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No reevaluation while on 5 year TDRL, still receiving benefits

t.gregory

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I separated in October 2014 and was placed on TDRL 20% DOD and 80% VA. I was under the impression that I was supposed to get a reevaluation during the next 5 years. After searching this site, most have received an evaluation at least one time during their 5 year TDRL. I have also read that some have missed their appointments and their VA pay was stopped. I am coming up on my 5 year mark in October and have not received a single notification for a reevaluation. I receive emails from the VA and a occasional letter or two here and there. I know my contact information is updated on ebenefits. I am still receiving my VA compensation so I know I have not missed an appointment or other form of reevaluation. Have I slipped through the cracks somehow? I would think that if I needed an evaluation they would have either scheduled one or terminated my benefits by now. Since no reevaluation has been done, could I assume they don't need one and be transferred to PDRL? Thank you for any advice on this matter.
 

RonG

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I separated in October 2014 and was placed on TDRL 20% DOD and 80% VA. I was under the impression that I was supposed to get a reevaluation during the next 5 years. After searching this site, most have received an evaluation at least one time during their 5 year TDRL. I have also read that some have missed their appointments and their VA pay was stopped. I am coming up on my 5 year mark in October and have not received a single notification for a reevaluation. I receive emails from the VA and a occasional letter or two here and there. I know my contact information is updated on ebenefits. I am still receiving my VA compensation so I know I have not missed an appointment or other form of reevaluation. Have I slipped through the cracks somehow? I would think that if I needed an evaluation they would have either scheduled one or terminated my benefits by now. Since no reevaluation has been done, could I assume they don't need one and be transferred to PDRL? Thank you for any advice on this matter.
Being on the TDRL results in a minimum 50% DoD rating for the time spent on the TDRL. Your retired pay would be reduced by the amount of your VA compensation, which often results in zero net retired pay.

A DoD rating of 30% or more is required for a PDRL.
You might look through the documents given to you at the time you left the DoD and determine what guidance they include. Others will likely contribute to this discussioon.

Good luck,
Ron

edited to add:
See telephone number in following post.
 
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RonG

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General TDRL info...from Army Human Resources Command.

[Recommend you call 1-855-863-0426 (toll free) if Army

How long can I stay on TDRL?
Answer:
Three years (if placed on date is after 1 January 2017). Five years (if placed on date is prior to 31 December 2016). In accordance with the National Defense Authorization Act (NDAA) of 2017, tenure for Soldiers placed on TDRL beginning January 1, 2017 is three years. Soldiers placed on prior to this date are grandfathered and will remain at the five year tenure. The law requires that a final determination be made before the third or fifth anniversary of placement on the TDRL. However, you may be removed from the TDRL at an earlier date whenever a periodic examination discloses that your medical condition has stabilized for rating purposes. The law also directs the termination of Army retired pay and all retiree benefits if a final determination is not made at the end of the three or five years. This cannot be waived.

Question: What if I change my mailing address while I am on the TDRL?

Answer:
You are required to keep USAPDA advised of changes in your address and other contact information (phone, email). It is important that you do so in order for contact to be made promptly when being scheduled for your periodic physical examination and for timely notification of your final Physical Evaluation Board (PEB) determination. You will receive a notification letter and other pertinent information three (3) months prior to each scheduled examination as annotated in Section 2 of the DA Form 199 (PEB Proceedings). You should promptly notify us by letter, email, or telephone whenever there is a change to your mailing address. Failure to keep the Physical Disability Agency informed of any address changes could jeopardize your entitlement to disability retirement benefits. Send change of address information to U.S. Army Physical Agency, ATTN: TDRL Branch, 2530 Crystal Drive, Arlington, Virginia 22202. You may contact us by phone at 1-855-863-0426 (toll free) or email at: [email protected].

Ron
 

t.gregory

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Ok, I think I have a misunderstanding of my acronyms. I was separated for one DOD condition at 20%. The VA was for many more conditions which totaled 80%. The conditions are not considered permanent but temporary so I assumed it was TDRL. I am not sure what I would be labeled as then. Does this mean the 5 year period of evaluation still applies? I remember reading (5 years ago) in my paperwork that I could be up for reevaluation. I apologize for the misdirection.
 

RonG

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Ok, I think I have a misunderstanding of my acronyms. I was separated for one DOD condition at 20%. The VA was for many more conditions which totaled 80%. The conditions are not considered permanent but temporary so I assumed it was TDRL. I am not sure what I would be labeled as then. Does this mean the 5 year period of evaluation still applies? I remember reading (5 years ago) in my paperwork that I could be up for reevaluation. I apologize for the misdirection.
The VA does reevaluate conditions periodically, but I am unaware of a 5-year rule.

