Crossing the finish line – my VA disability claim is finally complete!

Well, it finally happened.  Nearly two years after beginning my VA disability claim process I learned today that my rating has been assigned and the case is closed.

Whew!

Looking back on the process, it has indeed been a long and occasionally painful ride.  Now that it is done, however, I think that the VA did a fair and objective evaluation of my various service related conditions.  It took much longer than I had expected, but now that it is finished I am pretty happy with the results.

So now what?

Although I am content with the results of my evaluation, I know that many veterans are not.  If my case was not settled to my satisfaction, I would pursue an appeal to have whatever condition that I felt was inadequately reviewed examined again. It is not at all uncommon for veterans to submit an appeal; in fact 60% of claims are “supplemental”, which is how appeals are classified.  Here are some interesting facts from the VA website about supplemental claims:

  • 60% of pending claims are supplemental, 40% are original.
  • 77% of Veterans filing supplemental claims are receiving some level of monetary benefit from VA.
  • 11% of Veterans filing supplemental claims already have a 100% disability rating (receive $2800 or more per month) or qualify for Individual Unemployability (compensated at the 100% disabled rate).
  • 40% of Veterans filing supplemental claims are already rated at 50% disability or higher.
  • 43% of supplemental claims are from Vietnam-era Veterans; 19% are from Veterans of Iraq and Afghanistan conflicts.

I am not personally going to appeal my decision, but for those who would like to do so here are a few pointers on how to start the process:

1.  Don’t even think about going it alone.  I have written extensively in earlier posts about the great work that Veteran Service Organizations (VSOs) perform to assist vets as they navigate the VA claims and appeals process.  I personally have consulted with the Disabled American Veterans (DAV), and they have been fantastic (and they don’t charge a dime to help, either!).  There are hundreds of VSOs to choose from, and to help you find one that best suits your needs you can consult the VSO-Directory_2012-2013, which is published by the VA on an annual basis.

2.  Recordkeeping is CRITICAL!  When you begin the appeal process you are in effect going back and starting the process all over again.  You will be filling out forms (with the help of your VSO!) that identify the condition that you are appealing and why, presenting evidence as to why you disagree with the determination (such as documentation that supports an injury, additional medical records from outside the military or VA system, etc.), and scheduling additional evaluation appointments with VA providers.  Just as you did with your original medical record, you will need to provide copies of all documents to the VA, and you are nuts if you don’t keep an organized file of originals for yourself.

3.  Be prepared to be very patient.  Just because your case has already been reviewed and completed by the VA it does not mean that your supplemental claim will move any faster than the original one.  Your appeal will have to go through the same wickets as your original claim did, and it will take just as long.  There is no “special” appeals pipeline.

4.  Do some research in order to fully understand why your ratings were determined in the manner that they were.  The VA does not compensate based on pain or inconvenience, but instead on the factors that contribute to a medically diagnose-able condition.  For example, your knee may hurt like crazy, and you may have injured it while jumping out of airplanes, but if a tangible medical condition (such as torn cartilage or joint damage) can be identified and documented you will be out of luck.  Follow this link to see the the details of how the VA determines how to rate medical conditions: Title 38: Pensions, Bonuses, and Veterans’ Relief  PART 4—SCHEDULE FOR RATING DISABILITIES .  It is a very informative and interesting read.

Good luck!

Nearing the end of the VA claims tunnel…

Well, the big day is nearly here.

Which big day, you ask?

Why, the day when my VA Disability claim finally gets decided.  That day!

You see, I have been going back and forth with the VA for over a year and a half now, and after a lot of trials and tribulations it looks like my case file may have reached the last step on the journey to adjudication.  It is now “Ready for Decision”, which means that all of the required examinations have been completed, all of the paperwork filled out, and all of the supporting documentary evidence has been gathered.

As I wrote a few posts ago, I had initiated another inquiry into the status of my claim because it had stalled after my last round of physical exams.  Today I received an email from the VA explaining just what was up with my case just as they promised.  The system works!  I asked for information and they provided it within the timeline that was promised.  Sweet!

