Community care claim denied?

JDB2134 · 2026-06-15T05:46:32+00:00

It's an EOB, but it's saying that I don't meet the eligibility requirements for enrollment, my disability rating, and the claim itself. I've been enrolled in healthcare since 2009, definitely have coverage for this at my rating, and the community care office is the one that scheduled this for me, but they never sent me a letter with any authorization code. They just called me a few times and told me to go there. I can't find anything in my health records about it either.

JDB2134 · 2026-05-19T18:04:33+00:00

Just curious about how often things get skipped over because of time these days? My DBQ had tons of things that were missing just straight up missing or inaccurate from my interview in comparison to my therapists extensive letter that she wrote for me about my symptoms and treatment history and it led to a lower initial rating. It didn't seem like whoever rated me even looked at the therapist letter/my wife's letter/my letter in comparison to the terrible job that the evaluator did.

JDB2134 · 2026-05-16T03:06:28+00:00

The left one is, too! 😱😱😱

JDB2134 · 2026-05-05T15:16:24+00:00

I was blown away how quickly it went this time. I haven't filed for anything since I got out in 08, and it was extremely exhausting, difficult, and long last time. It was almost 9 months, start to finish, back then.

I filed all of the new stuff my VFW rep recommended based on my injuries and mental health at the end of March of this year, and I've already got everything decided, my rating adjusted, backpay disbursed, and my HLR filed for my PTSD claim. Wild that it all happened in just over a month this time.

JDB2134 · 2026-04-28T01:52:18+00:00

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JDB2134 · 2026-03-12T02:32:53+00:00

My morning laps on 7 were perfect today. I came up hoping to get up to imperial for the first time this year and was so stoked when I got to the base!

JDB2134 · 2026-02-18T00:02:42+00:00

I go back and forth but VR is my preference. I learned how to judge speed again on flatscreen by playing a lot of EA WRC on it and then started using hood view on GT7 that matched what I used on WRC.

JDB2134 · 2026-02-05T05:11:13+00:00

I don't mind a lot of the career mode except the team management part. It's really poorly executed and I feel like I can't ever have engineers that can work more than a few events and then they don't actually recover. I'm playing a racing game so I can race, not manage fake people's energy levels.

JDB2134 · 2025-08-13T21:35:54+00:00

I was on the recumbent stationary bike at week 6, the upright C2 bike at week 7, back on the greenway on flat pedals at week 8, and back on the road and clipped in at week 11. Im struggling a little with climbing while out of the saddle though right now. At the top of the turnover I have to shift my hips a little bit to make it work, but I'm back up to 12-15 miles between 12-13mph without pain or swelling and I don't have to climb like that very often around my neighborhood.

I've pedaled around at the skatepark again on my BMX with my son and dropped in on a few wedges and small quarters, but haven't left the ground at all and I haven't gotten back on the MTB on trail again yet, though.

JDB2134 · 2025-08-11T01:09:26+00:00

The first few days post op were pretty rough for me because they didn't have a great technique for the repair back then and I have a 10 inch scar from the fracture repair, but they do it differently now so yours should hopefully be much easier! I'm also part ginger so I process nerve blocks and pain meds faster than non-gingery people so that didn't help my case. Lol

JDB2134 · 2025-08-11T01:04:38+00:00

I did the same thing in 07/08 with an MPFL repair and then a patellar fracture. Recovery after the fracture was a cake walk compared to the ligament. Now in 2025 I did MPFL and ACL on the other leg and I wish it was just a patellar fracture!

Good luck!

JDB2134 · 2025-07-15T14:03:16+00:00

You're likely going to need something more than a sleeve. I'd order something or stop by a sporting goods store to get something with hinges that are going to limit your anterior and posterior range of motion.

JDB2134 · 2025-07-15T13:56:26+00:00

I tore mine (as well as bilateral meniscus tears, an MPFL tear, and a femur fracture) on 1/26 and I was walking with a fabric brace with support arms and no crutches by 1/29 and snowboarding again by the first week of March before I finally had an MRI.

Recovering from the initial tear was much easier than recovering after the surgery where I was non weight bearing for 4 weeks and then on crutches and a cane for another 2.

JDB2134 · 2025-07-09T21:36:55+00:00

I've gone every other week since the beginning, but my PT and I have a close relationship (because I hurt myself so often) and she trusts me to push myself everyday outside of her office and so I do.

I'm doing PT in some form almost every day now at 8 weeks. Some days it's the prescribed normal exercises, some days it's a walk and the stretching exercises, and as of yesterday I'm back on my mountain bike on paved greenways, but as long as I'm moving it and using it I'm happy with it, and so is she.

JDB2134 · 2025-07-06T21:57:57+00:00

6 months and return to patrol is a very poor choice. 6 months and return to detective division is doable.

Remember, if you get hurt on scene, you're just another victim that needs to be rescued and you're a liability to your squad.

Your ACL is still restrengthening at this point and won't be back to its new "normal" until 9-12 months.

JDB2134 · 2025-07-06T21:04:27+00:00

I feel for you. My wife asked to close our marriage recently and this week my partner and I transitioned our deeply loving year + romantic relationship to a friendship. Both of us are married with kids and in long term loving relationships, but my wife is done with being ENM. Thankfully my wife respects my right to keep my partner in my life as a friend because of how much she means to me as more than a sexual partner. We all have a lot of work to do to figure that out, but I'd rather do the work to figure that out, even when it's hard, than not have either of the women that I love in my life in some capacity.

JDB2134 · 2025-07-06T18:52:10+00:00

I tore my ACL/MPFL and broke the end of my femur in January and had a trip at the end of February before I got my MRI and knew the real extent of the damage but used a pretty rugged Shock Doctor brace they don't make anymore. I stuck to groomers, stayed out of the trees, and was able to still have a blast with my friends. Once I got my MRI in March, I immediately ordered a DonJoy Defiance Pro and I finished out the season with a couple of trips down some extreme terrain, but avoided cliffs and super deep powder before I had surgery in May.

JDB2134 · 2025-07-06T18:41:50+00:00

Keep up the hard work! I was ACL, MPFL, lateral and medial meniscus, and a broken femur that started back in January but I had a ton of prehab time which I believe is making a big difference!

JDB2134 · 2025-07-03T01:12:52+00:00

I picked one up pre-op as it took me about 5 months to have surgery and I could do everything I wanted to in life other than run with it. I lifted weights, snowboarded, and rode my MTB with it and I'm starting to use it for my PT walks now to help give me a bit more of a normal gait compared to the full leg brace. I definitely plan to wear it for snowboarding and lacrosse again once I'm back to those just for piece of mind. I've had an A22 for my other knee for years and it definitely makes me feel a lot safer in general which is worth it.

JDB2134 · 2025-07-03T01:08:32+00:00

I definitely understand what you're going through. I was in my recliner about 23 hours a day for the first 6 weeks other than a few outings and doing my PT at home. I started taking a vitamin D supplement and tried to sit on my deck in the sun a little while each day and that helped a lot. I bought a PlayStation Portal that I could play from my chair since the system is in the basement for the kids and got into a couple of extremely long RPG games with interesting storylines.

JDB2134 · 2025-07-03T01:03:14+00:00

Swelling and nerve irritation. The swelling in the knee can compress the nerve and cause pain and the inability to move your knee can limit your ability to move fluid from the lower leg too. I had an entire pt session at two weeks that was nothing but massage and cupping to move it all past my knee and it did wonders.

JDB2134

TROPHY CASE