I have received VA compensation since 2005 and the only time I had a reevaluation was after a temporary rating 100% for prostate cancer. I had/have several other service-connected disabilities that have not been reevaluated.

I am now 100% T&P...

Ron
 

RonG

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Glad to assist...

Good luck,
Ron
 

oddpedestrian

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You are mixing too much VA and DoD ratings. What is your DoD rating? The VA stuff is confusing and doesn't even apply with tdrl/pdrl decisions. Is your address updated with HRC? Can you long into milconnect? Sometimes they can do extensions but only if they have updated contact info on you and are behind on exams.
 

RonG

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You are mixing too much VA and DoD ratings. What is your DoD rating? The VA stuff is confusing and doesn't even apply with tdrl/pdrl decisions. Is your address updated with HRC? Can you long into milconnect? Sometimes they can do extensions but only if they have updated contact info on you and are behind on exams.
He clarified earlier with:

“Ok, I think I have a misunderstanding of my acronyms. I was separated for one DOD condition at 20%. The VA was for many more conditions which totaled 80%. The conditions are not considered permanent but temporary so I assumed it was TDRL. I am not sure what I would be labeled as then. Does this mean the 5 year period of evaluation still applies? I remember reading (5 years ago) in my paperwork that I could be up for reevaluation. I apologize for the misdirection.”

He is not on the TDRL.

Ron
 

styles857

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The VA does reevaluate conditions periodically, but I am unaware of a 5-year rule.

I have received VA compensation since 2005 and the only time I had a reevaluation was after a temporary rating 100% for prostate cancer. I had/have several other service-connected disabilities that have not been reevaluated.

I am now 100% T&P...

Ron
Question, So the only conditions that ever get re-evaluated are the referred conditions / labeled "(unstable)" conditions??
 

RonG

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It is my understanding anything can be reevaluated by the VA if they have received info/evidence of improvement.

This sounds like you are speaking about TDRL DoD ratIngs: “Question, So the only conditions that ever get re-evaluated are the referred conditions / labeled "(unstable)" conditions??”

Ron
 
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RonG

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@styles857
It is my understanding anything can be reevaluated by the VA if they have received info/evidence of improvement.

This sounds like you are speaking about TDRL DoD ratIngs: “Question, So the only conditions that ever get re-evaluated are the referred conditions / labeled "(unstable)" conditions??”

Ron
The following is associated with my comments above.

IF you (@styles857 ) are speaking about VA compensation ratings the following applies:

Scheduled Reexaminations


After you are awarded disability compensation benefits, the VA will evaluate whether your disability is such that you ought to be scheduled for a future reexamination to determine if your benefits need to be adjusted. Types of disabilities subject to reexamination are those that can be expected to improve over time. If the VA determines that your disability requires a future reexamination, typically the first reexamination will be scheduled two to five years from the date of the decision to grant you benefits.

Evidence of Change in Condition


The VA can also order a reexamination at any time if there is new, material medical evidence that your disability has gotten better, at least temporarily. For example, if you have cancer and it goes into remission, the VA will call you in for a reexamination for the purpose of reducing your benefits.


If the VA temporarily decreases your benefits, you can request an increase of your condition worsens again. Going back to the example above, if your cancer comes back, you can request an adjusted disability rating to increase your benefits.


To request an increased rating after your disability, worsens all you need to do is write a letter to the VA regional office stating you believe an increase is needed and providing medical evidence to support an increase. A word of caution, however. Sometimes when you request an increase, you will actually end up getting a decrease in benefits. If that happens, you can appeal this decrease in the same way that you can appeal a denial of VA benefits.

----------
DoD ratings.

IF you are speaking of TDRL reevaluations (pertaining to your DoD ratings), the following applies:

Reference: HRC Homepage <---LINK

How long can I stay on TDRL?
Answer:
Three years (if placed on date is after 1 January 2017). Five years (if placed on date is prior to 31 December 2016). In accordance with the National Defense Authorization Act (NDAA) of 2017, tenure for Soldiers placed on TDRL beginning January 1, 2017 is three years. Soldiers placed on prior to this date are grandfathered and will remain at the five year tenure. The law requires that a final determination be made before the third or fifth anniversary of placement on the TDRL. However, you may be removed from the TDRL at an earlier date whenever a periodic examination discloses that your medical condition has stabilized for rating purposes. The law also directs the termination of Army retired pay and all retiree benefits if a final determination is not made at the end of the three or five years. This cannot be waived.