From the email:

Your claim has been determined as Ready For Decision, and as such there is no further update pending. You will receive a notification letter and rating decision copy via US Mail once our decision is complete.

You have not received a rating decision because there is a back log of claims in the same status, and your claim is pending a review and determination by your rating specialists case manager.

Barring any determination by the rating specialists responsible for your claim that additional information may be needed, your next update will be your actual notification letter and rating decision. At this time we do not know the time frame for completion until your case manager begins the process of rating your claim; this will be accomplished in an order based on date of receipt, in fairness to all claimants.

• Please be advised that we do not provide estimates for completion, as there are a multitude of factors that impact the speed at which each claim is rated, making it impossible to estimate said date. 

We can appreciate your desire to have your claim rated; please know that we are working to accommodate your desire in conjunction with that of each and every other claimant seeking completion of their claim.

We appreciate your continued patience during the process, and will inform you of our decision as soon as it has been accomplished.

So, in a nutshell, my case is resting on desk of the team which will determine my disability rating.

All I have to do is wait.

I wonder how long this stage will take?

A continuing test of patience: Yet another update on my VA claim

Well, I woke up early again this morning.  To be honest, I wake up early every morning, but this morning was earlier than most.  I was up at about 0400 (4:00 am for you nonmilitary folks), and the purpose of my early rising was to make yet another call to the Veterans Administration in regards to settlement of my disability claim.  I have learned that the only way to get through to the VA is to call them early before all of the lines are busy and the VA representatives are swamped.

The quick back story for those of you who may not be familiar with the saga of my VA claim, it began in the autumn of 2011 when I was on terminal leave as I was retiring from the Marines.  As a part of my transition from steely eyed killer to middle age and longer grey hair it was necessary for the Veterans Administration to examine me and determine whether or not I had incurred any service related disabilities.

Being rated for disabilities is a big deal because if you have sustained an injury which is chronic or if you have a condition that is directly attributable to your military service, then you are covered medically for that issue by the VA for life.  That is a pretty great benefit these days when you consider skyrocketing medical costs.

So anyhow, I began almost two years ago and have ridden the VA claims rollercoaster ever since.  I was examined and evaluated, and then my paperwork went into the mysterious void that is the VA ratings process.  Some nine months later I received a partial settlement of the claim, with the notification that I needed further evaluations before all of my conditions could be adjudicated.

Six months after that I reported to the clinic for another round of examinations.  At the completion of those exams I was informed that it should take a few weeks to get them into the file and evaluated.

After over two months of fruitless waiting I decided to give them another call, hence my early assault on the coffee pot this morning.

The gentleman I spoke with was very helpful and presented me the facts of my case in a professional and straightforward manner.  It was a very refreshing conversation!

Here is what is up with my case:

My case had run through the initial stages of evidence gathering and evaluation, and had actually made it to the adjudication phase.  It was then that the raters found that they needed more information, so my case was kicked back to gather more evidence that would come from another medical examination of yours truly.

Here is where my stock in the VA representative soared to unprecedented levels because he actually took the time to explain why a second set of exams was needed.  It turns out that when you are treated for an injury or condition, the doctor records the extent of the injury and how it is treated.  That is very relevant information for a health care provider, but the VA disability raters have a different set of responsibilities in terms of medical conditions.  The raters need to compare the injury or condition to a set of standards in order to determine if they are indeed disabling, and if so, just how disabling they are.

The example that the representative shared with me was what is needed for a joint injury (which, after nearly three decades of walking around with heavy things on my back in unseemly places, I had several of).  A doctor wants to cure the patient’s damaged cartilage and bone, and will prescribe medications, physical therapy, and perhaps surgery to alleviate the symptoms and heal the joint.  The VA raters need to know the extent of the damage that the injury or condition has incurred, which is different from trying to cure it.  For a joint injury, the raters need to have a documented range of motion test that the joint is capable of articulating that can be compared to the appropriate standards for a disability determination.  It turns out that very specific information about the condition or injury is necessary in order to rate the disability properly.

