PTSD 100% P&T Re-Exam after 6 months of discharge PDRL

Travelerusa40

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PEB Forum Veteran
§4.129 Mental disorders due to traumatic stress.
When a mental disorder that develops in service as a result of a highly stressful event is severe enough to bring about the veteran's release from active military service, the rating agency shall assign an evaluation of not less than 50 percent and schedule an examination within the six month period following the veteran's discharge to determine whether a change in evaluation is warranted.

I was rated 100% P&T for PTSD and this was combined with my other conditions that added up to around 90%

Question: Will I be reevaluated on old or new stuff since I got out of the military? My new or old treatment records? Also, any input from those that have gone through a reevaluation for PTSD would be helpful.
 

...

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Why are you having a re-eval if you are P&T (Permanent & Total)?
 

Travelerusa40

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PEB Forum Veteran
I am getting re-eval because : §4.129 Mental disorders due to traumatic stress.
When a mental disorder that develops in service as a result of a highly stressful event is severe enough to bring about the veteran's release from active military service, the rating agency shall assign an evaluation of not less than 50 percent and schedule an examination within the six month period following the veteran's discharge to determine whether a change in evaluation is warranted.
 

Travelerusa40

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PEB Forum Veteran
Why are you having a re-eval if you are P&T (Permanent & Total)?
because: §4.129 Mental disorders due to traumatic stress.
When a mental disorder that develops in service as a result of a highly stressful event is severe enough to bring about the veteran's release from active military service, the rating agency shall assign an evaluation of not less than 50 percent and schedule an examination within the six month period following the veteran's discharge to determine whether a change in evaluation is warranted.
 

...

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I understand that part of the eCFR. I was questioning your claim of being 100% P&T. If you are 100% P&T that means your condition is stable and not expected to get better. So, while the eCFR does have a 6 month re-eval requirement for mental conditions caused by traumatic events with a minimum rating of 50% assigned, if the vet is considered stable and is rated higher then the min 50% then they may not require a re-eval. The whole purpose behind that rule is to provide a min rating for vets that may not be stable and could likely recover once leaving the military environment.
 

moneyblind

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PEB Forum Veteran
P&T does not directly correlate to PDRL (Permanent Retirement) I know it sounds backwards, but the TDRL designation that you more than likely received is what is requiring you to be RE-EVALED.
 

Travelerusa40

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PEB Forum Veteran
P&T does not directly correlate to PDRL (Permanent Retirement) I know it sounds backwards, but the TDRL designation that you more than likely received is what is requiring you to be RE-EVALED.
I was retired PDRL. I was not retired TDRL. My other conditions besides PTSD were rated a combined 93%. My PTSD was also rated 100%. I was IDES so both DoD and VA were the same rating.
 

nwlivewire

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PEB Forum Veteran
I was retired PDRL. I was not retired TDRL. My other conditions besides PTSD were rated a combined 93%. My PTSD was also rated 100%. I was IDES so both DoD and VA were the same rating.

So are you saying that regardless of a PDRL discharge or a TDRL discharge, IF you have as a part of that TDRL/PDRL a VA rated mental health condition, you are automatically going to get a re-eval for the MH condition from the VA?

I did not have a DoD rating from the IDES/VA process for a MH condition.

I was however, rated at the same time by the VA for a MH condition - not the DoD - and this occurred during the joint IDES process.

I was rated 70% DoD, but 100% by VA. But I have not been re-evaled yet and my original award letter from the VA said no further exams are "scheduled". I was rated 70% for a MH condition. DoD was no MH listed, rated or anything.

Are you saying a VA 100% MH rating is "auto re-evaled" by the VA - just like the DoD does with MH TRDLers - even when you are rated at an overall VA 100% P&T?

What does your original VA award letter state for re-eval on your MH condition?

I'm funcused....
nwlivewire
 

Travelerusa40

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PEB Forum Veteran
So are you saying that regardless of a PDRL discharge or a TDRL discharge, IF you have as a part of that TDRL/PDRL a VA rated mental health condition, you are automatically going to get a re-eval for the MH condition from the VA?

I did not have a DoD rating from the IDES/VA process for a MH condition.

