as well. Make the most of your time, and enjoy the life around you.
(we all need to remember this!!)
and Congrats to you!

#10 Gulfvet45

 
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Posted 23 July 2012 - 10:03 AM

you do need to go to billing and have them give you back the money you paid in the co-pay.

#11 GoldDvlDog

 
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Posted 26 July 2012 - 11:58 PM

Found more info about new rating... Says my claims are considered total and permanent, and I think I also got some smc or something. Because I'm getting $3714 any ideas? Also they said they sent me a dwvelopent letter what's that mean? And do I get insurance for dependants now? And can I work

#12 Notorious Kelly

 
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Posted 27 July 2012 - 06:09 AM

Bravo, Dog! Posted Image

As mentioned, check your state benefits http://www.military....-directory.html and get your National Park pass http://store.usgs.gov/pass/access.html

#13 Berta

 
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Posted 27 July 2012 - 06:35 AM

With 100 % P & T your dependents will qualify for CHAMPVA.

They will need to make application for this benefit and CHAMPVA has the application and more info at their web site.

Also they will be eligible for DEA educational benefits and those applications might be enclosed with the decision.

Both the CHAMPVA and DEA could possibly be retro to your 100% P & T EED if your dependents incurred either out of pocket medical or educational expenses (meaning tuition paid to a VA approved college) after the formal EED the VA gave you.

We have had SVR radio shows here with both an Insurance expert from VA as well as a CHAMPVA expert that are available in the SVR archives.

#14 Fco75th25div

 
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Posted 30 July 2012 - 06:00 PM

Great news ! P & T means you can't and r unable to work... Enjoy life myfriend.. If they find you working there will be a fraud investigation
then u will have a warden telling U to work... Sir... you are at the Top of the line don't play with this !!!




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