So, I am currently applying for retraining as a FTA. The job I am applying for requires a PULHES score of 222222. Unfortunately, I went through an MEB process over a year ago (outcome was RTD) and was sent back to work with a C-2 assignment limitation code and an AF 422 with a 111114 rating. I am told I am due for a RILO (updated review of condition) but only AFPC can remove the C-Code. Can my doctor still update the PULHES rating or is it tied into the C-Code. Before you guys send me off to ask elsewhere, be advised that I have contacted and asked everyone from my doc, to the MEB office to Public Health...AFPC is VERY hard to get a hold of. Any advice?
An MEB is performed when you have reached maximum medical benefit from all of the therapies and specialty services. Basically after all else fails and your condition is never going to improve is when you will get an MEB.
With that said, you went from a 4 to a 2 after we decided that there was no way for you to ever improve, but now that you want a better job, you are ready to be magically healed?
Sorry for the cynicism, but I see this every day. If you see me, you are leaving with no changes in your records.
I understand when it is appropriate for an MEB to be initiated. That is not what's in question/debatable. (On a side note, there exists an arbitrary rule/policy in the particular clinic where I was being seen. MEBs are the automatic protocol after 8 months of any condition. I’ve never heard of this elsewhere.) Even after improvement, they still told me I had to go through with it. The boards were so backed up that by the time my hearing date was set 3 years had passed by and I had jumped 2 ranks. So no...I am not "magically healed." I am not the typical case of someone being boarded, coming back 2 months later with no change in symptoms, then in turn wanting a particular job. My doctor has been fighting back and forth with AFPC about my code. Just to be clear, it is not just myself who is aware of my miracle remission of symptoms. Perhaps you should curb some of your cynicism. Or perhaps I should not even be in this forum expecting to get anything better than services on base.
The C-code and the PULHES differ. The C-code addresses fitness to be assigned or deployed to locations and PULHES addresses functional fitness to perform duties.
The C-2 is limiting your utilization availability to there must be appropriate specialty care available at the CONUS installation and MTF (meaning access to treatment and care for the condition must be available). Consequently AFPC/DPAMM may assigns the codes based on risk and medical requirement. While AFPC/DPAMM also removes or changes the code, it requires the change in the medical risk and medical requirement to do so.
It is the 4 in you have in your PULHES profile preventing eligibility to classify into any Air Force Specialty. It is the 4 indicating medically disqualified to remain in service that must be changed to a 3, 2, or 1.
Your pending/imminent RILO should be giving you your answers of separation or what AFSCs you are medically qualified for classification into.
In regards to the rest of the circumstances of 3 years passing from diagnosis to MEB, I cannot address other than three years is not normal whereas less than a year is normal.
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