I have been recently assigned a 100% disability rating from VA. There are certain issues (property taxes, license plates, etc.) where I am asked for "proof" of such disability. I haven't found any mechanism for obtaining "proof" within the VA website, or elsewhere.
Call the 800 number and ask them to provide a letter.
Thanks. That's a simple solution I should have come up with myself. Having tried it several times and never reaching a human being, I finally found the path to success.
Yes, thats what I did to get the right type of letter for what benefit that I was seeking. The letters are all different. For military commissary and PX priviledges, it must be a certain format, for example. For CHAMPVA, it must say clearly that you are permanent and total and being paid at the 100% rate.
When I called the VA 1-800 number, they first could NOT find (in the electronic system) that I was rated as P&T. They said that I was ineligible for such benefit because I wasn't P&T. I told them over the phone to look deaper into the electronic file, then, they found it. I had to tell them to change my designation to P&T so it readily shows my status. I told them 3 times. I STILL DON'T KNOW IF THAT WAS DONE OR NOT.
Seems, when you call the 1-800 number, you get a difference answer almost everytime. Thats because of the inadequacy of their electronic system; poorly designed. When a Vets claim number is pulled-up on the screen, it should give a brief chart that shows exactly the status of the Vet. At the first screen, it should be very clear where the Vet stands in the system.
Its amazing to me that here we are in 2009 and VA still hasn't deviced an automated system that is user-friendly to the VA managers, operators, and Veterans.... and is accurate. The VA is about 15 years behind time on doing it. They spend $millions on IT automation stuff and still haven't got a system that works well. Of course, when a Vet's status is upgraded, the new information "falls thru the crack" and his electronic file is not updated. That, simply, is POOR GOVERNMENT. The VA is notorious for poor execution of their programs. ITS A SHAME, but they don't seem to give a shxt. No one is beating them up for poor execution, not even the IG. The IG only looks for fraud, waste, and abuse. Poor execution of programs is the Manager's responsibility and they, simply, are not held accountable for their programs. So, they don't put any emphasis on it. Its not in their performance standards so they are not rated on timely and accurate execution of programs.
Actually for CHAMPVA I just provided a copy of my letter granting me 100% P & T. For Exchange I just walked the rep through what I wanted. IRIS is also a good way to go to get this info.
Can either DAVE_M or RVN tell me the following:
Difference between CHAMPVA and TRICARE.
Are there premiums, and if so, the difference between the two.
Dental under Tricare is managed thru DELTA Dental, so CHAMPVA is__?
It beats me. I'm lost. From what I understand so far is that when the CHAMPVA eligible turns 65, they must enroll in MEDICARE, part A (free). In order for the CHAMPVA eligible to retain CHAMPVA, they must buy MEDICARE part B. Thats $97 per month. CHAMPVA has a deductable of $50 per year, but there are no premiums to purchase. My biggest concerns about CHAMPVA are:
1) ease of getting appointments with a good local healthcare provider... and, then what about ambulatory services and Specialists doctors?!? What are the limits and restrictions?
2) payment to the healthcare provider. I don't want to use a reimbursement system.
TRICARE, I don't know anything about, but heard that there are expenses involved. CHAMPVA has no dental benefits to my knowledge.
I'm trying to sort all this out because my wife and I are 62... getting close to 65. To complicate it even more, we have private health insurance that I pay for at $260/month. Its a government healthcare plan for federal employees that I carried-over into retirement. The federal government still pays 60% of the cost of this insurance, but the coverage has deminished to where we must pay for a bunch of stuff that we didn't before, plus a $250/year deductable. Its gone from good to poor.
So..... I, too, am looking for answers. Its not easy getting good information, but for me, I think the people at Social Security can advise me best.
This message has been edited. Last edited by: RVN1968,
Guys, I just got to Chicago. I will explain this all after I feed us.
Champva only covers dependents of 100% P & T, versus Tri-care covers vet and family if retired (or ad).
Champva costs nothing. Most Tri-care supplements work for Champva.
You can not get Champva if you are eligible for Tri-care.
There is a $50 deductible and 80/20% split with an annual max out of pocket of $3,000.
Except for supplements, Champva is secondary, so if you have insurance, it will pay out of pocket expenses. Supplements are cheap.
Champva should be accepted by all Tri-care and Medicare accepting practices.
We are just starting to use it, so it will be a while before I can tell you more.
A letter recieved by a veteran, on Combat related PTSD.
VA~"Your stressor must also be capable of verification. VA will no request JSRRC RESEARCH SUPPORT if the event you described,"almost" happened,involved civiliansuch as an accidental killing of civilian in combat, mistreatment of enemy ...prisoners,sniper attacks,events occurring while traveling/driving in a convoy or duty as a door gunner because such events are impossible to verify from military records."
Although I am not a MOD, I am posting this for you on the PTSD Thread! Keep cool...I know it's hard when one gets a letter like this..but keep your cool.. Someone will answer your post!
TO THE OP
Yes, the VA has the right and will attempt to verify ..(not just PTSDbtw) but any disability claim you submit...So if your claim is for PTSD, it is going to go through the process of verification as much as that is possible.. This incidentally is NOT a new thing. going back 20 years...all PTSD claims were processed and your unit, morning reports, After Action Reports, MOS, duty station etc were all accessed and verified. This is a complement to the Psychiatric Evaluation and the GAF scoring system that the veteran also participates in.
Common sense "should" tell you that PTSD claims can be played on...IF there wasn;t any verification process in place...so in essence, lacking any "investigation" anyone who wanted some fast and free flowing cash...only had to claim 'I HAVE PTSD and my Doc said so"
This is not intended to imply that you don't have a good claim.,.,CONTRARY...I personally wish all veterans their due "just compensation, and am only using the above as an example as to WHY the VA is engaging in this screening process.
