On TDRL: First PEB re-eval, need advice please, Total Disc Replacement L5-S1

Harold

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Unfortunately in 2006 I was inured in Iraq. Two back surgeries later, I have an artificial disc implant for L5-S1 in 2007 after the disc was unable to be saved. In 2008, I was placed on TDRL with 40% disability. This is my first PEB re-evaluation, and I am worried about losing Tricare Benefits for my family. I am currently attending college through the Vocational Rehabilitation program.

My condition has not "improved" (which I understand can be interpreted quite differently by a PEB board...) I am still unable to run, lift, bend, stoop, climb long flights of stairs...etc. I still see a neurosurgeon who says that I will never be able to do those things for the rest of my life. The VA has awarded a rating of 80%, due to my sleep apnea and back condition.

Ultimately, my concern is how likely am I to keep my Tricare Benefits and stay on TDRL or be placed on PDRL, rather than separated? Would it be better to waive a PEB board exam at a military facility in lieu of an exam by my Primary Care Physician (this was a choice in my orders...)? If not, what type of documentation etc. would anyone suggest that I bring to my PEB board exam?

Thank you for your advice and support.
 
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