So that is why I found myself back in the VA clinic and wearing a modesty-shattering gown and sitting on a chilly paper-covered exam table.

Once the exam was completed, the information was supposed to be sent back to the rater and re-adjudicated in a timely fashion.  Certainly within a couple of months.

After assiduously checking the VA’s ebenefits website for weeks on end and seeing no progress, I decided it was time to pick up the phone and give them a call.

The VA rep was professional and told me the facts of my case as he found them.  He reiterated that my case was still in the gathering evidence phase, but that the results of my most recent examinations had been scanned into my file at the end of March.  The timeline for review of the case is supposed to be less than sixty days, and seeing as it is almost mid-June now that timeline has passed.

The representative offered to initiate an inquiry to the team who is reviewing my case to see what was up, and he said that they will contact me (via email this time) with their response.  Although I have heard that before (from the last inquiry on my case), I will be a glass half full optimist and see if my email inbox “bings” with the sound of an arriving email from the VA.

I won’t hold my breath, but I also won’t complain too much about the VA either.  They really are doing the best that they can in an overwhelming situation as they deal with me and literally millions of other veterans.  I’ll continue to be patient.

And wait.

 

Calling the VA. Again.

In theory, I have undergone all of the physical examinations, evaluations, pokings, and proddings that are part and parcel of transitioning from Active Duty to becoming a veteran.  After over a dozen trips to various clinics and hospitals at the end of my time in uniform and during my first year or so of post-military life I have been informed that all of my examinations are complete.  To make sure that they were all indeed finished, I logged into the VA website regularly to see if my status had changed.

To my utter lack of surprise, it didn’t.  Growing tired of logging in and viewing at an unchanging screen on the VA’s eBenefits webpage, I looked forlornly at the telephone on my desk and resigned myself to another early morning attempt to get through to the VA.

So, early the next morning, I grabbed a cup of coffee and staggered into my office.  I punched in the VA’s telephone number, and much to my surprise (not really) found that even though it was a couple of hours before the rooster would crow (on the West coast, at least), all operators were busy.  I was, however, offered the option of having a VA representative call me back the following week at a time that would be convenient for me.

I figured that the following Monday at about 0900 was convenient enough, so I hung up and waited for the weekend to pass.

It did, and sure enough my phone rang at about 0905, with a live human being on the other end!  Very exciting indeed.  After providing my social security number and other identifying information, the nice lady on the other end asked how she could help me.  Although deep down I didn’t think that there was much help to be had, I asked anyway.

“Can you tell me the status of my case?”

After a few moments of furious typing on the other end of the line, my VA friend replied:

“It’s under review.”

Which is exactly where it has been for nearly nine months.

We talked for a few minutes, and then I hung up.  In order to spare you from the rather boring conversation, I’ll just cover what she had to say.

1.  All of my examinations are complete.  That said, if they find something that they need to look into I will again be headed off to the examination clinic.

2.  My results are somewhere between the clinic and my case file.  Even though it has been nearly two months since my last exams, the results have not made it to my case team.  Not surprising, but still disappointing.

3.  Once my team receives my results, they will merge them with my file and put it in the queue.  When my file comes to the top of the pile they will evaluate it and let me know the result.

How long will that take, I asked?

“Nine to twelve months.”

Sigh.  Good thing I’m not in a rush.

Why are transition assistance programs not as effective as they should be? The answers are out there, but nobody is asking the questions.

When Soldiers, Sailors, Airmen, and Marines leave the military service they are generally young, fit, and eager to get to work in the civilian world.  Many go to school to obtain an education, but many more jump headlong into the job market.  Unfortunately, they are not as prepared as they could be to compete in the cutthroat employment marketplace.  It is not because the government is not trying to help transitioning military folks learn the skills they need to get a job, because there are a multitude of programs out there to help with transition.  Unfortunately, those programs are not nearly as effective as they could and should be.

The Department of Defense, the Veterans Administration, and Department of Labor have spent many millions of dollars (over $50 Million in 2012 alone) on various programs designed to help veterans make the transition from military service to the civilian world.  These agencies are charged with conducting classes, seminars, and counseling that is designed to help those who are hanging up their uniforms with the challenging and often confusing process of becoming a civilian again.

