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VA:  38 CFR Book C, Schedule for Rating Disabilities
Veterans Law BLOG
VA & Social Security Disability Planning
PPT Presentation
The 4 Key Things That Must Be Proven In Every VA Benefits Claim
VA: 
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VA:  Burial Benefits           & compensation
SSD:  Apply Online for Disability Benefits
VA:  Benefits for               Gulf War Illnesses
VA:  Survivor                 Benefit Program
VA:  Gulf War Syndrome
SSD:  Checklist – Adult Disability Interview
VA:  NEXUS Letters
VA:   Reexaminations and Reductions of Veterans Disability Benefits
Social Security Benefits Calculators
VA:   Service Connection for Chronic Diseases That Start After Military Service
VA:   Comparing              CRSC and CRDP
What you should know before you apply for SSD 
VA:  Mil Disability Ratings
(Mental Disorders)
VA:  Disability
for Asthma
VA: fiiling for Military Sexual Trauma (MST)
A Note on your Chosen Job Specialty.
 
 
As we all know physical capacity or stamina or (PULHES) determines whether or not you can physically meet the demands of your Chosen Military Occupational Specialty (MOS).  It also signals those physical activities that are most likely to erode over the span of your career.  When you look at the DBQs always review the PULHES for your MOS and vet your medical records for evidence.
 
 ie:  P  U  L H  E  S 
       2   2  2  2  2  2 
 

MOS 88M,  Motor Transport Operator: PULHES: 222222
MOS 88N,  Transportation Management Coordinator: PULHES: 222222.
MOS 88H,  Cargo Specialist: PULHES:  211222
MOS 88L,  Watercraft Engineer:  PULHES: 222221
MOS 88K,  Watercraft Operator:  PULHES: 222221
MOS 88P,  Railway Equipment Repairer:  PULHES: 222232
MOS 88T,  Railway Section Repairer:  PULHES: 222232
MOS 88U,  Railway Operations Crew Member:  PULHES: 222232

 
 
To determine medical standards for different jobs, and to make sure that military members are medically qualified to perform the duties of that job, the military has developed a medical profile indicator, known as the physical profile serial system.
The physical profile serial system is based primarily upon the function of body systems and their relation to military duties. The functions of the various organs, systems, and integral parts of the body are considered. Since the analysis of the individual’s medical, physical, and mental status plays an important role in assignment and welfare, the military takes great care in executing the functional grading.
 
 
 
In developing the system, the functions have been considered under six factors designated “P–U–L–H–E–S.” Each of these letters stand for a specific medical area:
 
(1) P — The "P" in "P-U-L-H-E-S" stands for "Physical capacity or stamina." This factor, general physical capacity, normally includes conditions of the heart; respiratory system; gastrointestinal system, genitourinary system; nervous system; allergic, endocrine, metabolic and nutritional diseases; diseases of the blood and blood forming tissues; dental conditions; diseases of the breast, and other organic defects and diseases that do not fall under other specific factors of the system.
 
(2) U — The "U" area is used for "Upper extremities." This factor concerns the hands, arms, shoulder girdle, and upper spine (cervical, thoracic, and upper lumbar) in regard to strength, range of motion, and general efficiency.
 
(3) L — Lower extremities. This factor concerns the feet, legs, pelvic girdle, lower back musculature and lower spine (lower lumbar and sacral) in regard to strength, range of motion, and general efficiency.
 
(4) H — Hearing and ears. This factor concerns auditory acuity and disease and defects of the ear.
 
(5) E — Eyes. This factor concerns visual acuity and diseases and defects of the eye.
 
(6) S — Psychiatric. This factor concerns personality, emotional stability, and psychiatric diseases.
 
Four numerical designations are used to reflect different levels of functional capacity. The basic purpose of the physical profile serial is to provide an index to overall functional capacity. Therefore, the functional capacity of a particular organ or system of the body, RATHER THAN THE DEFECT PER SE, is evaluated in determining the numerical designation 1, 2, 3, or 4.
 
