Placed on TDRL, Expected PDRL - Appeal?

phaerix

PEB Forum Regular Member
Registered Member
Got my ratings back, 60% DOD 90% VA, but it's on the TDRL. Having a hard time figuring out why they would put me on TDRL with a permanent disease with no cure (Ulcerative Colitis). Would it be advisable to appeal this to the FPEB to get it changed to PDRL?
 

bkess

PEB Forum Regular Member
Registered Member
What the heck I was not expecting that. I just don’t understand what the benefit is by putting you on the TDRL? Maybe to see if your symptoms get better within the next 5 years so they can decrease your percentage (pay you less) or allow you to come back to AD? I had no idea that you basically leave AD even under the TDRL too? Do you mind me asking what AFSC you are?

I found this on another website.
“A service member is placed on TDRL only if his condition is not stable, he has Total Combined Military Disability Rating of 30% or higher, and there is a chance that he could improve enough to return to full duty or seriously worsen within the next five years.”

“When on TDRL, it is as though the service member is medically retired from the military. He does not perform any military duties, is given a temporary Military Disability Rating of at least 50%, and receives full Military Disability Benefitsfrom the DoD and the VA.

During the TDRL period, the service member must be occasionally re-evaluated (generally every 18 months) to determine the progress of his condition and his disability ratings updated to reflect any changes in his condition.

If the condition improves enough during his time on TDRL, the PEB may find the condition no longer unfitting. In that case, the service member can choose to either return to full active duty or permanently retire from the military. If he chooses to return to full duty, all DoD disability benefits he was receiving during TDRL will stop.

If the service member chooses to permanently retire or if the condition worsens, or at least does not improve, and becomes relatively stable, the PEB will medically retire or medically separate the service member with a permanent Military Disability Rating based on the severity of his condition at that time.

All TDRL cases will receive a permanent rating based only on the VASRD criteria that is in effect at the end of the TDRL period.”
 

phaerix

PEB Forum Regular Member
Registered Member
What the heck I was not expecting that. I just don’t understand what the benefit is by putting you on the TDRL? Maybe to see if your symptoms get better within the next 5 years so they can decrease your percentage (pay you less) or allow you to come back to AD? I had no idea that you basically leave AD even under the TDRL too? Do you mind me asking what AFSC you are?

I found this on another website.
“A service member is placed on TDRL only if his condition is not stable, he has Total Combined Military Disability Rating of 30% or higher, and there is a chance that he could improve enough to return to full duty or seriously worsen within the next five years.”

“When on TDRL, it is as though the service member is medically retired from the military. He does not perform any military duties, is given a temporary Military Disability Rating of at least 50%, and receives full Military Disability Benefitsfrom the DoD and the VA.

During the TDRL period, the service member must be occasionally re-evaluated (generally every 18 months) to determine the progress of his condition and his disability ratings updated to reflect any changes in his condition.

If the condition improves enough during his time on TDRL, the PEB may find the condition no longer unfitting. In that case, the service member can choose to either return to full active duty or permanently retire from the military. If he chooses to return to full duty, all DoD disability benefits he was receiving during TDRL will stop.

If the service member chooses to permanently retire or if the condition worsens, or at least does not improve, and becomes relatively stable, the PEB will medically retire or medically separate the service member with a permanent Military Disability Rating based on the severity of his condition at that time.

All TDRL cases will receive a permanent rating based only on the VASRD criteria that is in effect at the end of the TDRL period.”
Ya, i think theyre trying to get me reevaluated when i happen to be in temporary remission so they can lower me from 60 to 30. Meanwhile the guy next to me has very mild asthma and gets 30 permanent.
 

Fibrogirl

Active Member
PEB Forum Veteran
Registered Member
Got my ratings back, 60% DOD 90% VA, but it's on the TDRL. Having a hard time figuring out why they would put me on TDRL with a permanent disease with no cure (Ulcerative Colitis). Would it be advisable to appeal this to the FPEB to get it changed to PDRL?
Is UC the only condition you were referred for?
 

