TSGLI HELP

tteal07

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I'm getting ready to file a TSGLI claim and would LOVE some help. My situation: I was in a dirt bike acident and had to have three surgries to save leg from amputation due to acute compartment syndrome. And loss of 4 adls for over 50 days and still on going. Im still on convo leave. So due to limb salvage thats 50,000 and loss of adls is 25,000 every 30 days so I'm sitting at 75,000 right now that I am entitled to that I QUALIFY FOR. But I'm so scared to death reading everyone's horr stories about the tsgli office pretty much just told them to f off. Even tho medical documented forms prove there statements ect. I'm so scared to submit my claim I have all my med docks my doc filled out part be and signed it all filled out have all my docs from my surgeys my physical therapy and my loss of adls my doc wrote. I even have a leter from my xo and my doc stating no alcohol was involved and exactly what happened. I'm just so scared and need help of filing this claim. I rate and qualify cor the money but weather the tsgli office gives it to me........ that's another story. All.the research I been doing everyone that qualified and the tsgli office pretty much told them to eff off. My wife quit her job to take care of me my truck is about to gEt repoed I have two kids and one on the way I can't even take my kids to the park can't play with them can't dres them I can't even early get off the couch I depend on my wife for everything now I wear depends and she has to get in out of bath n hold my leg up n wash me in and out of bed dress me. My leg Is numb and Doset work Its immoble they cut all my tendons and took out a lot of muscle and cut dead nerves and tissue and removes blood clots to save my leg. So I do qualify for the limb salvage and loss of adls but I'm sacred they won't give it to me. I'm a Sgt in the marine corps almost 6 years in afghan and meu. I will be separated medically for.this. plz help and any advice would be greatly appreciated thankyou
 

Mathew Wilson

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I thought SGLI was for deaths only? also why be afraid to sumbit your claim? the worst they can do is what? say no? well you have pretty much given yourself a NO by not filing. I don't understand, why save the leg if it is completely useless and you, from the sound of it, will need a wheel chair. Instead of having just dead meat couldn't you get a prostetic from the knee down so you can walk/run/climb/bike again?

also I'm not sure I understand how your leg is keeping you from doing anything? is there more injuries ontop of this? if you are still in the marine corps, you should still be getting your Active duty pay + bah + bas right? possibility you could just cut the budget tight, get rid of non essentials so that you don't lose your car and or worse.

I know when I broke my hip and had to have surgery to repair my socket and joint, they did something to my back and my leg was literally dead for a few days, i couldn't move it if I wanted to, couldn't wiggle a single toe, but with a wheel chair I was able to do alot of things, namely bath, restroom on my own, dress myself that isn't too hard.

you should just review the TSGLI contract / rules / regulations very carefully, if you believe you qualify for it, and if you truely do, they can't say no, thats the whole reason for a contract
 

tteal07

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My point being is that I got hurt and I qualify for tsgli pAyment / claim. But reading everyone's stories one here that also qualify tsgli office just told them no.even tho they qualify. I'm going to submit my package just looking for any aDvice and help
 

SPC Leggett

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sorry to hear about your situation, from what i see from what you wrote you shouldnt have any issues filing your TSGLI claim..me myself i have filed a TSGLI claim for loss of adl and was awarded so it isnt as bad as you think, never go off somebody else's story because everybody case is different

Aslong as you have medical documents proving that you had the loss adl then you should be fine, and im not talking bout a doc stating you couldnt do this or that, you need detailed nurse notes or occupational therapy evaluations recorded with accurate dates showing 30 day 60 day 90 day etc

And if u qualify for limb salvage and adl loss they wont pay for both they will only pay you for either the limb salvage or the adl loss

The whole process can take a while so when you file give it about 2 months before you receive payment if approved
 

tteal07

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What exactly DId your physical therapy notes say if you don't mind me asking. Mine say loss of mobility and sensation unable to walk. No wieght bearing. Requires hands on assistance to transport from a to b with in house hands on assistance to bathe and get in and out of bath. Requires hand on assistance to get in and out of bed. Must be elevated to reduce the chance.of blood clots wile trauma still healing. Unable to bathe, transport ect by self. This what my doc and pt notes say. Plz let me know if they need to say what yours said that would be so much help!!!!! Thanks in advance. And as far as my limb salvage my surgeon wrote loss of limb was disgusted prior to surgery so if he couldn't fix Mybleg I concented to amputation and a lot more words ect 3 surgrys. Anyways what Dis your pt notes say fotlr loss of adl?
 

tteal07

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And what do you mean it has to qualify regardless l? What do.your mean? For.what? What are you trying to say?
 