 
 
For example, if a military job requires a serial profile of "123123," that means, in order to qualify for that job, a person would have to be medically rated a "1" in the area of "Physical capacity or stamina," a medcial rating of "2" in the area of "Upper extremities," have a medical rating of "3" in the area of "Lower extremities," a rating of "1" in the area of "Hearing and Ears," etc.
 
 
 
As for the numerical designators, they generally mean a military medical evaluation of:
 
(1) An individual having a numerical designation of “1” under all factors is considered to possess a high level of medical fitness.
 
(2) A physical profile designator of “2” under any or all factors indicates that an individual possesses some medical condition or physical defect that may require some activity limitations.
 
(3) A profile containing one or more numerical designators of “3” signifies that the individual has one or more medical conditions or physical defects that may require significant limitations. For those applying for military service, this designation is usually a disqualification. For individuals already in the service, the individual should receive assignments commensurate with his or her physical capability for military duty (ie, limited duty/assignments)
 
(4) A profile serial containing one or more numerical designators of “4” indicates that the individual has one or more medical conditions or physical defects of such severity that performance of military duty must be drastically limited. Definately a disqualifier for both entering the military, and for continued military service, if already in the military.
 
 
 
Specific Definitions:
 
"P" Position - Physical capacity (First number in the profile series) - Organic defects, strength, stamina, agility, energy, muscular coordination, function, and similar factors.
 
1 - Good muscular development with ability to perform maximum effort for indefinite periods.
2 - Able to perform maximum effort over long periods.
3 - Unable to perform full effort except for brief or moderate periods.
4 - Functional level below the standards of "3."
 
"U" Position - Upper extremities (2nd number in the profile series) - Strength, range of motion, and general efficiency of upper arm, shoulder girdle, and upper back, including cervical and thoracic vertebrae.
 
1 - No loss of digits or limitation of motion; no demonstrable abnormality; able to do hand to hand fighting.
2 - Slightly limited mobility of joints, muscular weakness, or other musculo-skeletal defects that do not prevent hand–to–hand fighting and do not disqualify for prolonged effort.
3 - Defects or impairments that require significant restriction of use.
4 - Functional level below the standards of "3."
 
"L" Position - Lower extremities (3rd number in the profile series) - Strength, range of movement, and efficiency of feet, legs, lower back and pelvic girdle.
 
1 - No loss of digits or limitation of motion; no demonstrable abnormality; able to perform long marches, stand over long periods, run.
2 - Slightly limited mobility of joints, muscular weakness, or other musculo-skeletal defects that do not prevent moderate marching, climbing, timed walking, or prolonged effort.
3 - Defects or impairments that require significant restriction of use.
4 - Functional level below the standards of "3."
 
"H" Position - Hearing–ears (4th number in the profile series) - Auditory sensitivity and organic disease of the ears.
 
1 - Audiometer average level for each ear not more than 25 dB at 500, 1000, 2000 Hz with no individual level greater then 30 dB. Not over 45 dB at 4000 Hz.
2 - Audiometer average level for each ear at 500, 1000, 2000 Hz, or not more than 30 dB, with no individual level greater than 35 dB at these frequencies, and level not more than 55 dB at 4000 Hz; or audiometer level 30 dB at 500 Hz, 25 dB at 1000 and 2000 Hz, and 35 dB at 4000 Hz in better ear. (Poorer ear may be deaf.)
3 - Speech reception threshold in best ear not greater than 30 dB HL, measured with or without hearing aid; or acute or chronic ear disease.
4 - Functional level below the standards of "3."
 
"E" Position - Vision–eyes (5th number in the profile series) - Visual acuity, and organic disease of the eyes and lids.
 
1 - Uncorrected visual acuity 20/200 correctable to 20/ 20, in each eye.
2 - Distant visual acuity correctable to not worse than 20/40 and 20/70, or 20/30 and 20/100, or 20/20 and 20/ 400.
3 - Uncorrected distant visual acuity of any degree that is correctable not less than 20/40 in the better eye.
4 - Visual acuity below the standards of "3."
 
