100% permanent and total VA rating, now what?

armyvet73

PEB Forum Regular Member
Registered Member
Hello Veterans,

I was recently rated 100% P&T by the VA for PTSD. I am also service connected for hearing loss, tinnitus, sleep apnea and erectile dysfunction. The monthly VA payment is great of course but I am still on IRR with the Army. I am a O-3 with 10 years of service in the National Guard and 1 year active duty for deployment to Afghanistan. I contacted HRC and they scheduled me for a PHA with a civilian doctor through a company called LHI. which I am assuming will be where I need to bring all medical evidence of my service connected conditions to the doctor. From there it sounds like I would be placed on TDRL and perhaps eventually PDRL.

So, my question is this: should I proceed with the TDRL/PDRL? Are there any benefits to doing this if I am already rated at 100% P&T by the VA?

Any guidance or advice would be highly appreciated.

Much respect!
 

RonG

PEB Forum Regular Member
PEB Forum Veteran
Lifetime Supporter
Registered Member
Hello Veterans,

I was recently rated 100% P&T by the VA for PTSD. I am also service connected for hearing loss, tinnitus, sleep apnea and erectile dysfunction. The monthly VA payment is great of course but I am still on IRR with the Army. I am a O-3 with 10 years of service in the National Guard and 1 year active duty for deployment to Afghanistan. I contacted HRC and they scheduled me for a PHA with a civilian doctor through a company called LHI. which I am assuming will be where I need to bring all medical evidence of my service connected conditions to the doctor. From there it sounds like I would be placed on TDRL and perhaps eventually PDRL.

So, my question is this: should I proceed with the TDRL/PDRL? Are there any benefits to doing this if I am already rated at 100% P&T by the VA?

Any guidance or advice would be highly appreciated.

Much respect!
Re: TDRL and PDRL

Although your DoD disability retirement pay will be reduced by the amount of the VA compensation, you would be entitled to TRICARE
(health care). I rarely use the VA.

Also see —-> this LINK for CRSC info

Ron
 

armyvet73

PEB Forum Regular Member
Registered Member
Thank you for the reply Ron,

I assumed my monthly payment from the VA would be higher than TDRL/PDRL since I am rated at 100%. However, I am unsure how to calculate what my TDRL/PDRL pay would be based on the information I have read. Also, unsure if I would qualify for CRSC. Could you please help me try to determine roughly what those amounts would be?
 

armyvet73

PEB Forum Regular Member
Registered Member
VA rating percentages as follows:

PTSD - 100%
Hearing Loss, left ear - 0%
Tinnitus - 10%
Sleep Apnea - 50%
ED - SMC-K
Total rating - 100% permanent and total, total monthly compensation with 2 dependents is just over $3800

I was diagnosed with ED by a civilian doc and the VA service connected it with that diagnosis and a nexus letter.
 

RonG

PEB Forum Regular Member
PEB Forum Veteran
Lifetime Supporter
Registered Member
VA rating percentages as follows:

PTSD - 100%
Hearing Loss, left ear - 0%
Tinnitus - 10%
Sleep Apnea - 50%
ED - SMC-K
Total rating - 100% permanent and total

I was diagnosed with ED by a civilian doc and the VA service connected it with that diagnosis and a nexus letter.
Hello,

Information necessary for CRSC estimate:
—High three average base pay OR the gross retired pay on DFAS RAS (which is preferred)
—DoD disability percentage
—Active duty years or active duty equivalent years
—VA compensation percentage; amount; and dependents (category, number, and ages of children)
—Approved CRSC percentage
—Other type military retirement eligibility info

Ron
Also see —-> this LINK for CRSC info
 

tony292

PEB Forum Regular Member
PEB Forum Veteran
Are you going through IDES? Your post stated that you are IRR, I’ve never heard of anyone in IRR going through IDES.
 

armyvet73

PEB Forum Regular Member
Registered Member
Ron, based on what you provided I don't think I have enough information yet to determine CRSC as I am too early in the process. For example I don't have a dod % yet.

Tony, I just contacted the HRC Command Surgeon General admin team directly to inquire and they set me up with a contractor named LHI who is arranging for me to have a PHA. From there they stated "If the results from the medical review determine you to no longer meet medical retention standards, we will begin the DES process. "
 

RonG

PEB Forum Regular Member
PEB Forum Veteran
Lifetime Supporter
Registered Member
Hello,

Ok...we can work on later in the process.

Ron
 

StellarAirman

Active Member
PEB Forum Veteran
Registered Member
VA rating percentages as follows:

PTSD - 100%
Hearing Loss, left ear - 0%
Tinnitus - 10%
Sleep Apnea - 50%
ED - SMC-K
Total rating - 100% permanent and total, total monthly compensation with 2 dependents is just over $3800

I was diagnosed with ED by a civilian doc and the VA service connected it with that diagnosis and a nexus letter.

What civilian doc diagnosis you with ED? I brought it up with my PCM but he wouldn’t put me on meds for it
 

rajeev2liz

PEB Forum Regular Member
PEB Forum Veteran
Registered Member
What percent is the hearing loss? Did you do a ED test also and percentage?
Hello Veterans,

I was recently rated 100% P&T by the VA for PTSD. I am also service connected for hearing loss, tinnitus, sleep apnea and erectile dysfunction. The monthly VA payment is great of course but I am still on IRR with the Army. I am a O-3 with 10 years of service in the National Guard and 1 year active duty for deployment to Afghanistan. I contacted HRC and they scheduled me for a PHA with a civilian doctor through a company called LHI. which I am assuming will be where I need to bring all medical evidence of my service connected conditions to the doctor. From there it sounds like I would be placed on TDRL and perhaps eventually PDRL.

