100% permanent and total VA rating, now what?

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.

How do you compute 3800$? I look at 2020 rates and with spouse and one dep. it amounts to 3406. Add another 86 for each dep. under 18. That brings you to 3406+86 which is just under 3500. I know you get like an additional 100$ for ED, but at max that would only bring you to 3600 a month.
 
Some qualified dependents are 18 or older and going to school. I don't know if this applies in this case.

Each additional child (100%) 18 or older going to school = 277.96

Ron
 
Today I received an email from the HRC SG informing me that my condition that failed to meet retention standards (PTSD) was determined by a practitioner to be in the line of duty. The Army did not do a LOD for me previously. With the email I received today I also got a counseling form with information about LDES vs. IDES and requiring me to make an election of one. There was also a "In the line of duty" memorandum where I could elect to be discharged or considered for a MEB. I chose LDES on the counseling form because it indicated that IDES could affect my existing VA rating. Since this is already 100%, IDES seems like a risky route to take. On the memorandum I chose MEB. No brainer on that one since I wish to be medically retired. Before I send these back, any guidance or advice on my elections?
 
How do you compute 3800$? I look at 2020 rates and with spouse and one dep. it amounts to 3406. Add another 86 for each dep. under 18. That brings you to 3406+86 which is just under 3500. I know you get like an additional 100$ for ED, but at max that would only bring you to 3600 a month.

Hi MilitaryBlake, due to one of the ratings being 100% and another (or combination of more than one) being 60% I am getting SMC-S. I should have pointed this out in my original post. This in addition to SMC-K and two dependents results in a benefit of exactly $3886.96. Please see below for more info on SMC-S and the VA pay tables:


 
Hello Veterans. Things are progressing very slowly but still moving along. I did finally hear back that my PTSD (100% with VA) was determined to be in the LOD. I was told my packet was submitted and I should bear from a PEBLO soon. I was also sent a counseling form informing me about IDES vs. LDES and asking me to make an election. I elected for LDES because the counseling form indicated that with IDES my VA rating could be lowered. Today I got an email from the office of the surgeon general asking me if I really meant to elect LDES and informing me that I would have to write a letter explaining why. I responded and informed them that I chose LDES because I did not want to jeopardize my 100% VA rating. They responded and said that reason most likely be disapproved. Wondering what to do next and what advice the community has? If I am forced into IDES, what is the probability that a 100% P&T VA voting would be reduced?

Thank you in advance for any replies or help
 
Hello Veterans. I heard from my PEBLO back in May and the VA MCS a few days later. The MCS said I would be contacted to schedule an exam for my DoD rating since I am already at 100% VA. I have not been contacted by anyone since that time. Since it has been several months I contacted my PEBLO today and she said that things are backed up because providers don't want to do face to face due to COVID. Just wondering if anyone else is experiencing such delays or has any insight. It sucks to make it so far only to hit a wall.
 
I can’t imagine going through this process in the post COVID-19 world. It sucked before when people HAD to see you face to face. Now that they can pull the COVID card... good gravy.
 
I emailed the MCS yesterday as well and got her reply this morning which was simply: "Its going to take some time for someone from QTC to call due to the pandemic"
 
Hello Veterans, I finally got done with all my QTC appointments and received my NARSUM from my PEBLO. I am concerned that the prognosis is worded in such a way that it might result in TDRL vs. PDRL. I am rated 100% for PTSD from the VA currently and have been since 2019. My PTSD symptoms have certainly not gotten any better over the last year although they have been severe, they are stable. Given the following NARSUM prognosis, should I submit a rebuttal or do you guys think this is more of an issue of standard language being used for the PTSD prognosis? In short, my goal is to go to PDRL, not TDRL. Thanks in advance for your advice and input. FYI, I was first dx with PTSD in 2014 @ 30%. The symptoms were bad at that time but I feel like I was under rated. The symptoms got really bad around that time and somewhat stabilized in 2019 when I sought treatment and medication. In summary, I just dont' feel like the prognosis accurately represents my situation.