Despite the efforts of these agencies, there is a serious problem with unemployment for recently discharged veterans.  The population of younger veterans who are recently discharged is having the toughest time, with those in the 20 – 24 year old age bracket hitting an unemployment rate of 35% in March of this year according to a Syracuse University study that was released last month (available here: March 2013 Employment Situation of Veterans) .  That stunning number is well over double the rate for the same population of non-veterans.

That means that a lot of our veterans are out of work, and as a result the DOD is paying a lot of money out in the form of unemployment benefits to those who can’t find a job.  It is a shocking amount of money.  I mean really shocking!

How shocking?  Try nearly $1 Billion dollars a year (the actual number was $928 million for 2012 and is on track to increase in 2013).  Almost one billion dollars.  For unemployment benefits.  For veterans who cannot find a job.  And it comes out of the DOD’s annual budget, and every dollar that is spent on unemployment benefits for a veteran is a dollar that is not spent on the people still serving or the equipment that they use to keep our nation safe.

Paying unemployment insurance for separated military personnel is not new for the Department of Defense.  In fact, the DOD has been paying millions of dollars in unemployment benefits for a long time, but the billion dollar pricetag is unprecedented. In 2003, the military paid about $300 million on such benefits, and a decade later that cost has over tripled.

There are a lot of reasons for the increase, with the most obvious being the increase in the number of people leaving the military and having a rough time finding a job in the tough economic conditions that exist today.

That is only part of the story, however.  The Obama administration, to their credit, has increased funding and awareness for the plight of jobless veterans.  Unfortunately, those efforts are not paying the dividends that they should be.  With such a high level of emphasis and funding for transition training and education, you would think that the unemployment rate for veterans would be at or below the non-veteran level.  Unfortunately, it is not.

That is where the data from the Orders to Nowhere Military Transition Survey becomes very interesting.

As I continue to research the subject of military transition, I have been analyzing the data from the survey and a few data points really jump out.  The first data point is how little feedback about the transition process is actually gathered by the organizations that are actually doing the transition training.

Every branch of the military uses After Action Reviews (AARs) to gather feedback from events and learn from the lessons that the AAR provides.  Pilots debrief every mission in order to become better aviators and infantrymen get together and discuss the lessons that they learned from their combat or training engagements.  These debriefs and lessons learned sharing sessions are part of every service and every career field.  Capturing lessons and learning from experience is a crucial part of what makes our military unbeatable.

Unfortunately, the AAR process does not seem to apply to transitioning or recently transitioned veterans.  Despite the culture of learning from experience, the vast pool of potential data sources — recently transitioned veterans — is virtually untapped.

The data shows that, of respondents who left the service between 2003 and 2013, less than one in five had been contacted by the Department of Defense or their branch of service about transition.  Of those one in five who had been contacted, less than half (0r just under 10% of all respondents) were asked to participate in an AAR of the transition process.

In other words, fewer than one in ten recently discharged veterans have been asked to help make the transition process better by providing feedback on their experience.

That, to me, is an incredibly disappointing statistic.  It is not particularly surprising, however.  Nobody officially asked me anything about my transition, and in my many conversations with veterans I have found that nobody asked them either.

Millions and millions of dollars are being spent every year on the military transition process, yet unemployment rates for veterans continues to exceed their civilian counterparts.  Nearly a billion dollars is being spent by the DOD on unemployment benefits for those unemployed veterans.  You would think that somebody would connect the dots between the efficacy of the military transition programs and their effect on the unemployment rate, but sadly the most readily available resource of feedback is largely being ignored.  Nobody is asking the vast majority of people who have gone through those transition programs and entered the civilian workforce about their experiences and how the transition programs could be improved.

The answers are out there.  Too bad nobody is asking the right people the questions.

In yet another shameless plug- I can never get enough data in the Orders to Nowhere Military Transition Survey.  So if you have transitioned from the US military (it doesn’t matter when), please take the survey!  If you have take it, I thank you.  Please ask others to take it too!

