MEB Timeline

Thanks, I guess I knew that, just seems low for as severe as they are being described so I guess I was wondering how bad is the range of motion. And does the radiculopathy get added as part of the disqualifying condition? So if 50% back + the per leg %
AFAIK radiculopathy is rated separately. I would assume they can be rated together if there is some opinion given that implies relation. Knew a Marine that couldn't bend back, but had full ROM bending forward. He got 10% solely for pain. They seem to essentially only care about forward flexion with 20% being given for a combined lesser total added ROM from each angle of bending.

I mention separate ratings because the decision letter given to me rates them separately, but at this point I recognize plenty of mistakes could've been made.
 
AFAIK radiculopathy is rated separately. I would assume they can be rated together if there is some opinion given that implies relation. Knew a Marine that couldn't bend back, but had full ROM bending forward. He got 10% solely for pain. They seem to essentially only care about forward flexion with 20% being given for a combined lesser total added ROM from each angle of bending.

I mention separate ratings because the decision letter given to me rates them separately, but at this point I recognize plenty of mistakes could've been made.
For MEB is it not added to the back rating if the conditions in totality are what resulted in the MEB? To get to a higher %?
 
For MEB is it not added to the back rating if the conditions in totality are what resulted in the MEB? To get to a higher %?
I believe it's up to the referring provider's opinion. Each condition must meet unfitting status in order to get to the level of a board, which means you need to imagine that condition alone being able to stop you from working in your MOS, rate, etc.

The referring provider, depending on their belief of your severity, could refer one condition without referring the other despite the referred condition having direct causality to the referred condition.

If it were added, then yes, the percentages would conglomerate into a single rating known as your DoD rating.
 
I just wanted to give a quick update on a few things that happened after I retired.

Retirement date was 16 June. My claim reopened 17 June. I was not able to see any updates on the VA app/ebenifits tracker until 17 July even though the claim was being worked. The VA is able to give you this information over the phone. Currently sitting at phase 3 (gathering evidence). I uploaded my DD214 on 21 June using the QuickSubmit tool even though it was immediately available on 17 June.

I was paid normally on 15 June. DFAS audit went smooth, they even paid me some money I didn't realize was owed to me maybe a week after that. Retirement pay came on 1 July.
 
I just wanted to give a quick update on a few things that happened after I retired.

Retirement date was 16 June. My claim reopened 17 June. I was not able to see any updates on the VA app/ebenifits tracker until 17 July even though the claim was being worked. The VA is able to give you this information over the phone. Currently sitting at phase 3 (gathering evidence). I uploaded my DD214 on 21 June using the QuickSubmit tool even though it was immediately available on 17 June.

I was paid normally on 15 June. DFAS audit went smooth, they even paid me some money I didn't realize was owed to me maybe a week after that. Retirement pay came on 1 July.
Seems as though the 2 week delay in final pay is pretty consistent as of late. Thanks for keeping us posted.

I'd imagine you're expecting your first paycheck from the VA to come September?
 
Seems as though the 2 week delay in final pay is pretty consistent as of late. Thanks for keeping us posted.

I'd imagine you're expecting your first paycheck from the VA to come September?
Yea, that's what I'm expecting. I'd be very surprised if it started 1 Aug. I'll definitely provide an update once the claim closes.
 
Quick question if anyone can help!? So I had hip surgery Mar 2024 (awaiting a 2nd hip surgery) and that's when my code 37 was applied. My PCM told me 15 Jul he was going to push my paper work (and I saw him update my med file) and that should start my NRSM. Is there anyway to tell if there has been any movement or am I just stuck waiting?
 
Quick question if anyone can help!? So I had hip surgery Mar 2024 (awaiting a 2nd hip surgery) and that's when my code 37 was applied. My PCM told me 15 Jul he was going to push my paper work (and I saw him update my med file) and that should start my NRSM. Is there anyway to tell if there has been any movement or am I just stuck waiting?
Once I was referred by PCM for MEB, it took awhile. If I’m not mistaken, your local MEB board officials meet and determine the way forward. This happens every few weeks where I’m located. I didn’t see any movement until my PEBLO emailed my CC for the CC’s Impact Statement. Once that all was completed (times vary for everyone) I had a face to face with my PEBLO and then shortly after my VA rep called to go over all the DBQ info and appointment's. It’s a long process of hurry up and wait.
 