I was however, rated at the same time by the VA for a MH condition - not the DoD - and this occurred during the joint IDES process.

I was rated 70% DoD, but 100% by VA. But I have not been re-evaled yet and my original award letter from the VA said no further exams are "scheduled". I was rated 70% for a MH condition. DoD was no MH listed, rated or anything.

Are you saying a VA 100% MH rating is "auto re-evaled" by the VA - just like the DoD does with MH TRDLers - even when you are rated at an overall VA 100% P&T?

What does your original VA award letter state for re-eval on your MH condition?

I'm funcused....
nwlivewire
I went through the IDES

1. I got PDRL because of the following statement on my DA 199: "Permanent retirement is recommended based on severity of the Soldier's conditon and the improbability that this disability rating will change. IAW the 14 October 2008 Policy Memborandum on Implementing NDA 2008, Paragraph E7.2.1, the Soldier's rating is 80% or greater and stable without considerating of mental disorder."

2. The Rating IAW VASRD para 4.25 and 4.26: Bilateral Factor: 30% combinded with 30% = 51% combined with 30% = 66% combined with 10% = 69% plus 6.9% bilateral factor = 75.9% wich rounds to 76%.
100% combined with 76% (above) = 100% combined with 40% = 100%

3. What does your original VA award letter state for re-eval on your MH condition? Final-per 4.129 SM needs a mental exam 6 months following the discharge from AD.

4. §4.129 Mental disorders due to traumatic stress.
When a mental disorder that develops in service as a result of a highly stressful event is severe enough to bring about the veteran's release from active military service, the rating agency shall assign an evaluation of not less than 50 percent and schedule an examination within the six month period following the veteran's discharge to determine whether a change in evaluation is warranted.

5. My Final VA rating also stated the following: " We assigned a permanent 100% disability evaluation for your service connected disabilites effective June 30th, 2013" (whch was the date of my retirement). I finally got my final rating Feb 6 2014.

6. They also state: We enclosed a VA Form 21-8760 , " additional information for Veterans with Servcie Connected Permanent and Total Disability,' which explans certain factors conerning your benefis"

7. I went to the Veterans Service Officer and he read everything and said I was 100% Total and Permenant. I went to the VA Clinic and they have me as 100% but not Total and Permenant.

What is your feed back?
 

nwlivewire

PEB Forum Regular Member
PEB Forum Veteran
I went through the IDES

1. I got PDRL because of the following statement on my DA 199: "Permanent retirement is recommended based on severity of the Soldier's conditon and the improbability that this disability rating will change. IAW the 14 October 2008 Policy Memborandum on Implementing NDA 2008, Paragraph E7.2.1, the Soldier's rating is 80% or greater and stable without considerating of mental disorder."

2. The Rating IAW VASRD para 4.25 and 4.26: Bilateral Factor: 30% combinded with 30% = 51% combined with 30% = 66% combined with 10% = 69% plus 6.9% bilateral factor = 75.9% wich rounds to 76%.
100% combined with 76% (above) = 100% combined with 40% = 100%

3. What does your original VA award letter state for re-eval on your MH condition? Final-per 4.129 SM needs a mental exam 6 months following the discharge from AD.

4. §4.129 Mental disorders due to traumatic stress.
When a mental disorder that develops in service as a result of a highly stressful event is severe enough to bring about the veteran's release from active military service, the rating agency shall assign an evaluation of not less than 50 percent and schedule an examination within the six month period following the veteran's discharge to determine whether a change in evaluation is warranted.

5. My Final VA rating also stated the following: " We assigned a permanent 100% disability evaluation for your service connected disabilites effective June 30th, 2013" (whch was the date of my retirement). I finally got my final rating Feb 6 2014.

6. They also state: We enclosed a VA Form 21-8760 , " additional information for Veterans with Servcie Connected Permanent and Total Disability,' which explans certain factors conerning your benefis"

7. I went to the Veterans Service Officer and he read everything and said I was 100% Total and Permenant. I went to the VA Clinic and they have me as 100% but not Total and Permenant.

What is your feed back?