"S" Position - Type severity, and duration of the psychiatric symptoms or disorder existing at the time the profile is determined. Amount of external precipitating stress. Predisposition as determined by the basic personality makeup, intelligence, performance, and history of past psychiatric disorder impairment of functional capacity.
 
1 - No psychiatric pathology. May have history of a transient personality disorder.
2 - May have history of recovery from an acute psychotic reaction due to external or toxic causes unrelated to alcohol or drug addiction.
3 - Satisfactory remission from an acute psychotic or neurotic episode that permits utilization under specific conditions (assignment when outpatient psychiatric treatment is available or certain duties can be avoided).
4 - Does not meet standards of "3" above.
Obtaining Veterans' Medical and Health Records
 
Filing a Claim for Medical Benefits?
 
The Official Military Personnel Files (OMPF), held at the National Personnel Records Center (NPRC), are administrative records containing information about the subject's military service history. Many OMPFs contain both personnel and former active duty health records, but the service branches discontinued retiring the health record portion to the NPRC in the 1990s.
 
In the past, all of the military services retired the individual health record, along with the personnel record, to the NPRC upon a service member's separation from service. The Army and the Air Force retired its health records with the Official Military Personnel File, while the Department of the Navy (including the Navy, Marine Corps and Coast Guard) retired these files separately to the NPRC until the 1980s.
Health records cover the outpatient, dental and mental health treatment that former members received while in military service. Health records include induction and separation physical examinations, as well as routine medical care (doctor/dental visits, lab tests, etc.) when the patient was not admitted to a hospital.
 
In comparison, clinical (hospital inpatient) records were generated when active duty members were actually hospitalized while in the service. Typically, these records are NOT filed with the health records but are generally retired to the NPRC by the facility which created them (see clinical records for more information). Medical records from the Department of Veterans Affairs (VA) are also not included.
In the 1990s, the military services discontinued the practice of filing health records with the personnel record portion at the NPRC. In 1992, the Army began retiring most of its former members' health records to the Department of Veterans Affairs (VA). Over the next six years, the other services followed suit:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

                  Coast Guard Discharged, retired, or separated from Active Duty - Reservists with 90 days active duty for training April 1, 1998
 
 
After the dates listed above, the Department of Veterans Affairs (VA), Records Management Center, in St. Louis, MO, became responsible for maintaining active duty health records and managing their whereabouts when on loan within the VA. Call the VA toll free number at 1-800-827-1000 to identify the current location of specific health records and to find out how to obtain releasable documents or information.
Filing a claim for medical benefits?
 
Veterans who plan to file a claim for medical benefits with the Department of Veterans Affairs (VA) do not need to request a copy of their military health record from the NPRC. After a claim is filed, the VA will obtain the original health record from the NPRC. In addition, many health records were lent to the Department of Veterans Affairs prior to the 1973 Fire.
 
Veterans who filed a medical claim should contact the Department of Veterans Affairs (VA) in order to determine if their record is already on file. The VA Toll Free # is: 1-800-827-1000 - it will connect the caller to the nearest VA office.
Branch Status Health Record to VA
Army Discharged, retired, or separated from any component October 16, 1992

Navy Discharged, retired, or separated from any component January 31, 1994

Air Force Discharged, retired, or separated from Active Duty
Discharged or retired from Reserves or National Guard May 1, 1994
June 1, 1994

Marine Corps Discharged, retired, or separated from any component May 1, 1994

Coast Guard Discharged, retired, or separated from Active Duty - Reservists with 90 days active duty for training April 1, 1998
CIVILIAN LIFE INSURANCE:
 