Once I was referred by PCM for MEB, it took awhile. If I’m not mistaken, your local MEB board officials meet and determine the way forward. This happens every few weeks where I’m located. I didn’t see any movement until my PEBLO emailed my CC for the CC’s Impact Statement. Once that all was completed (times vary for everyone) I had a face to face with my PEBLO and then shortly after my VA rep called to go over all the DBQ info and appointment's. It’s a long process of hurry up and wait.
Thank You for the info. I guess patience is key. One last question...for now lol, Do you think my second surgery will put things on hold? Or do you think things will continue progressing regardless?
 
Thank You for the info. I guess patience is key. One last question...for now lol, Do you think my second surgery will put things on hold? Or do you think things will continue progressing regardless?
I’ve been told that surgeries during the process will prolong the process. I’m not too knowledgeable on this, so maybe someone else will chime in that has had the same situation as you.
 
I’ve been told that surgeries during the process will prolong the process. I’m not too knowledgeable on this, so maybe someone else will chime in that has had the same situation as you.
I'm at 18 months waiting from the NARSUM. Surgery will definitely prolong the process, from my experience.
 
I'm at 18 months waiting from the NARSUM. Surgery will definitely prolong the process, from my experience.
Thanks for the info, Have you been contacted by your PEBLO already? I have not heard from anyone yet, the only thing I have seen that is new is on MHS it says referral statuses which I have never seen before.
 
Quick update.

My VA app updated with my rating (Aug 9) & I was able to view my decision letter. It is the same as my previous rating. My claim did not close though. It went back to Step 2 (Initial Review). I've already talked to the VA & there is nothing showing why it's still opened. I was told it could be a glitch, but the rep I spoke to submitted a request to find out why it's opened.

Back pay should hit my account in the next 7-10 days.
 
Thanks for the info, Have you been contacted by your PEBLO already? I have not heard from anyone yet, the only thing I have seen that is new is on MHS it says referral statuses which I have never seen before.
Yes, absolutely. My PEBLO is not very helpful - hope you get a good one!
 
Update/Question:

So i just did my PHA and I was told she could see my PCM referred me to AMRO, but below under AMRO notes it says "no Med Board required". However, I was 37 code on my CDB and Alpha roster. Based on research it looks like if I already have the 37 code is given after AMRO request Med Board. Does anyone have an idea of what this means? Or do you think i should contact the PEBLO office?
 
You can try, but a PEBLO isn't assigned until you are enrolled in IDES. Your MSME (medical standards) should be able to help, or your patient advocate.

You can meet the AMRO over and over and over again. I can only imagine they're looking at stabilization and other mitigating factors. Taken out of context even slightly, the "no medboard required" might mean we're not ready at this AMRO to do IRILO, or it might mean that you're being returned to duty.
 
You can try, but a PEBLO isn't assigned until you are enrolled in IDES. Your MSME (medical standards) should be able to help, or your patient advocate.

You can meet the AMRO over and over and over again. I can only imagine they're looking at stabilization and other mitigating factors. Taken out of context even slightly, the "no medboard required" might mean we're not ready at this AMRO to do IRILO, or it might mean that you're being returned to duty.
Thanks for your advice. I have an appointment with my PCM tomorrow morning so once I get more answers ill keep you updated.
 
Question about MEB, so quick background. Been dealing with hip issue since 2017, finally got surgery in Mar 24 which seems to be getting worse. Orth recommended MEB and I went to see a Dr today who said "since the AF is having retention issues, you won't be med boarded because you have a pulse." And only options i have are admin sep or C-code.

Has anyone else dealt with anything like this or have advice? He did say he was going to bring me up to the AMRO board next month but some advice would be great.
 
Question about MEB, so quick background. Been dealing with hip issue since 2017, finally got surgery in Mar 24 which seems to be getting worse. Orth recommended MEB and I went to see a Dr today who said "since the AF is having retention issues, you won't be med boarded because you have a pulse." And only options i have are admin sep or C-code.

Has anyone else dealt with anything like this or have advice? He did say he was going to bring me up to the AMRO board next month but some advice would be great.
Ask your Shirt to track down if you are meeting the AMRO or DAWG again. Or, if you were, what their disposition was: returned to duty, review again, or IRILO directed. If I'm understanding correctly, sounds like you've already been referred and now a second Dr is also referring you?

The Chief of Medicine, Flight Nurse (usually a captain or major), or MSME will be able to track down an answer very quickly. The PEBLO will know if IRILO is directed, but so will your shirt and CC within a few days of it happening. If you have a dud of a Shirt, ask the Patient Advocate who these people are. You can ask these folks directly, but it's probably best to do what your rank can handle and/or get a recommendation/go-ahead to do so from the PA. There's a general lack of transparency with AMRO, which is something I've felt that the Air Force does wrong... always crickets between a referral and doing them doing IRILO.