Dear Travelerusa40:

Your situation is a new one for me. My initial VA letter did not have the re-eval on it for MH. But I was not VA rated at 100% for it like your received rating.

My VA letter clearly said 100% P&T, so I didn't have to take it to a VSO for deconstruction.

At the time of my initial VA rating/award, I was also receiving SSDI. I had submitted my SSDI award letter to the VA at the start of the IDES process, so they knew this part about me from the very beginning.

I wonder if this has anything to do with why your situation is different than mine.

Are you in receipt of SSDI? Does the VA know about this?

Yes. I understand each agency has it's own "stand alone" standards. But when I mentioned to the VA guy who did my initial VA IDES claim that I was in receipt of SSDI, he asked for a copy of my SSDI award letter and sent it forward with my packet.

I hope someone else chimes in on your situation with a satisfactory answer as I am at a loss to explain the "whys" behind yours.

V/R,
nwlivewire
 

Warrior644

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Dear Travelerusa40:

Your situation is a new one for me. My initial VA letter did not have the re-eval on it for MH. But I was not VA rated at 100% for it like your received rating.

My VA letter clearly said 100% P&T, so I didn't have to take it to a VSO for deconstruction.

At the time of my initial VA rating/award, I was also receiving SSDI. I had submitted my SSDI award letter to the VA at the start of the IDES process, so they knew this part about me from the very beginning.

I wonder if this has anything to do with why your situation is different than mine.

Are you in receipt of SSDI? Does the VA know about this?

Yes. I understand each agency has it's own "stand alone" standards. But when I mentioned to the VA guy who did my initial VA IDES claim that I was in receipt of SSDI, he asked for a copy of my SSDI award letter and sent it forward with my packet.

I hope someone else chimes in on your situation with a satisfactory answer as I am at a loss to explain the "whys" behind yours.

V/R,
nwlivewire

Indeed, during the submission of my VARR request, I included a request for a "total disability" compensation of benefits review and included all applicable SSA SSDI documentation as supportive medical evidence.

As such, hopefully during my forthcoming evaluation for DoVA final ratings, the DoVA D-RAS shall determine an increased P&T rating along with my DoVA 100% proposed rating already granted.

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!
 
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Travelerusa40

PEB Forum Regular Member
PEB Forum Veteran
Does any body know if I am 100% PT based on the below or am I just 100%?

1. My Final VA rating also stated the following: " We assigned a permanent 100% disability evaluation for your service connected disabilites effective June 30th, 2013" (whch was the date of my retirement). I finally got my final rating Feb 6 2014.

2. They also state: We enclosed a VA Form 21-8760 , " additional information for Veterans with Servcie Connected Permanent and Total Disability,' which explans certain factors conerning your benefis"
 

Jason Perry

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Does any body know if I am 100% PT based on the below or am I just 100%?

1. My Final VA rating also stated the following: " We assigned a permanent 100% disability evaluation for your service connected disabilites effective June 30th, 2013" (whch was the date of my retirement). I finally got my final rating Feb 6 2014.

2. They also state: We enclosed a VA Form 21-8760 , " additional information for Veterans with Servcie Connected Permanent and Total Disability,' which explans certain factors conerning your benefis"

Seems pretty clear that you are 100% P&T.
 

zacmaster

Member
Registered Member
I just want to say I am 100% PERMANT AND TOTAL AND RECEIVE SSDI. IT TOOK ALOT OF TRICKS TO FIGURE OUT HOW TO GET THERE. I AM A COMBINED 100% P&T. I DO HAVE 100% IN PTSD AS WELL AS OTHER PERCENTAGES IN OTHER DISABIBILITIES. JUST FOR PTSD ALONE. I WENT FROM 30%, TO 70%, TO 100%. When I finally got a combined VA rating of 100%. I was still not at P&T. instead of waiting for the next future evaluation, I used DAV Disabled AMerican Veterans to help me get the P&T. DAV gave me a one page piece of paper that woould ask a few questions that only the PYCH doctor could fill out.
The paper title is called PHYsician Medical Opinion. One of those questions was the most important one tat asked: 5. "In your opinion, is there any possibility(50% or more chance) that the veterans condition will improve throughout the veterans lifetime based on his current level of disability?_____ YES ______ NO
6. IF NO, please give a rational below? ""