Some preliminary results

Thanks to all of you who have read my posts about the transition survey that I using to conduct some research into the military transition process.   A lot of you have helped me out, and I truly appreciate your time in taking the survey and for sharing it with others who can help.

That said, I can never get enough data.  If you are a veteran or a military person going through transition, please take my survey here: Military Transition Survey .  Thanks!

So far the data are showing some interesting trends.  The Marine Corps is the best represented so far, so for those of you in other branches here is your chance to catch up and beat the Marines….

About half of the respondents are combat veterans, and veterans from every conflict since the Korean War have taken the survey.  My first look at the data shows that there are many more programs available today than were out there for earlier generations of veterans, with many of our Vietnam, Korean, and Cold War veterans responding that they had no formal outprocessing resources.

More recent veterans report that there are a lot of different programs currently available, and that they produce a wide disparity in results.  Some are reported to be great, and others are reported to be useless.  I am looking forward to diving more deeply into the data to learn more.

The split between veterans who did and did not serve in active combat is about even, as is the ratio between enlisted and commissioned respondents.  Very few warrant officers have weighed in, though — so if you are a warrant officer, please jump in!

I will start analyzing the information in greater depth next week, and I’ll keep you posted.  Till then, keep sharing the link and get as many of your peers and friends as you can to take the survey.

Thanks!

 

Another plug for help!

Last week I wrote about a survey that I am conducting about the military transition process.  So far the response has been good (thanks to all of you who have already taken it!) but I am only about halfway there.  In order to have an unbiased survey it is important to get as many responses as possible in order to make sure that the sample of those of you who take the survey are representative of the entire population of transitioning or transitioned folks.  At the risk of being redundant, I ask again that if you have gone through or are going through the transition process and have not yet taken my survey, would you please help me out?  Also, please forward it to anyone, from any branch and any time period, who has made the jump?  I promise that this will be my last humble request!

The survey is 29 questions long and takes between 10 and 15 minutes to complete.  Here is the link:

Military Transition Survey

Also, I am very eager to hear from all of the branches of the armed forces.  The Marine response has been great (keep them coming!), and I want to make sure that you know that I would like to hear from any and all who have undergone the transition process.

Thanks!  In my next posts we’ll start looking at some of the emerging and interesting trends that the survey is revealing.

A chance to improve the military to civilian transition process

As those who follow my writings about military transition know, the process is often contrary, capricious, confusing, and supremely frustrating.  I have been writing about my experiences for nearly two years now, and over that time I have been disappointed to see that the process has not really improved.  Transition is still just as consternating as ever, despite millions of dollars spent on the process by both the Department of Defense and the Veterans Administration.

I am currently writing a book about my transitional journey, and that is where you come into the picture.  I have created a survey in which I am humbly asking every veteran and every military person who is going through transition or has completed transition to participate.  I have my own observations and opinions, but as author Eric Herzel once said: “One’s opinion should only be as strong as one’s knowledge on the matter.”

Since I am planning to write much more about transition, I really need to incorporate the collective knowledge of as many of you who have experienced transition in order to make my opinions as fact-based as possible.  Will you help?

Without further ado, here is:

Military Transition  Survey

Thank you in advance — and I will be posting the insights and results soon!

Learning a new skill: Salary and benefits negotiation part 2

A couple of posts ago we started talking about the final step in the job search: negotiating your salary and benefits.  The company has already offered you a job, and in that sweet and exciting period of time between receiving the offer and accepting it comes the negotiation to determine your compensation package with the company.

We have already looked at many of the differences between military and civilian employment benefits, so we won’t go too deeply down that rabbit hole other than to point out that many of the benefits on the military side of the fence are not freely offered by civilian companies.  Take, for example, the military subsistence (meal) and housing subsidies.  You get them while in uniform, but they don’t come freely in the corporate sector.  All of those special pays and allowances that fattened up your military paycheck helped mitigate the comparatively low pay that comes with wearing the uniform.  An added benefit is that those pays are tax-free, which in the corporate sector is almost unheard of.