It's common for folks to be seen at AMRO multiple times, usually for stability reasons or lack of medical opinions from people that don't specialize in your ailments. C-coded folks get reviewed annually, I believe. The AMRO is going to be looking for notes on your condition to make a decision to keep pushing forward. Somewhat similar to your situation, I had a code 37 applied immediately, which was a bit premature. I had to wait two months for an additional appointment with a neurologist to confirm my issues. My PCMs notes continuously said keep taking pills, go to physical therapy, pain medicine, etc.. The specialist's notes were what the AMRO wanted to see: "this dude can't walk right, his back and hips are effed, surgery not recommended."

The Dr's assertion that you won't be med boarded because of force-wide retention issues is incorrect. If you have a provider that is unwilling to refer you, and you know in your heart of hearts that you should be referred, find another physician.

I'll add also that you need to be absolutely sure that you want to be medboarded. The entire process itself is grueling. I'm at 19 months from initial referral. A lot of people get an unfair shake out of it, whether initially or over the course of years of filing claims/appeals/HLR. Read about the benefits/differences between being medically separated or retired vs just separating. Try to rate your conditions yourself using the VARSD, see if you would potentially hit 30% or more required for medical retirement. Use the MSD (medical standards directory) to see if the AF considers your conditions to be unfitting. Since you mentioned your hips, I'll use myself as an example. The VA rated me 30% for hip impingement/labral scarring, but the condition wasn't actually unfitting for the Air Force and consequently not addressed by the MEB (only my back and radiculopathy: 40%, 10%, 10%).
 
Ask your Shirt to track down if you are meeting the AMRO or DAWG again. Or, if you were, what their disposition was: returned to duty, review again, or IRILO directed. If I'm understanding correctly, sounds like you've already been referred and now a second Dr is also referring you?

The Chief of Medicine, Flight Nurse (usually a captain or major), or MSME will be able to track down an answer very quickly. The PEBLO will know if IRILO is directed, but so will your shirt and CC within a few days of it happening. If you have a dud of a Shirt, ask the Patient Advocate who these people are. You can ask these folks directly, but it's probably best to do what your rank can handle and/or get a recommendation/go-ahead to do so from the PA. There's a general lack of transparency with AMRO, which is something I've felt that the Air Force does wrong... always crickets between a referral and doing them doing IRILO.

It's common for folks to be seen at AMRO multiple times, usually for stability reasons or lack of medical opinions from people that don't specialize in your ailments. C-coded folks get reviewed annually, I believe. The AMRO is going to be looking for notes on your condition to make a decision to keep pushing forward. Somewhat similar to your situation, I had a code 37 applied immediately, which was a bit premature. I had to wait two months for an additional appointment with a neurologist to confirm my issues. My PCMs notes continuously said keep taking pills, go to physical therapy, pain medicine, etc.. The specialist's notes were what the AMRO wanted to see: "this dude can't walk right, his back and hips are effed, surgery not recommended."

The Dr's assertion that you won't be med boarded because of force-wide retention issues is incorrect. If you have a provider that is unwilling to refer you, and you know in your heart of hearts that you should be referred, find another physician.

I'll add also that you need to be absolutely sure that you want to be medboarded. The entire process itself is grueling. I'm at 19 months from initial referral. A lot of people get an unfair shake out of it, whether initially or over the course of years of filing claims/appeals/HLR. Read about the benefits/differences between being medically separated or retired vs just separating. Try to rate your conditions yourself using the VARSD, see if you would potentially hit 30% or more required for medical retirement. Use the MSD (medical standards directory) to see if the AF considers your conditions to be unfitting. Since you mentioned your hips, I'll use myself as an example. The VA rated me 30% for hip impingement/labral scarring, but the condition wasn't actually unfitting for the Air Force and consequently not addressed by the MEB (only my back and radiculopathy: 40%, 10%, 10%).
Thanks for all the info, you made more sense of it then anyone has. Currently I'm going back to AMRO this month, I called PA who said she is going to get me where I need to go. She also said she will be at the AMRO in my behalf (well see how true it is). As far as the med-sep/ret I will look at the sources you provided. I have been telling them I haven't been able to sleep, sit or stand, let alone run. For my job we are outside the wire and I am def not fit for whatever incident may occur. However that only my left hip, they havent addressed the numbness and tingling in my leg or the I developed impingements on my right hip. But hopefully AMRO moves things forward and we can see how things go from there.

Last question, so we're you referred for your left hip and your back addressed your back for MEB? Or you have been referred for back seperatly?
 
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