• OVERVIEW OF MEB/PEB PROCESS

    This post, like this site, is a work in progress. I realized recently that even though all the information on the Physical Disability Evaluation System (PDES) can be found here, first time visitors probably need a guide to understand what is going on with their case.

    I will be posting a more comprehensive "Guide" in the near future. But for now, I want to put out this post to help newcomers and members alike understand how to use this site.

    First, in the Physical Disability Evaluation System Overview Forum, you can find some basic overview/information papers on understanding the process. The updated "Guide" that I will publish will eventually replace the info papers found there. But for now, you can get a grasp of the process.

    I will try to cover some high points. The PDES is mandated by Federal Law. The system is composed of four components:
    1) Medical Evaluation (carried out by the MEB).
    2) Physical Disability Evaluation (Carried out by PEB)
    3) Counseling (carried out by PEBLO)
    4) Personnel Action/Approval. (Carried out by Service Secretary or designee).


    The MEB will determine if you have conditions that are disqualifying for retention. They do not make fitness determination, nor do they assign ratings. Their most important function as far as your case is concerned is in accurately diagnosing your conditions, and providing other info in their Narrative Summary. In order to find what conditions are disqualifying you should look here, depending on your Branch of Service:

    Army AR 40-501 Chapter 3
    Navy/USMC SECNAVINST 1850.4E Chapter 8
    Air Force AFI 48-123.
    Coast Guard Medical Manual, Chapter 3 Section F

    If you have conditions that they are not considering, you have the right to appeal the findings and recommendations of the MEB.
    Here are the regulations covering the MEB for each Service:

    Army AR 40-400, Patient Administration. Chapter 7
    Navy/USMC Manual of the Medical Department, Chapter 18
    Air Force AFI 41-210, Chapter 10
    Coast Guard COMDTINST M1850.2D

    You should also look in the MEB Forum for some posts on MEBs.

    Once you have identified what conditions are disqualifying, you should look them up in the Veterans Affairs Schedule for Rating Disabilities. You can find each system in this link to Conditions Forum. Once you have found each condition, you should compare your conditions to the rating criteria and see what you should be rated at. If you have the results of an Informal PEB in hand, you should also see what the criteria is for what they rated you at and compare what you think is correct versus what they actually rated you at. If there is a difference, you need to think about why they did not rate you at the higher level. Oftentimes, it is because you lack evidence of the severity of your condition. You should try to think of ways to better document your condition. This may include other medical evaluations, examinations, photographic evidence, or statements from others. Your own testimony may help as well.

    You should read this post on Fitness vs. Unfitness. You can only be rated by the PEB for conditions that are unfitting. The following links contain the regulations for each Service's PEB:

    Army AR 635-40
    Navy/USMC SECNAVINST 1850.4E
    Air Force AFI 36-3212
    Coast Guard COMDTINST M1850.2D

    You may want to look over the following forums for discussions on Informal PEBs and Formal PEBs.

    Later, I will post some on how to find info on appeals and post administrative remedies.

    One last thought. I have been privileged to represent Servicemembers both on active duty and in private practice as a civilian attorney. I have learned that there are three very important phases of your case. The first happens well before the PEB. It can make a huge difference in your case if you have a good understanding of what you will be rated on and how to ensure your conditions are properly documented. The next crucial phase is the Formal PEB. Here, a good advocate can present your case in the strongest manner, but equally important is identifying and preserving the legal errors made in your case. The third crucial phase is in appealing the decision if the PEB has made an error in your case. Based on this, my best advice is to start educating yourself and preparing for your case early. In this way, you can better understand what is happening with your case and you can ensure you have the evidence you need to get an accurate rating. Waiting until you are at the Formal hearing before preparing is putting yourself at a disadvantage.

    Okay, like I said, this is a work in progress. Any requests will be considered.
    This article was originally published in forum thread: OVERVIEW OF MEB/PEB PROCESS started by Jason View original post
    Comments 5 Comments
    1. Jason's Avatar
      I have reposted this thread in the home page articles section. I just checked and some of the links need to be updated, so don't worry if you can't get to the references. Since the new software has been installed, some links have changed. I will get to this when I return from my current trip. Just be aware that you can find the references via the search function, in the meantime.
    1. SSG MATTY's Avatar
      Desprate for GOOD direction!
      Situation.. just made 20 yrs in army reserve as a combat engineer, 2 deployments (iraq03, and afghanistan 05). about 5 months ago i received a letter of "unfit for continued service / retention in army due to diagnosis of anxiety attacks, panic attacks, severe ptsd, sleep apnea, and lower back problems. Also have a permanent P3 profile for such. I am prescribed muscle relaxers, ambien, and some other meds for anxiety. My packet has been forwarded to the PEB board. My commander has filled out the paperwork and feels that i should not be retained.

      Questions..Will they retire me medically with a percentage with 20 good years? I have been rated by the VA at 60%, 10% for my back, and 50% for ptsd. Will it have an effect on the VA compensation? I do not want to make the wrong move here, and really need guidance. PLEASE FEEL FREE TO E-MAIL ME AT michael.matty@us.army.mil
    1. Jason's Avatar
      SSG Matty,

      Welcome!

      Quote Originally Posted by SSG MATTY View Post

      Questions..Will they retire me medically with a percentage with 20 good years? I have been rated by the VA at 60%, 10% for my back, and 50% for ptsd. Will it have an effect on the VA compensation? I do not want to make the wrong move here, and really need guidance. PLEASE FEEL FREE TO E-MAIL ME AT michael.matty@us.army.mil
      Assuming your condition is unfitting (it sounds like it is), it seems highly likely that you will qualify for the minimum temporary rating of 50% for PTSD, plus whatever else is compensable/rated. I am not sure exactly what your question is about "with a percentage with 20 good years." If the PEB retires you, you will be retired immediately. At age 60, you will qualify for CRDP, in the meantime, you will qualify for Combat Related Special Compensation. Both programs offer concurrent receipt of VA and military disability retirement compensation. But, you have to start off with the idea that generally, you can't receive both VA and military compensation, and then look to what degree CRDP or CRSC will allow you to receive both.

      Hope all goes well for you!
    1. VAJumper's Avatar
      SSGT Matty,

      Welcome to the forum, you've come to the right place for answers. Most people like myself answer the best we can with the knowledge we've gained going through the process ourselves. That being said, you seem to already have a grasp on what your ratings should be. Medical retirement comes in two forms: PDRL (permanent) and TDRL (Temporary). More than likely, you'd be rated at least 50% as TDRL for the PTSD. You can read up on this site or Google elsewhere what TDRL means in your situation.

      I have no expertise on the area of CRSC and the VA which I'm sure someone else will chime in on. Once your packet goes through the IPEB process, you will still have a chance to appeal the decision. Not sure how long the Army is taking to process packages, but you should have a few months to learn the process to make sure you have a favorable outcome. Good luck.
    1. 21BMATTY's Avatar
      WOW! Fast responses... embarresed...i forgot my log on info, so created another screen name...i am SSG Matty.... I appreciate your guidance. a few other other questions, if i may... If the PEB board retires me right now and i am placed on either temp, or permanent retired list, what can i expect as comp (is it based on VA disability table?), and will this negatively effect any of my current VA benifits? And if i understand correctly, i will need to be 60 years of age to receive CRSC and or CRDP correct? I don't mean to sound uneducated on this stuff, but it is all new to me and i am reading all i can......A bit overwhelming!!
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