You will only be re-examined for the unstable condition(s) that caused placement on the TDRL, which will be identified in Section 3(d) of your DA Form 199. If a condition requires re-examination, that block will be checked N (for No). If placed on the TDRL, you have at least one condition that is marked as not being “permanent and stable” on the form. Only those conditions require a re-examination and a new rating. If you have other unfitting conditions which were determined to be permanent and stable at the time of your placement on the TDRL, they will be carried forward on your new PEB findings with the same rating(s).

----
Ron
 

AWSguy

New Member
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Ro
@styles857

The following is associated with my comments above.

IF you (@styles857 ) are speaking about VA compensation ratings the following applies:

Scheduled Reexaminations


After you are awarded disability compensation benefits, the VA will evaluate whether your disability is such that you ought to be scheduled for a future reexamination to determine if your benefits need to be adjusted. Types of disabilities subject to reexamination are those that can be expected to improve over time. If the VA determines that your disability requires a future reexamination, typically the first reexamination will be scheduled two to five years from the date of the decision to grant you benefits.

Evidence of Change in Condition


The VA can also order a reexamination at any time if there is new, material medical evidence that your disability has gotten better, at least temporarily. For example, if you have cancer and it goes into remission, the VA will call you in for a reexamination for the purpose of reducing your benefits.


If the VA temporarily decreases your benefits, you can request an increase of your condition worsens again. Going back to the example above, if your cancer comes back, you can request an adjusted disability rating to increase your benefits.


To request an increased rating after your disability, worsens all you need to do is write a letter to the VA regional office stating you believe an increase is needed and providing medical evidence to support an increase. A word of caution, however. Sometimes when you request an increase, you will actually end up getting a decrease in benefits. If that happens, you can appeal this decrease in the same way that you can appeal a denial of VA benefits.

----------
DoD ratings.

IF you are speaking of TDRL reevaluations (pertaining to your DoD ratings), the following applies:

Reference: HRC Homepage <---LINK

How long can I stay on TDRL?
Answer:
Three years (if placed on date is after 1 January 2017). Five years (if placed on date is prior to 31 December 2016). In accordance with the National Defense Authorization Act (NDAA) of 2017, tenure for Soldiers placed on TDRL beginning January 1, 2017 is three years. Soldiers placed on prior to this date are grandfathered and will remain at the five year tenure. The law requires that a final determination be made before the third or fifth anniversary of placement on the TDRL. However, you may be removed from the TDRL at an earlier date whenever a periodic examination discloses that your medical condition has stabilized for rating purposes. The law also directs the termination of Army retired pay and all retiree benefits if a final determination is not made at the end of the three or five years. This cannot be waived.

You will only be re-examined for the unstable condition(s) that caused placement on the TDRL, which will be identified in Section 3(d) of your DA Form 199. If a condition requires re-examination, that block will be checked N (for No). If placed on the TDRL, you have at least one condition that is marked as not being “permanent and stable” on the form. Only those conditions require a re-examination and a new rating. If you have other unfitting conditions which were determined to be permanent and stable at the time of your placement on the TDRL, they will be carried forward on your new PEB findings with the same rating(s).

----
Ron
Ron, so if the 3 year mark comes and you are removed from TDRL due to not ever having a re-evaluation type exam, do you ALSO lose your VA disability pay? Or just your Tricare that came along with the DOD benefits of being on the TDRL?
 

RonG

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Ro

Ron, so if the 3 year mark comes and you are removed from TDRL due to not ever having a re-evaluation type exam, do you ALSO lose your VA disability pay? Or just your Tricare that came along with the DOD benefits of being on the TDRL?
Hello @AWSguy ,

Your disability ratings with the VA will remain unchanged.

If you you are placed on the Permanent Disability Retired List (PDRL) with 30% or more (which is required for PDRL), you will receive retired pay and your Tricare will continue.

If you are separated with 20% or less DoD disability rating, you will receive disability severance pay instead of retired pay. You will not longer be eligible for Tricare.

Cited previously: "The law requires that a final determination be made before the third or fifth anniversary of placement on the TDRL. However, you may be removed from the TDRL at an earlier date whenever a periodic examination discloses that your medical condition has stabilized for rating purposes. The law also directs the termination of Army retired pay and all retiree benefits if a final determination is not made at the end of the three or five years. This cannot be waived."

Ron
 
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