INCAP Pay

Jason Perry

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Attached are 37 United States Code, Sec 204, DOD Instruction 1241.2 and DOD Directive 1241.01 concerning Incapacitation Pay for members of Reserve component.

I have also attached AF Reserve Command Instruction 36-3004 (Incap Pay) and AFI 1971, which is the form for claiming INCAP Pay in AF Reserve Components.

I will post Army Reserve Component Info shortly.
 
Who Pays Incap Pay for States?

I see in the DODI who is tasked with ensuring Soldiers recieve incap pay, but who actually foots the bill for RC soldiers (ARNG, specifically). Do states pay? Or is there a central pot?
 
I believe that the money is the same pot of money that regular pay comes from. The law that covers this is found in Title 37 USC, Sec. 204. They talk about basic pay and limit incap to what the member would get if they were on active duty.

DOD Financial Management Regulation, Volume 7A, Chapter 57, contains the rules for paying INCAP. This further makes me think it is from the same accounts. Finally, to go past 6 months on INCAP, the Service Secretary makes the final determination. If they are deciding, they are likely paying.
 
Be careful, I am fulltime ANG. I was told that they find what you make on your fulltime job VS yor AD pay and you get the lesser of the 2. Not sure if this is your situation.
 
Who and how is a soldier eligable for incap pay, and how does one pursue it?

AR 135-381 Incapacitation of Reserve Component Soldiers

1–6. Entitlement
a. A member of the RC incurring or aggravating any injury, illness, or disease in the line of duty is entitled to
medical and dental care, incapacitation pay, and travel and transportation incident to medical and/or dental care, in
accordance with 37 USC 204 and 37 USC 206. The amount of incapacitation pay for the member will be determined in
accordance with DOD 7000.14–R, Volume 7A.
b. Members incapacitated in the line of duty are entitled to medical and dental treatment in an MTF for the in-theline-
of-duty condition until qualified for return to military duty. If the resulting incapacitation cannot be materially
improved by further hospitalization or treatment, the case will be processed and finalized through the Disability
Evaluation System (DES) when eligible for disability processing. Procedures governing physical disability evaluation
are provided in DODI 1332.38 and Department of Defense Directive (DODD) 1332.18.
c. A member on a call or order to active duty specifying a period of 30 days or less who incurs or aggravates an
injury, illness, or disease will not have orders terminated solely because of the injury, illness, or disease, unless
requested by the member. Upon release from active duty, the member is entitled to benefits provided by this regulation.
d. Members authorized incapacitation pay under 37 USC 204(g) will not be allowed to attend inactive duty training
(IDT) periods or to acquire retirement points for drills. However, a member may earn retirement points in order to
satisfy the requirements for a qualifying year of service by completing correspondence courses.
e. Nothing in this regulation will be construed to prevent emergency medical treatment at an MTF for a Reservist
while in a duty status. Members requesting emergency treatment at an MTF after termination of training duty, stating
that the condition is related to an injury, illness, or disease incurred during or aggravated by an earlier period of duty,
will be examined and provided necessary medical care. The circumstances surrounding the emergency condition will be
resolved after the emergency has been stabilized.
f . Soldiers who are participating in Reserve Officers Training Corps – Simultaneous Membership Program
(ROTC–SMP) or Early Commissioning Program on active or IDT or in travel status as members of an RC unit are
entitled to Government-funded health care on the same basis as other Soldiers.
g. In accordance with the Joint Federal Travel Regulations, Soldiers who qualify for medical care in accordance
with this regulation are entitled to travel and transportation allowances for necessary travel incident to such care and
return to their residence, upon discharge from treatment.
h. Travel orders will be issued by the RRC, Commander, HRC–St. Louis, or ARNG State headquarters for Soldiers
who are required to travel in excess of 50 miles or 90 minutes driving time for out patient health care authorized as a
result of an in-the-line-of-duty illness/injury/disease. The RRC, major subordinate command, ARNG State headquarters,
or Commander, HRC–St. Louis is responsible for travel involving outpatient care.
i. Members are authorized medical/dental treatment while the LDI is ongoing, provided the military medical support
office pre-approves the treatment. The LDI determination will determine eligibility for continued medical/dental care.

33 Pages. Google AR 135-381
 
I was told by my unit that I can still drill and receive INCAP pay...from what I can read in the instructions though, that is not true....which is it? can one drill and get INCAP pay? I am in VA..or is the only way to earn points for retirement is through doing correspondence courses
 
If you have loss of earning from your civilian job, you can still drill and collect INCAP for the losses from civilian pay. So, it is possible to still drill and collect INCAP pay.
 
