Whether your P&T or not question

Whether your P&T or not question

Mike1245
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Joined: 13 Nov 2015, 20:57

14 Oct 2017, 04:07 #1

Look on VA letter under Commissary letter ”it say I’m consider 100% unemployable due to Service Connected disabilities and granted Commissary nd exchange privileges (attached was the form to fill out for DEERs for ID for sponsor and dependents)

Under that it says condition are permanent and no more future exams

I’m 90% but UI 100%

1. So my question is “Am I P&T UI 100%?
2. Can I go on to a post to get DOD ID cards for myself and do my dependents get ID as well?
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JNoxon
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Joined: 04 Jun 2015, 23:05

14 Oct 2017, 04:10 #2

Yes and yes!! And dependants can get cards as well!

Congratulations!
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Mike1245
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Joined: 13 Nov 2015, 20:57

14 Oct 2017, 04:34 #3

JNoxon wrote: Yes and yes!! And dependants can get cards as well!

Congratulations!
Thanks JNoxon
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Rotor Head
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Joined: 17 Nov 2013, 19:52

14 Oct 2017, 14:32 #4

I'm in the exact same boat Mike.  90 with IU P&T. Wife has the ID card, education benefits and ChampVA.  The kids had them until they aged out.
All info supplied in an 'As-Is' condition.  No warranties expressed or implied.  See owner's manual for details...

SGT USMC 6112 '81-'87  

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Mike1245
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Joined: 13 Nov 2015, 20:57

14 Oct 2017, 15:58 #5

Rotor Head wrote: I'm in the exact same boat Mike.  90 with IU P&T. Wife has the ID card, education benefits and ChampVA.  The kids had them until they aged out.
So how did she get ChampVa? Under my Health letter it say Dependents not cover
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Mike1245
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Joined: 13 Nov 2015, 20:57

14 Oct 2017, 17:53 #6

Rotor Head wrote: I'm in the exact same boat Mike.  90 with IU P&T. Wife has the ID card, education benefits and ChampVA.  The kids had them until they aged out.
How can I find that information Rotor in dependents getting free ChampVa Heath care? I haven’t received my BBE yet so will the info be in there
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JNoxon
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Joined: 04 Jun 2015, 23:05

14 Oct 2017, 18:59 #7

Google CHAMPVA! It is great to have, my wife is basically 100% covered. Whatever Blue Cross doesn’t pay CHAMPVA does.

Also you have a 6 month window to go back to the date of you award, you can file for reimbursement of all Dr and Rx copy’s since that date. There are very specific requirements to do this that you have to follow. But it sure is nice to have! We got about $3500 back on both.
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Mike1245
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Joined: 13 Nov 2015, 20:57

14 Oct 2017, 19:32 #8

JNoxon wrote: Google CHAMPVA! It is great to have, my wife is basically 100% covered. Whatever Blue Cross doesn’t pay CHAMPVA does.

Also you have a 6 month window to go back to the date of you award, you can file for reimbursement of all Dr and Rx copy’s since that date. There are very specific requirements to do this that you have to follow. But it sure is nice to have! We got about $3500 back on both.
Great Info Thank
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Rotor Head
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Joined: 17 Nov 2013, 19:52

15 Oct 2017, 13:03 #9

Sorry for the delay Mike.  I received the information either in the body of the decision letter or in the form of an included pamphlet.  Though these days it's easier to google and download the most recent version of these programs.
All info supplied in an 'As-Is' condition.  No warranties expressed or implied.  See owner's manual for details...

SGT USMC 6112 '81-'87  

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Giez641
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Joined: 02 Jan 2010, 03:47

05 Nov 2017, 23:40 #10

Mike1245 wrote:
JNoxon wrote: Google CHAMPVA! It is great to have, my wife is basically 100% covered. Whatever Blue Cross doesn’t pay CHAMPVA does.