So if the Pshych doctor answers NO then you submit it in and you are guaranteed to get P&T. But if the PSCYH doctor answers yes then to not submit a claim for P&T. Convince your favorite PYCH doctor why he or she should answer NO. One of the best reasons to convince your PSYCH on why he should check NO that is because he needs to hear you say in your own words that No mater what medicin and and treatmeant there is i feel that I will never get better.
THe VA hospital game is too check off every thing saying you meet the 100% but they never check the Permanent that is where you seek a private Psych who after reviews all the rating evaluations by VA will check NO on that piece of paper depending how you play your cards with your favorite PSCYH doctor. But I would never present this paper too the VA PSCYH doctors only private PSYCH doctors.
I hope i have been a real help. I promise this method will expalin all.
 

Birdy

New Member
Registered Member
I just want to say I am 100% PERMANT AND TOTAL AND RECEIVE SSDI. IT TOOK ALOT OF TRICKS TO FIGURE OUT HOW TO GET THERE. I AM A COMBINED 100% P&T. I DO HAVE 100% IN PTSD AS WELL AS OTHER PERCENTAGES IN OTHER DISABIBILITIES. JUST FOR PTSD ALONE. I WENT FROM 30%, TO 70%, TO 100%. When I finally got a combined VA rating of 100%. I was still not at P&T. instead of waiting for the next future evaluation, I used DAV Disabled AMerican Veterans to help me get the P&T. DAV gave me a one page piece of paper that woould ask a few questions that only the PYCH doctor could fill out.
The paper title is called PHYsician Medical Opinion. One of those questions was the most important one tat asked: 5. "In your opinion, is there any possibility(50% or more chance) that the veterans condition will improve throughout the veterans lifetime based on his current level of disability?_____ YES ______ NO
6. IF NO, please give a rational below? ""

So if the Pshych doctor answers NO then you submit it in and you are guaranteed to get P&T. But if the PSCYH doctor answers yes then to not submit a claim for P&T. Convince your favorite PYCH doctor why he or she should answer NO. One of the best reasons to convince your PSYCH on why he should check NO that is because he needs to hear you say in your own words that No mater what medicin and and treatmeant there is i feel that I will never get better.
THe VA hospital game is too check off every thing saying you meet the 100% but they never check the Permanent that is where you seek a private Psych who after reviews all the rating evaluations by VA will check NO on that piece of paper depending how you play your cards with your favorite PSCYH doctor. But I would never present this paper too the VA PSCYH doctors only private PSYCH doctors.
I hope i have been a real help. I promise this method will expalin all.
Can i get some more info?
 

bentley37

PEB Forum Regular Member
Registered Member
I went through the IDES

1. I got PDRL because of the following statement on my DA 199: "Permanent retirement is recommended based on severity of the Soldier's conditon and the improbability that this disability rating will change. IAW the 14 October 2008 Policy Memborandum on Implementing NDA 2008, Paragraph E7.2.1, the Soldier's rating is 80% or greater and stable without considerating of mental disorder."

2. The Rating IAW VASRD para 4.25 and 4.26: Bilateral Factor: 30% combinded with 30% = 51% combined with 30% = 66% combined with 10% = 69% plus 6.9% bilateral factor = 75.9% wich rounds to 76%.
100% combined with 76% (above) = 100% combined with 40% = 100%

3. What does your original VA award letter state for re-eval on your MH condition? Final-per 4.129 SM needs a mental exam 6 months following the discharge from AD.

4. §4.129 Mental disorders due to traumatic stress.
When a mental disorder that develops in service as a result of a highly stressful event is severe enough to bring about the veteran's release from active military service, the rating agency shall assign an evaluation of not less than 50 percent and schedule an examination within the six month period following the veteran's discharge to determine whether a change in evaluation is warranted.