As a military man or woman you are also free to shop in the commissary, gas station, and PX, all of which provide subsidized food and goods that are free of state and local sales taxes.  While retirees can still enjoy shopping on base, for those who do not stay in for 20+ years or move home and have no base nearby it is no longer possible.  The subsidies, coupled with tax free shopping, are not offered by the corporate sector.  Once you get out you get to pay full price for your groceries and consumer goods, and you get to pay sales tax, too.

My point is that many of the monetary and non-monetary benefits that you receive whilst in uniform went a looooong way towards stretching your paycheck.  When you get out all you have to pay your bills, buy food, and fill your tank with gas is the salary that you are paid by your employer.  Since that is how the “real” world works, you need to make sure to get the best benefit package you can from your employer, and to get such a package you need to be able to negotiate.

Negotiation is a skill, just like any other.  You can get better at if you work at it, and the best way to improve is to practice and rehearse, just like you should for a job interview.

Before you start rehearsing, though, you need to do your research (as discussed in the previous post about negotiation) and then you need to craft a plan of action to prepare yourself.  Just like you would do in the military.

Unlike military plans, though, yours does not have to be intricate or complicated.

Your plan should contain those elements of compensation that you feel are important to you.  It should also contain those elements of compensation that are not important to you.

Why should the unimportant bits be included you ask?

Because they are all part of the plan.  The art of negotiation is based on meeting mutual agreement, and getting to a point where both you and the Human Resources manager agree on your pay and benefits is based on the give and take that you both engage in during the negotiation process.  If you only have those things that are important to you on the list then you are at a disadvantage because negotiation invariably requires you to give a little to get a little.  You can give a little by sacrificing those things that are unimportant to you and, in turn, get a little something back that you truly want.

Here is an easy example.

You feel that flexible work hours are very important to you.

You also feel that health insurance is not important to you because you are single and already covered by the VA and TRICARE.

In the world of civilian employment the cost of health insurance is high and by all accounts only going to get higher.  The fact that you are willing to give up employer-provided healthcare is a significant savings to the employer.  Even though you never planned to use the company’s insurance you can “offer” to keep your current insurance plan (and save the company a lot of money) if you can have a flexible work schedule.

If you don’t have a plan to give up those things that you don’t really want or need then you are giving up a significant amount of leverage.  Be smart and plan your negotiation out!

Here are some basic planning considerations that I recommend you think about as you plan for your pay and benefits negotiation:

1.  What do you want from the company?  (Sure, you want a job, but what do you want in return for your time and dedication?)

2.  What does the company want from you? (Sure, they want an employee but generally want to pay as little as possible for one —  you will need to show the company that you are worth whatever you identify in the first question)

3.  What is the absolute minimum that you are willing to accept from the company?  (This is very important.  The Human Resources person has a lot more experience negotiating than you do, and if you are not careful they may well negotiate you out of the things that you think are very important).

4.  What is your alternative?  In official negotiating terms this is known as the “BATNA”, or Best Alternative To a Negotiated Agreement.  In other words, what are you going to do if the company is unwilling to meet your absolute minimum?  (This is also important because you want to leave the negotiation with a job and not burn any bridges.  The best BATNA is to leave the negotiation on good terms that can be leveraged into another negotiation with the company that is ultimately successful for you both).

After you put together your simple plan you need to do a little rehearsing just like you did for your job interviews.  Find someone to conduct a mock negotiation with, and then listen to their feedback.  It will pay huge dividends.  I guarantee that you will be surprised at just how difficult negotiating can be!  By rehearsing you will learn if you are too brusque or direct or overbearing, all of which are very common traits that come with military service.  You want to be convivial and professional because it is what the company expects, and by rehearsing with another person you can fine tune your style of engagement.

Here are a few things that military people tend to do while they negotiate that end up working against them:

– Being too rigid and organized.  Just because you have a plan doesn’t mean that you need to unyieldingly stick to it.  Do not treat your plan as a checklist and start at the top and work your way to the bottom.  The negotiation is a conversation that will go in many directions before it is completed, and if you are too mechanical and inflexible it will hurt you.