So, my question is this: should I proceed with the TDRL/PDRL? Are there any benefits to doing this if I am already rated at 100% P&T by the VA?

Any guidance or advice would be highly appreciated.

Much respect!
I would definitely look into it I would get that Blue ID, but mainly the only benefit it's for Tricare so my family has medical coverage I pay about 47.00 for the whole family that's Tricare Prime. Have you looked into SSDI and CRSC?
 

rajeev2liz

PEB Forum Regular Member
PEB Forum Veteran
Registered Member
What civilian doc diagnosis you with ED? I brought it up with my PCM but he wouldn’t put me on meds for it
I spoke to my PCP and I was given Viagra and you don't get a percentage but you get a monthly special compensation for ED, it falls under a loss of a creative organ organ
 

armyvet73

PEB Forum Regular Member
Registered Member
Greetings veterans, things are moving slowly but I did finally get a profile issued with a 3 for PTSD. There is also a "F" next to it for failure to meet retention standards I assume. When I asked what was going to happen next, I was told the following:

"Your case is reviewed to determine if your condition that fails to meet medical retention standards is duty related or non-duty related. If there is evidence that shows your condition(s) is duty related, you will be contacted to complete some additional documents prior to being submitted for consideration by a medical review board. If your condition(s) are determined non-duty related, you will be given the opportunity to have your case reviewed by a physical evaluation board. The physical evaluation board will determine if you can be retained, or if you should be separated from the military. "

I have a 100% rating from the VA for "PTSD-combat". I guess I am just confused about there being a question of this being duty related or not. I sent in every bit of VA paperwork and documentation to the HRC office of the Surgeon General. Additionally, I have not been contacted by a PEBLO yet. I'm looking for advice and guidance on what to expect next or what I should be working on right now. Any information would be greatly appreciated. FYI I have been in IRR since 2014.

Thank you!
 

RonG

PEB Forum Regular Member
PEB Forum Veteran
Lifetime Supporter
Registered Member
Sounds like a routine remark and not specifically written for your case.

Others with experience with the PEB will likely comment on your case.

Good luck,
Ron
 

heathro1281

Well-Known Member
PEB Forum Veteran
Registered Member
What civilian doc diagnosis you with ED? I brought it up with my PCM but he wouldn’t put me on meds for it
BLUF - It may not be just an ED issue, also have your testosterone checked...

Another route to go, I personally brought up sexual health issues possible with my PTSD and Sleep Apnea that i felt lethargic and no desire to do things hobbies wise and sexually, I asked about a testosterone test. My PCM agreed and I was tested as extremely low for free T in the blood. I was put on T injections and it has been a help - I received 20% and SMK for hypogonadism and Low T diagnosis.
 

armyvet73

PEB Forum Regular Member
Registered Member
Greetings Veterans, I got another response from HRCSG today:

"You are currently in the DES process (Disability Evaluation System). As a member of the Army Reserve, IOT be referred for the duty related process, or MEB, at least one of your medical conditions that fails to meet medical retention standards must be found in the line of duty. If none of your conditions are found in the line of duty, you can request consideration by the Physical Evaluation Board for the non-duty related process. During the non-duty related process you can appeal for your condition(s) to be found in the line of duty, or you appeal to be found fit for duty. "

I'm still just confused by this wording and why they would need to determine if my conditions are in the line of duty, considering I'm a veteran with a 100% VA award for "PTSD-combat". This seems like a no brainer. Any guidance on what I am missing here would be appreciated.
 

RonG

PEB Forum Regular Member
PEB Forum Veteran
Lifetime Supporter
Registered Member
"PRESUMPTION OF LOD STATUS An illness, injury, disease or death sustained by a member in an active duty status or in inactive duty training (IDT) status is presumed to have occurred in the line of duty. However, this presumption can be rebutted."

More info: LINK <----

Ron
cc: @tony292 @chaplaincharlie @Guardguy11
 

chaplaincharlie

Super Moderator
Staff Member
PEB Forum Veteran
Lifetime Supporter
Registered Member
I could be wrong about the facts in your original post, so please clarify. You are in the Army NG and have done one tour of AD in Afghanistan? Any other AD time? Did these injuries occur during AD service? Do you have documentation that your injuries/diseases happened while on AD?
 

armyvet73

PEB Forum Regular Member
Registered Member
Hi Mike, that is correct. I was in the Army National Guard for around 10 years. I have one AD deployment to Afghanistan (2012/2013) in support of OEF. No other AD time other than training, schools, etc... There is pretty extensive VA documentation linking my PTSD to events that occurred in Afghanistan, in addition to a combat action badge award letter. Under Ebenefits the VA also has it classified as PTSD-Combat. It's my understanding they classify some PTSD differently, such PTSD from MST.
 

Guardguy11

Super Moderator
Staff Member
PEB Forum Veteran
Registered Member
Hey Armyvet,
Do you have a Line Of Duty (LOD) determination for your PTSD? I find it strange that the VA processed you for PTSD if the Army didn't do an LOD for you to give you the evidence needed to process.

Either way, for the DES process to move forward, you will need an LOD created by medical to process. It sounds like they are already working that...but it might be worth a question. LODs are presumed In the Line Of Duty (ILOD).

Godspeed
 
data-matched-content-ui-type="image_stacked" data-matched-content-rows-num="3" data-matched-content-columns-num="1" data-ad-format="autorelaxed">
Top