Be careful, I am fulltime ANG. I was told that they find what you make on your fulltime job VS yor AD pay and you get the lesser of the 2. Not sure if this is your situation.


This is not true..I work at the VA...your rating is your rating...two types of rating employability and unemployability....unemployability is when you will draw your SS before age 62...not ANG is just like AD you can get inconcurrent... VA is a different pot of money than DOD...now a new law was passed that VA cannot take away from your severance pay if you need the link email me at [email protected]
 
14Karat,

Thanks for the post. Just to keep it from confusing anyone, it seems that they were not talking about VA vs. DoD compensation, but rather the calculation of INCAP pay.

Do you work in Comp & Pension? At a VARO? It is good to have folks who work around these issues. Your input can help a lot of folks.
 
Thank you for this information. I have a lot of Army reservists in this perdicament including me!!!
 
My husband is Active duty Army for 7 years, 3 years Reserves and the last 4 years as Georgia Army National Guard. He was injured at his Unit back on 10-4-2009, when a 250 pound tarp was dropped on his neck and shoulder. He is a Medic & was asked if he needed to go to the hospital, he thought he was ok. For the next 3 weeks he had severe headaches (which he had a long history of migraines, so he thought it was normal) On 10-30-09, he had a stroke in the optical area of his brain from a carotid artery dissection (from the tarp hitting him in the neck) and on 11-7-2009, he had a 2nd full on stroke in the communication area of his brain. His Unit is still processing his LOD and is now asking for paystubs from his civilian employer. (he had lost his civilian job as a nurse b/c he now can not read or write.) I supplied them with W-2's and also a letter from the Georgia Department of Labor noting his income but they are insistent on paystubs. I had since shredded them after I filed his taxes.

Is this right?? What else can I do??? I am so frustrated that we are almost a year past his injury and nothing has been done to take care of him.

Frances Poole (Wife of Specialist David Poole)
 
So my LOD has been approved for about 8 months and i have yet to get pre auth from tricare for civ medical appts, until today i was unaware i needed such preauth, as far as reimbursement which is incapacitaion pay for 204 (g) i believe can i still get reimbursed/ backdated preauth so i can get reimbursed for past and future medical appts im more than 50 miles from the nearest military medical facility
 
So my LOD has been approved for about 8 months and i have yet to get pre auth from tricare for civ medical appts, until today i was unaware i needed such preauth, as far as reimbursement which is incapacitaion pay for 204 (g) i believe can i still get reimbursed/ backdated preauth so i can get reimbursed for past and future medical appts im more than 50 miles from the nearest military medical facility
Not completely sure what you are asking.
That said, you can’t get INCAP pay (like many entitlements) unless you apply for it.
I had a client many years ago who we applied for INCAP pay for and we ended up with more than a $100k payment to him. Never would have happened if we didn’t ask for it.
 
So my LOD has been approved for about 8 months and i have yet to get pre auth from tricare for civ medical appts, until today i was unaware i needed such preauth, as far as reimbursement which is incapacitaion pay for 204 (g) i believe can i still get reimbursed/ backdated preauth so i can get reimbursed for past and future medical appts im more than 50 miles from the nearest military medical facility
USMC reserve
 
Not completely sure what you are asking.
That said, you can’t get INCAP pay (like many entitlements) unless you apply for it.
I had a client many years ago who we applied for INCAP pay for and we ended up with more than a $100k payment to him. Never would have happened if we didn’t ask for it.
In my initial lod approval letter it says incap pay expiration date but thats it, my case keeps getting suspended due to no updates within 90 days even tho i send updates, granted sometimes i just dont have an appt or cant get the paperwork in time. My specific question is whether or not i can still get the incap pay type g as in the medical portion of it for reimbursements for going to a civilian medical facility’s copays that i have thus far paid out of pocket
 
In my initial lod approval letter it says incap pay expiration date but thats it, my case keeps getting suspended due to no updates within 90 days even tho i send updates, granted sometimes i just dont have an appt or cant get the paperwork in time. My specific question is whether or not i can still get the incap pay type g as in the medical portion of it for reimbursements for going to a civilian medical facility’s copays that i have thus far paid out of pocket
It says surgery and or inpatient but nothing about physical therapy or just a plain old doc visit
 
You should not have to pay for your medical care if the treatment is for an In the Line of Duty condition. Your first posts indicate that you are getting INCAP pay. Your post also indicate that it might be a TriCare issue with authorization for care or treatement:

i have yet to get pre auth from tricare for civ medical appts,
It may well be that this is all you need. Is there a problem with getting this "pre-authorization"?
 
It says surgery and or inpatient but nothing about physical therapy or just a plain old doc visit
It might be that you just need a referral from your PCM for physical therapy....don't know why a doc visit might be a problem.
 
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