– Being unwilling to engage in a dialog.  Often, military folks are used to just accepting “no” a bit too easily.  Remember, the Human Resources manager wants to hire you as cheaply as possible, and if you just roll over every time he or she says no then you are making his or her job pretty easy.

– Being ignorant of what benefits are available for discussion.  This goes back to the previous post about interview preparation: make sure to do your research!  If you do not ask for something I guarantee you will not get it.  At this stage of the game nobody is looking out for you except you!

– Being ignorant of how much money they really need to make.  A good rule of thumb is that you need to nearly double your base military pay to obtain the same level of compensation in the civilian world.  Taxes go up and tax-free benefits go away.   In the civilian world you get to pay bills that you may not have thought about: for example, if you lived in the barracks or in base housing you did not have to pay for electricity, water, natural gas, or trash removal.  Guess what- in the civilian world you get to pay for all of those things and more!

__________

Lessons Learned:

– Do some research on your own finances and see just how much money that you are going to need in the civilian world.  Remember- taxes take a big bite!  If you were in the civilian world you could count on 30-40% of your BAH and Subsistance Allowance to go to the IRS because it would be counted as income.  Find out how much money you really need.

– List out those benefits that are important to you and also those that are not.  You will use both lists during your negotiation.  Make sure that those benefits you want are offered by the company!

-Rehearse with someone — you need the practice.  Remember, the Human Resources manager does this a lot more than you do.

– Find out what your BATNA is and stick to it- it is OK to walk away from the negotiation if the result would be below your absolute minimum level of acceptability.

The call I was waiting for from the VA. Really!

It finally happened!  The VA called and scheduled my final disability evaluation appointment.  Hooray!

For those who are wondering why this is a big deal, here is a quick backstory.  My veteran’s disability claim has been turgidly moving through the system for nearly a year and a half, and during that time I also entered the VA medical system.  As I learned, the VA has two distinct and different sides when it comes to disability claims and healthcare, and they do not talk.

This became a problem for me because I did not understand that important fact.  My disability claim was partially settled six months ago, and with the notification letter came the promise of a call to finish the process.  Soon after, I was contacted by the VA on numerous occasions to schedule and attend various appointments at the local clinic.  Foolishly, I thought that the clinic and the disability claim evaluation were one and the same.  As I said earlier, they aren’t.

As it happens all of the calls from the VA clinic were for the medical side and were unrelated to the disability claims side, and none of the appointments had anything do to with my claim.  Good news for my medical coverage, but still a lot of frustration on my disability claim.

So, months of frustration, I called the VA.  After a few weeks of phone tag, my case was reviewed and I was again promised that I would be receiving a call to schedule my follow up appointment.  I was not optimistic.

My pessimism was abated when they called.  Actually, they contacted me by mail. I received a letter that explained that I needed to be seen by the VA’s contract provider for a few things that were not completely documented by my initial visit, and with the letter came a questionnaire regarding the issues in question.  I filled out the questionnaire, and within a day or two I received a call from the provider’s office to schedule an appointment.

Yesterday I went to the contract provider that takes care of the claims side of the VA house.  It was the same provider that I had seen a year earlier, and to their credit they were very efficient and polite.  I was in and out of their office in less than 45 minutes, which was a pleasant surprise as I had anticipated spending the afternoon in the waiting room.  With that appointment I had, in theory, finished up my claims process.  I hope it is done.  According to the VA representative that I had spoken with earlier the only items remaining in my case were the evaluation from the contract provider and a few administrative corrections in my file.

The evaluation is done.  Now I just have to wait for the administrators to correct my file and then my disability claim should be completed.

I’ve heard that story before.  We’ll see…and I’ll keep you posted!

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Lessons learned:

– The Medical side of the VA is completely separate from the Disability claims side of the VA.  In my case, the clue to the difference was that all of the medical issues were addressed by my local clinic while all of my disability evaluations were performed by a contracted provider.

– Be proactive.  Call the VA and determine your status.  I think it helped, as my case was languishing for months until I made some inquiries.

– As always, be patient!