NARSUM - Prognosis: "Prognosis statement. For the condition of Post-traumatic Stress Disorder, the prognosis is good. With continued aggressive treatment, Soldier may likely be able to return to duty within the next 12 months. The severity of this condition will likely improve over the next 3 years; although treatment will likely be required beyond the next 12 months."
 
That Dr language is very common.
It allows them a way out both ways and also make the QTC contract managers very happy. They ll probably get continued reevaluation appts and charge about $1,000 for maybe hour max of work. Its not fair to the medical record on file and history of your condition. PTSD does wax and wane and also increase and intensify as well. Their being non committal to give a way out for all. Its really in your corner to fight which direction you wish. Don't get too stressed out. Remember its not personal just medical providers selling out often their ethics to QTC contract opportunities. Remember QTC is a large money making corporation with DOD/VA and other contracts.
So choose, fight for what you want to happen, you probably ride out 8 more years and get good years in if you do the correspondence courses each year.
Remember theyre not picking on you just doing contract work.
Theylll probably seek a new evaluation annually till the third year. or second year.
Whats the doctors name and which city is he from, that did the QTC ptsd evaluation on you?
Its likely that other Veterans and Service Members are being treated flippantly as well.
 
Interesting these Drs are opening themselves up to lawsuits should an accident occur in the line of duty due to the challenges created by the nature of the condition itself.
Their minimizing like the VA did for years as old SOP< deny deny deny till they die.
Ive met Veterans that the VA took 15 plus years to handle the processing of their claims.
QTC is stepping into VA's old role now that they do a huge percentage of the VA and DOD claims now.
File an appeal or get a lawyer.
Jason Perry Ive heard good things about.
Daniel Conway or Gary Meyers Associates they handled the Vietnam Mei Lie incident etc....
 
ArmyVetDeuce, thanks for the reply. I have some updated info that will hopefully help others. I believe the wording on my prior PTSD prognosis was in line with the verbiage that the PEB would use to reach a TDRL decision. I ended up pushing back on the verbiage through my PEBLO and she in turn worked with the provider to get it adjusted. The new verbiage that went into the final NARSUM is as follows:

"Prognosis statement. For the condition of Post-traumatic Stress Disorder, the prognosis is fair. Soldier will not be able to return to duty within the next 12 months. The severity of this condition will likely not resolve over the next 3 years; and treatment will likely be required beyond the next 12 months."

I ended up getting a 100% DoD rating for PTSD and placed on PDRL, which was the desired outcome.

I hope this helps others. Advocate strongly on your own behalf!
 
Hey man, congrats on getting the 100% P&T, I know that road isn’t easy, so respect for making it through. As for what to do next, the main thing is understanding that your VA rating and your military retirement side are two separate tracks. Since you’re still in the IRR, the Army has to formally evaluate your fitness for duty. Going through the PHA, then TDRL/PDRL, is basically the process that closes out your military career properly and determines whether you’ll receive military medical retirement on top of your VA benefits.

From my side, I’d say it’s generally worth following through with the TDRL/PDRL process. Being medically retired can open the door to Tricare coverage, commissary/exchange access, and a retired ID — things that can be pretty valuable long-term, especially healthcare. Just make sure to bring every bit of documentation you have to the civilian doc at LHI, including the VA rating decision. And don’t stress too much: once the VA has already rated you 100% P&T for PTSD, it’s pretty clear that you’re not fit for continued service, so the military side often falls into place.

If you’re unsure whether you’ll benefit financially, you can talk to a VSO or a military retirement services officer — they can run your numbers and explain whether CRSC/CRDP would apply in your case. But overall, going through the process now helps avoid headaches later and ensures you get everything you’ve earned.

Much respect right back at you, brother. Stay steady.
 
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