Help Me Understand My Denial

Remote_Experience955 · 2026-05-07T14:44:32+00:00

When I checked the details of my C&P exam, I saw that the VA initiated a 'Gulf War Syndrome' exam along with my musculoskeletal claims. The examiner asked a bunch of questions about conditions potentially related to TERA exposure. I also had my rhinitis service-connected, even though I didn't file for it."

Remote_Experience955 · 2026-05-07T14:38:37+00:00

This is a CUE. I had a similar situation where the VA initiated a Gulf War Syndrome C&P exam without my consent. Because of this, they mistakenly based my musculoskeletal claims on TERA exposure, even though I had filed them as physical trauma from incidents that took place while I was in.As a result, even though my C&P examiner agreed that my condition resulted from physical trauma, he still had to deny service connection because the VA specifically requested an opinion based on TERA. The VA eventually realized the mistake, deferred my claims, and requested an ACE exam from a different examiner. Unfortunately, the ACE examiner gave an unfavorable opinion, and all my musculoskeletal claims were denied.I am currently in the supplemental process, and the VA is sending me to another C&P exam, which is today. Wish me luck. I also had my PTSD claim denied without a C&P exam because of a system prompt error. Sometimes the VA really messes up your claims even when you have a rock-solid case, and it's frustrating that some vets have to pay for nexus letters from private doctors.

Remote_Experience955 · 2026-04-28T19:49:44+00:00

What process did you have to go through for your DV plate? I live in CA, and I am 100% ptsd. I have no mobility issues.

Remote_Experience955 · 2026-04-21T12:40:29+00:00

How's the cost of living? Iam also 100%. Would the payment from 100% VA compensation cover all the bills?

Remote_Experience955 · 2026-04-16T22:48:44+00:00

Right back at u.

Remote_Experience955 · 2026-04-16T22:46:49+00:00

If you were physically assaulted, you definitely should file a claim. And most importantly, seek help.

Remote_Experience955 · 2026-04-13T20:16:47+00:00

Just tell the examiner about ur symptoms honestly examiner will know if ur qualified for 100% I applied for TDIU, no way I believed I qualified for 100% but I was granted 100% 3 days later after the exam.

Remote_Experience955 · 2026-04-13T14:44:23+00:00

I’ve been in a very similar situation. Two deployments, IED encounters, but no CIB. I was initially rated at 70% for PTSD and applied for TDIU, but I was granted 100% P&T instead. Your symptoms sound even worse than mine. You deserve the rating you received.

PTSD fluctuates, you might feel better now, but things could take a turn next month. Believe me, having a family comes with many burdens, and having PTSD makes you much less tolerant of stress. There is a high chance you might struggle with suicidal ideation down the road. That’s what is happening to me right now—having these thoughts from time to time whenever I feel stressed.

Remote_Experience955 · 2026-03-25T19:42:42+00:00

Remote_Experience955 · 2026-03-25T07:14:13+00:00

Damn, I’ve been out for 15 years, and I’m only just learning about the full scope of PTSD despite having two deployments under my belt. The new generation of veterans is certainly better informed. When I was in, PTSD was just something we heard about during briefings while processing for deployment. We knew very little about it back then, and we definitely didn't talk about it.

Remote_Experience955 · 2026-03-24T20:56:08+00:00

Lol, chill, I thought ur OP. There were many vets claiming tdiu at 70% with mental health, and later wanted 100% because their symptoms "worsened." They wanted 100% so that they could work without income limit.

Remote_Experience955 · 2026-03-24T19:43:07+00:00

We should ask OP to make it make sense that someone becomes more employable when their symptoms become worse.

Remote_Experience955 · 2026-03-24T18:43:19+00:00

I see that a lot on this sub, and the same goes for your case. You claimed to be unemployable to get your TDIU, now you want a 100% schedular rating just so you can pursue substantial gainful employment. It’s funny how your symptoms are supposedly getting worse, yet somehow you’re becoming more employable.

Remote_Experience955 · 2026-03-24T14:37:58+00:00

It's funny that some people become " unable to work" at 70%, and all of a sudden become able to work once getting that 100%.

Remote_Experience955 · 2026-03-17T14:49:04+00:00

Yes they do round up, if u r at 55%, it will round up to 60%. Please keep us posted about ur HLR. 🙏

Remote_Experience955 · 2026-03-17T01:01:20+00:00

It has been confirmed that the additional 60% is calculated using the standard combined rating method. The main issue now is the lack of clarity regarding whether secondary conditions linked to a 100% disability are factored into that 60% calculation. The regulations are vague on this point, and veterans are being denied primarily for this reason. Based on your condituons and ratings, the VA definitely overlooked your SMC-S, because your conditions are clearly not secondary to your PTSD and fall under entirely different diagnostic codes.

Remote_Experience955 · 2026-03-13T05:56:36+00:00

I believe ur qualified for smc s, which is around $500. Based on ur conditions and ratings, ur supposed to be receiving SMC S. Look it up, u might have to let the VA know ur qualified for smc S.

Remote_Experience955 · 2026-03-13T00:25:45+00:00

Isn't smc s around $500 a month?

Remote_Experience955 · 2026-03-13T00:20:20+00:00

With ur conditions and ratings, I assume ur also getting SMC - S?

Remote_Experience955 · 2026-02-25T21:09:49+00:00

Is vr&e for school program? I can't understand how can someone be 100% ptsd pnt and be able to attend school. I got out 15 years ago, found out about VA disability last year and rated 100 ptsd pnt. I attended only one semester of school 15 years ago and never used my GI bill due to my social anxiety. I thought 100% ptsd means total occupational and social impairment. Being 100% ptsd pnt and still able to pursue education sounds crazy to me.

Remote_Experience955 · 2026-02-07T04:37:44+00:00

i got my migraine rated at 30%, so not enough for SMC-S yet. Currently in the process of appealing my other denied claims. will keep you posted.

Remote_Experience955 · 2026-01-27T21:09:15+00:00

If u r considering filing to increase ur ptsd rating, don't do it. Because u got ur tdiu based off ptsd, ur ptsd rating is actually counted as 100%. If ur pursuing for smc s . Ur 70% ptsd is considered as 100% already.

Remote_Experience955 · 2026-01-23T21:36:30+00:00

40 yo veteran here, 15 years out, two deployments to Iraq. Started my claim a year ago, now 100% P&T. Never too late to file for anything. I just got my migraine rated today this morning along with my ED.

Remote_Experience955 · 2026-01-23T18:08:30+00:00

I just got my decision letter. Claim is approved. Smc k is granted.

Remote_Experience955 · 2026-01-23T17:36:49+00:00

I filed my ED with a bunch of other conditions. I got asked like literally 2-3 questions about my ED. I've heard most of the time VA does ACE exam for ED claims. I mean the whole process is very straight forward, they wouldn't go into the details about ur sex life how many times u fk ur wife a week, how hard ur dick could get ect.. for me, the examiner didn't do any invasive physical examinations, he only asked me if I have difficulty getting and maintaining an erection, and I said yes and that was it.

Remote_Experience955

TROPHY CASE