5. My Final VA rating also stated the following: " We assigned a permanent 100% disability evaluation for your service connected disabilites effective June 30th, 2013" (whch was the date of my retirement). I finally got my final rating Feb 6 2014.
Hey man I got the same thing that said through IDES on my 199 that I was permanent due to the severity of the injury and improbability t

6. They also state: We enclosed a VA Form 21-8760 , " additional information for Veterans with Servcie Connected Permanent and Total Disability,' which explans certain factors conerning your benefis"

7. I went to the Veterans Service Officer and he read everything and said I was 100% Total and Permenant. I went to the VA Clinic and they have me as 100% but not Total and Permenant.

What is your feed back?[/QUOT
I went through the IDES

1. I got PDRL because of the following statement on my DA 199: "Permanent retirement is recommended based on severity of the Soldier's conditon and the improbability that this disability rating will change. IAW the 14 October 2008 Policy Memborandum on Implementing NDA 2008, Paragraph E7.2.1, the Soldier's rating is 80% or greater and stable without considerating of mental disorder."

2. The Rating IAW VASRD para 4.25 and 4.26: Bilateral Factor: 30% combinded with 30% = 51% combined with 30% = 66% combined with 10% = 69% plus 6.9% bilateral factor = 75.9% wich rounds to 76%.
100% combined with 76% (above) = 100% combined with 40% = 100%

3. What does your original VA award letter state for re-eval on your MH condition? Final-per 4.129 SM needs a mental exam 6 months following the discharge from AD.

4. §4.129 Mental disorders due to traumatic stress.
When a mental disorder that develops in service as a result of a highly stressful event is severe enough to bring about the veteran's release from active military service, the rating agency shall assign an evaluation of not less than 50 percent and schedule an examination within the six month period following the veteran's discharge to determine whether a change in evaluation is warranted.

5. My Final VA rating also stated the following: " We assigned a permanent 100% disability evaluation for your service connected disabilites effective June 30th, 2013" (whch was the date of my retirement). I finally got my final rating Feb 6 2014.

6. They also state: We enclosed a VA Form 21-8760 , " additional information for Veterans with Servcie Connected Permanent and Total Disability,' which explans certain factors conerning your benefis"

7. I went to the Veterans Service Officer and he read everything and said I was 100% Total and Permenant. I went to the VA Clinic and they have me as 100% but not Total and Permenant.

What is your feed back?
 

bentley37

PEB Forum Regular Member
Registered Member
Hey Bud I went through IDES and have the same thing on my 199 stating permanent and improbability to change rate, but my final letter doesn't say permanent and total. I was medically retired from the army in 2013 va 100%service connected but for some reason it took 9 months after I was out to get it final award letter I used the Ameirican Legion to help me but I was unaware about the P and T until I recently got married, I wonder if that was a mistake on my final award since I had same kind of documentation. I am also on SSDI, I do have to get reevaluated on PTSD as well for the behavorial, kind of same thing you got. Whats yer thought people about this??
 

Hawkeye99

PEB Forum Regular Member
PEB Forum Veteran
Registered Member
Does any body know if I am 100% PT based on the below or am I just 100%?

1. My Final VA rating also stated the following: " We assigned a permanent 100% disability evaluation for your service connected disabilites effective June 30th, 2013" (whch was the date of my retirement). I finally got my final rating Feb 6 2014.

2. They also state: We enclosed a VA Form 21-8760 , " additional information for Veterans with Servcie Connected Permanent and Total Disability,' which explans certain factors conerning your benefis"
Sounds like you are, but you should be able to see P&T on eBenefits. Your benefits summary letter should state that you are P&T and under additional benefits it should state: Entitled to Basic Eligibility under the Survivors' and Dependents' Education Assistance Program.
 

ctbenja1015

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PEB Forum Veteran
Registered Member
My VA PSYCH did an Assessment of Mental Capacity Evaluation for my SSDI. It actually sealed the deal and gave the Judge good documentation to overrule the State PSYCH since she is my primary MH doctor.
I have 70% for PTSD/Anxiety and a combined 100% P&T rating and finally entering the IDES. From what I have been told by several people on the site it is difficult for the VA to reduce your rating as long as your still getting treatment.
This post has a reference to reexaminations and continuation of a Total Rating.
http://www.pebforum.com/site/threads/ratings-prior-to-meb-c-p-exams.31199/#post-152923
 
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