Chefitup29

PEB Forum Regular Member
Registered Member
Got my ratings back, 60% DOD 90% VA, but it's on the TDRL. Having a hard time figuring out why they would put me on TDRL with a permanent disease with no cure (Ulcerative Colitis). Would it be advisable to appeal this to the FPEB to get it changed to PDRL?
Just a question but what's your branch? I just got diagnosed with moderate severe Ulcerative Pancolitis. They talked about medboard but said I would only expect 30%
 

bkess

PEB Forum Regular Member
Registered Member
Just a question but what's your branch? I just got diagnosed with moderate severe Ulcerative Pancolitis. They talked about medboard but said I would only expect 30%
Chef,

I don’t want to speak on his behalf, but I believe he is an Air Force member like myself.

Here is some good definitions to give you an idea of what symptoms you have to have for each disability rating per the
VASRD (Veteran Affairs Schedule for Rating Disabilities). Source: Military Disability ratings for Digestive System conditions

I also have pancolitis and am at the very early stages of a MEB. Based on my symptoms I would probably get 30%. I’m in between the 30% and 60% definitions but I won’t qualify for 60%.


Code 7323: Ulcerative colitis (a.k.a. inflammatory bowel disease) is a disease of the colon where tears or open sores form in the tissues of the colon and cause bloody diarrhea.
If it is very severe and constant and causes serious malnutrition, anemia, and overall disabling bad health or if it causes a severe liver abscess, it is rated 100%. If it is severe, but not constant, with many attacks a year that cause malnutrition which then causes overall bad health that cannot be fully recovered during the periods in between attacks, it is rated 60%. If it is somewhat severe and causes some attacks a year, but less than a severe condition, it is rated 30%. If there are only occasional attacks, it is rated 10%.
 

phaerix

PEB Forum Regular Member
Registered Member
Theres no difference between services really... the VA handles it all. 30% seems to be the going rate for most UC cases. I was anemic with weight loss and malnutrition and failed outpatient steroids. Now i'm on remicade and imuran... so they bumped to 60.

bkess, that's old data. They changed the terminology a bit. Recommend looking it up from the source on va.gov
 

Chefitup29

PEB Forum Regular Member
Registered Member
Theres no difference between services really... the VA handles it all. 30% seems to be the going rate for most UC cases. I was anemic with weight loss and malnutrition and failed outpatient steroids. Now i'm on remicade and imuran... so they bumped to 60.

bkess, that's old data. They changed the terminology a bit. Recommend looking it up from the source on va.gov
Yea I'm anemic with weight loss as well. My gastro said that due to my severity the steroids wouldn't work either so they started me right on Remicade and imuran. I'm most likely in the 30% range since they didn't see I was malnourished. Hope the meds are working for you!!
 

phaerix

PEB Forum Regular Member
Registered Member
Yea I'm anemic with weight loss as well. My gastro said that due to my severity the steroids wouldn't work either so they started me right on Remicade and imuran. I'm most likely in the 30% range since they didn't see I was malnourished. Hope the meds are working for you!!
They're working so far! Life changing. You don't have to meet all the requirements for the higher ratings, just have to meet more than the lower rating.
 

bkess

PEB Forum Regular Member
Registered Member
Phaerix,

Thanks for the heads up that it was old data!

7323 Colitis, ulcerative:

Pronounced; resulting in marked malnutrition, anemia, and general
debility, or with serious complication as liver abscess.......................................... 100

Severe; with numerous attacks a year and malnutrition, the health only fair during remissions.................................................................................... 60

Moderately severe; with frequent exacerbations............................................................ 30

Moderate; with infrequent exacerbations.......................................................................10



Source Link: 38 CFR Book C, Schedule for Rating Disabilities - Web Automated Reference Material System

Exact Link: https://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/PART4/S4_114.doc
 
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