Also you have a 6 month window to go back to the date of you award, you can file for reimbursement of all Dr and Rx copy’s since that date. There are very specific requirements to do this that you have to follow. But it sure is nice to have! We got about $3500 back on both.
Great Info  Thank
I have been trying to fill out the paperwork for reimbursement. Every bit of it has been sent back on every family member. The deadlines are approaching and I still can't figure it out. I will probably have a stroke or a heart attack trying to fill it out. Everyone on here and everyone at the VA says a different thing. It's a flat out nightmare trying to get the reimbursement.
Not to mention I am the sponsor with 100% P & T and earlier this year, I had to go the ER to be treated early in the morning. I wound up with an MRI that same day. I tried to contact the VA but couldn't get ahold of anyone. 4 months later and after being switched to 10 different people, 43 hours on hold and around 80 phone calls, I got ahold of someone at the VA who said I had to have prior approval before I went to the ER to get treated. I told them I was over 70 miles away from the nearest VA hospital. They said they MIGHT pay for it but it wasn't a guarantee, especially after 4 months had gone by. They said I needed to send them every bit of paperwork from any of the doctors involved because they hadn't gotten anything from any of the doctors. In the meantime, collection agencies started calling wanting their money. I had never had that happen in my life. I kept telling them the VA was supposed to pay it. I wound up paying about a thousand dollars out of pocket so my credit wouldn't be ruined. I know there are a lot of well meaning people on here but half of what they say just hasn't been that way for me. My kids didn't get anywhere near the college assistance they said their kids got under Chapter 35. The amount they are getting for being fulltime is just not worth the extreme aggravation and BS. For some partial months, they got $109. Only maybe two months a semester do they get the full amount. It's ridiculous.  I haven't been able to get reimbursement for the out of pocket expenses from ChampVA back to my first eligibility date for me or my family, and here's a biggie- Champ VA doesn't cover you as the sponsor, only your family. The VA expects you to call on your way to the ER by ambulance to get prior authorization to go to the ER but doesn't answer the phone for months at a time. The whole thing has been a nightmare. I wish I had never heard of the VA. If you wind up getting some kind of award and they are sending that regularly, then count yourself lucky. If you are getting a regular award sent to your account and your family is being covered by ChampVA for all of their current doctor bills, I would just stop right there and count myself extremely lucky and save myself a whole lot of grief. For the people who say they are getting much more than that I really doubt they are telling the complete truth.    
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Nick
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Joined: 27 Feb 2011, 02:04

06 Nov 2017, 03:32 #11

Giez641 wrote:
Mike1245 wrote:
JNoxon wrote: Google CHAMPVA! It is great to have, my wife is basically 100% covered. Whatever Blue Cross doesn’t pay CHAMPVA does.

Also you have a 6 month window to go back to the date of you award, you can file for reimbursement of all Dr and Rx copy’s since that date. There are very specific requirements to do this that you have to follow. But it sure is nice to have! We got about $3500 back on both.
Great Info  Thank
I have been trying to fill out the paperwork for reimbursement. Every bit of it has been sent back on every family member. The deadlines are approaching and I still can't figure it out. I will probably have a stroke or a heart attack trying to fill it out. Everyone on here and everyone at the VA says a different thing. It's a flat out nightmare trying to get the reimbursement.
Not to mention I am the sponsor with 100% P & T and earlier this year, I had to go the ER to be treated early in the morning. I wound up with an MRI that same day. I tried to contact the VA but couldn't get ahold of anyone. 4 months later and after being switched to 10 different people, 43 hours on hold and around 80 phone calls, I got ahold of someone at the VA who said I had to have prior approval before I went to the ER to get treated. I told them I was over 70 miles away from the nearest VA hospital. They said they MIGHT pay for it but it wasn't a guarantee, especially after 4 months had gone by. They said I needed to send them every bit of paperwork from any of the doctors involved because they hadn't gotten anything from any of the doctors. In the meantime, collection agencies started calling wanting their money. I had never had that happen in my life. I kept telling them the VA was supposed to pay it. I wound up paying about a thousand dollars out of pocket so my credit wouldn't be ruined. I know there are a lot of well meaning people on here but half of what they say just hasn't been that way for me. My kids didn't get anywhere near the college assistance they said their kids got under Chapter 35. The amount they are getting for being fulltime is just not worth the extreme aggravation and BS. For some partial months, they got $109. Only maybe two months a semester do they get the full amount. It's ridiculous.  I haven't been able to get reimbursement for the out of pocket expenses from ChampVA back to my first eligibility date for me or my family, and here's a biggie- Champ VA doesn't cover you as the sponsor, only your family. The VA expects you to call on your way to the ER by ambulance to get prior authorization to go to the ER but doesn't answer the phone for months at a time. The whole thing has been a nightmare. I wish I had never heard of the VA. If you wind up getting some kind of award and they are sending that regularly, then count yourself lucky. If you are getting a regular award sent to your account and your family is being covered by ChampVA for all of their current doctor bills, I would just stop right there and count myself extremely lucky and save myself a whole lot of grief. For the people who say they are getting much more than that I really doubt they are telling the complete truth.    
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While I understand your frustration , that last sentence is insulting to our fine members.

That ChampVA does not cover the veteran should have been of no surprise to you - it is abundantly clear on the VA website as well as on here. 

DavidLt got thousands back for his family - see getting-money-back-from-champva-t143755.html where he discusses how he handled the situation .

There is a whole discussion on on VA coverage of non VA ER care at viewtopic.php?p=1246000&sid=f511828177d ... 0#p1246000    .  The care has to be for a bona fide emergency and has to be approved by the VA for payment to occur - the approval is done after the visit based on medical records. The rules on coverage if you have other insurance have changed in the vet's favor since the Staab court case although regs are still being developed.

Similarly, the rules on full time attendance and educational benefits for dependents are no mystery and most colleges have an individual in the financial aid office who handles VA issues.

Or you can throw up your hands and give up.

What you can't do is bash vets and stay a member here.
Nick
USAF RETIRED
100% P&T
100% CRSC

Complete layman - not a VSO and not a VA employee.
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