SPC Leggett

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Your Limb Salvage isn't what qualifies you,its what happened to you that resulted in limb salvage that qualifies you, and whatever doctor that filled out part b of your claim should go into alot of detail explaining what happened to you resulting in limb salvage, also as far as adl your therapy notes should show that you were dependent for clothing, bathing, feeding etc and have accurate dates on the paperwork that shows 30 day loss from the date of your accident.

Also if you just wrote explaining your adl loss on part b, thats not enough,you will also need to have medical documents proving what you are claiming

In my case i was a paralyzed chest down when i put in my claim, and i had a nurse notes showing loss of ADL and i sent them notes for each day of the month for 90 days
 

tteal07

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I know what your trying to say and yes tone like I mentioned what they said that I cannot do thease things and require assistance but You saI'd it's not just your doc and pt telling me I could not preform thease thing s its more then that so if you dost mind me asking what exactly should they say and what exactly should they write ( all.are civ) for my loss of adls?
 

tteal07

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Would you mind like text me? For someone that has already has and approved tsgli claim I could use all.the find word detail help I can get. Thanks I just hate logging on everythime I get an email that someone wrote me back on here haha
 

SPC Leggett

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You should have medical documents in your records from when you was in the hospital showing proof of loss of adl that you have claimed on part b, if you dont have the medical records proving what your doc wrote on part b they will deny you
 

tteal07

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My doc already signed all of the Part b and wrote his notes on it. For limb salvage and loss of adls and in the big extra note part he wrote more on the adls and I have all my surgery notes on what he did and every week doc and pt notes saying incompatant to perform thease adls and requires assistant of wife ect.
 

SPC Leggett

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My word of advice to send all the medical records you have from your accident and hospital stay and and send it with your filled out claim and hope and pray that it gets approved, if what you send is not enough they will email you and let you know if they need more evidence and what type of evidence they need

Good Luck
 

SPC Leggett

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Just make sure that your medical documents back up what your doc said also they'll decide whether or not your wife assistance was considered loss of adl, in my case they did everything for me, i wasnt able to help them assist me, i couldnt bathe eat clothe or use the bathroom on my own @ all and my medical records proved it all
 

tteal07

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Ok well I'm confused. I.have doc notes saying I'm unable to get dressed in out of bath stairs transport fRom a to b in and out of bed. I have my weekend doc notes my surgery notes and my pt notes saying I cannot do thease thing s and require assistance. So if that's not good enough from a doctor then idk what is. So ks what your saying it has to say why I was unable to do thease things right. Like my leg being unable to move due to cut nerves and muscle. Can't drive. Heavly medicated and causes disneymess and nausea. Immobile and needs to be elevated so no blood clots form so if this isn't profe and my doc and pt wrote thease things weekly Then idk what else can prove it.
 

SPC Leggett

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No im not saying thats not good enough, i just compared it to my claim for loss of adl with yours, in my case i was fully dependent meaning that if i didnt have assistance i wouldnt have been able to do it at all, meaning i had to get bed bathes from a nurse, i had to get fed by a nurse, i had to get my clothes put on by a nurse, i had to get strapped to a machine to transfer me from my hospital bed to my wheelchair, and my bowel and bladder was done by a nurse,

But like i told you along as you have medical documents and ACCURATE DATES backing up what you are saying then you should be fine
 

JoliJoey04

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You should talk with a lawyer from AMVETS/CHAPMAN UNIVERSITY, they will help you with your claim for free. Make sure that you are ready to fax everything to them and sign a whole lot of paperwork. TSGLI will deny your case if your paperwork is not properly presented and have plenty of evidence. It will be time consuming and frustrating, but well worth the fight.
 
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