Thank you for your reply,
I posted this on Military.com. I stopped my fight . I've resided to the factthat it does more harm to me then the few dollars a award could bring. 20 odd years, thousand of hours,feeling like a liar. I know what keeps my up and night,my family stands beside me fully,and I think this is enough. I understand the fact security is needed to fend off fakers and leeches, but this letter strangles most combat situations, and makes proving your issue almost impossible.
I have not gave up on helping my fellow Veteran, I'm not bitter, just worn to a thread. Thank you all so much for your thoughts.
EXCUSE ME MY FRIEND
BUT I DON'T RECALL EVEN SUGGESTING THAT YOU QUIT YOUR CLAIM, I SIMPLY ANSWERED A POST.
YOU KNOW WHAT HAPPENED, WHERE IT HAPPENED AND HOW IT CAME TO HAPPEN...AND YOU KNOW THAT YOU NEED TO BE SEEING A SHRINK AT THE VAMC..LACKING ANY OTHER VERIFYABLE SOURCES, WHICH BTW...SOMEHOW, SOMEWHERE IN SOME REPORT OF EITHER YOUR UNIT OR A SISTER UNIT..THE INCIDENT, WHATEVER IT WAS...WILL BE NOTED...AND THAT...MY FRIEND IS WHAT THE VA IS ESSENTIALLY TELLING YOU...YOU NEED A CONNECTION..BEST KNOWN ON MIL.COM AS A NEXUS..A LINK BETWEEN YOUR PTSD AND AN INCIDENT..WHATEVER IT WAS THAT MAY HAVE TRIGGERED A NEGATIVE RESPONSE IN YOUR BRAIN WHERE IT FOR WHATEVER REASON WILL NOT GO AWAY, WHICH IS THE PART THAT MAKES IT ABNORMAL..OR..PTSD.
I HAVE NO CLUE WHAT UNIT OR WHAT KIND OF UNIT YOU WERE IN OR FOR THAT MATTER WHAT CONFLICT OR WAR, AND WHILE THAT MATTERS NOT TO ME..THE VA IN ITS INFINITE WISDOM HAS ITS REASON..EQUAL THAT OF A COCKROACH ATTENDING COLLEGE...Excuse the caps, your post was negative enough to irritate me...anyway..you have to think of the VA in terms of that ROACH I was illystrating...SOME things the VA demands make no sense...sometimes, not even to themselves, but hey..they spit out these notices anyway...I truly wish you the best..AND KEEP ON TRUCKIN!!
Eres Tu !
Freddy is right. You have a right to just compensation for the negative medical effects of war. To win such a claim, you have to have certain proof. In the case of PTSD, you need a verified stressor. I know it is hard after 30 years or sometimes after 5, but you should be able to find some records or a person to help make your case.
Oh, and my high price college had a few cockroaches in the classroom.
Nothing is impossible.. All it takes is a little patience(And if you deal with putting in a claim, beleive me you need patience) Go over your stuff that you do have..either find someone to help you get your stuff together..or do it yourself.(After going over the list you made as to what you have ..and what you still need.)
Freddy answered you with the Cold Hard Facts... NOBODY except YOU are concerned about your claim. NOBODY except YOU can put YOUR feelings and thoughts into your claim.
However...NEVER SAY THE NEVER WORD!
Keep on trucking!! Never Quit!
Is it true that at age 65, you must $buy Medicare Part B ($96/mo) in order to continue your CHAMPVA eligibility? Hmmm ??? Got any details, please? Thanks.
At 65 Champva become a free supplement and you must by Medicare part B. It becomes your Medicare Part D for free.
HAMPVA For Life (CFL) is not separate from CHAMPVA, its simply an extension of benefits to certain individuals over age 65. CFL was signed into law on June 5, 2001 by President Bush as part of the Veterans' Survivor Benefits Improvements Act of 2001, Public Law 107-14.
To be eligible for CFL benefits over age 65, you cannot be eligible for TRICARE/ CHAMPUS and you must be in one of
these categories: the spouse or child of a veteran who has been rated 100% permanently and totally disabled for a service connected disability by a VA regional office, or
the surviving spouse or child of a veteran who died from a VA-rated service connected disability, or who was at the time of death rated 100% permanently and totally disabled, or the surviving spouse or child of a military member who died in the line of duty, not due to misconduct (in most of these cases, these family members are eligible for TRICARE, not CHAMPVA).
You must also meet the following conditions:
if you turned 65 before June 5, 2001, and only have MEDICARE Part A, you will be eligible for CHAMPVA without having to have MEDICARE Part B coverage. if you turned 65 before June 5, 2001 and have MEDICARE Parts A and B, you must keep both Parts to be eligible. / if you turn age 65 on or after June 5, 2001, you must be enrolled in MEDICARE Parts A and B to be eligible.
I wonder, if the President's health care initiative (proposal) is enacted into Law, how will it affect CHAMPVA ? Hmmm ???
He did say that his health care proposal must be self-sustaining financially (no additional cost), but he said that if it is not self-sufficient, that he will take the loss from other federal health care programs to make-up the loss (difference). Where would he get that extra money... CHAMPVA, VA, TRICARE ???
Those programs are very small in the scope of things. I heard his speech and did not hear that part. I think Medicare and Medicaid, which are big programs, plus there is a lot of other money in the budget. I do not expect the VA, Champva (a very small program) or Tricare to be affected.
THink about Champva - you must be the family member of a 100% P & T vet. If I remember right there are 100,000 100% disabled vets and not all P & T. That makes it one of the smallest heath programs the government runs.
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