To determine if the SBP is right for you will depend on how proactive you are in your search for civilian life insurance.  I recommend you start looking at least a year before you submit your disability packet because the civilian life insurance companies will access your military health records to determine insurability and premium costs (as you build your disability packet you also build the case for higher premiums).  Also pay attention to how the life insurance companies go about evaluating you:  some just review records, some review records and do a blood panel, some do questioneers in addition to the blood and records (It is also important to ask questions).  For instance:  when i was told they were going to draw blood the next day I asked if I needed to do anything...they said no.  Low and behold they came and took blood then told me I had high blood sugar which ment a larger monthly premium....that would have been nice to know before I ate cookies the night before.  Lesson learned, if they plan on taking blood...fast...and dont suck down suger. If you're smart about how you shop and pay attention you can get a good life insurance plan that beats the SBP hands down (I did a term and life combination).  For me I didnt like that In the event of the servicemember's death, the former spouse receives a monthly payment of 55% of the designated base amount paid in. 
 
 
SURVIVOR BENEFIT PLAN:
When you go and finalize your DD214 they will offer you an option for the Survivor Benefit Plan. They will take about 6.5 percent of your base pay out of your retirement check - monthly.  But it gives your beneficiary a retirement check upon your death the amount depends on your retirement.

 Which is good but just remember, if youre recieving disability your surviving spouse also gets .....
 
Dependency Indemnity Compensation (DIC) 
 
http://www.benefits.va.gov/COMPENSATION/resources_comp03.asp)
 
Also remember with SBP,  once you designate a beneficiary, that’s it…its almost impossible to change.  Secondly,  if your spouse passes before you (the veteran),  you wont be getting anything back ...there is no cash in or savings plan attached to it.
 
TRICARE FOR RETIREES:
During your military career you are most likely on Tricare Prime. The date of your retirement your Tricare drops to standard.
About two to three weeks out from your actual retirement date, contact Tricare and tell them you want to enroll in Tricare for Retirees. The cost is approximately 550 a year for families. You may pay quarterly, monthly or the whole year if you want. If you go monthly you will pay the first two months up front. Then it will be taken out of your retirement check monthly. The cost is approximately 45 bucks a month. But you need to indicate that you want it to come out of your check. You need to find what area of the country you are….they can help.
 
North-Health Net
1-877-TRICARE
(1-877-874-2273)

North Region Website
South-Humana Military
1-800-444-5445

South Region Website
West-UnitedHealthcare
1-877-988-WEST

(1-877-988-9378)
 
 
SGLI to VGLI: Your SGLI will remain in tact for four months after your retirement date. BUT, you can contact them about two weeks before retirement and set it up. You will pay the two months to start it up and then it will start on the month following the final month. The amount you pay is based upon the amount you take to insure yourself. You can apply online...
https://ssologin.prudential.com/app/giosgli/Login.fcc…
 
 ​​VA HOSPITAL: Once you get your DD214, go to the nearest VA hospital where you are going to live and register there. They will put you in the system. Once you get to your retirement date they should call you and make the follow on appointments for you.
Until you get a disability rating there may be small co-pays for specialty visits. But you can get your prescriptions squared away. They will mail them to you. SIDE NOTE-if you have to pay copays, once you get your Disability rating you can go in with the letter and update your rating with the hospital and request a refund. KEEP YOUR RECEIPTS!
 
 
EBENEFITS: More than likely you will register for Ebenefits when you go to ACAP or TAP, but it doesn’t hurt to do it early.
With Ebenefits you can see the progress of your VA claim when you file. You can change your GI Bill dependents on there and there are job searches and resume builders on there to help you. SIDE NOTE-once you get a rating for disability, there is a link on there for VA letters. They are automatically drafted and you can print them. Those letters will eventually show your dates of service and service-connected disability and can be used as proof for things like tax exemptions for property taxes and for DV plates etc.
www.ebenefits.va.gov
 
 
MYHEALTHEVET: On this site you can see everything you have done medically with your VA hospital. It will show you your appointments, your prescriptions, just about everything medically. AND you can refill your prescriptions online there as well. It also has secure messaging so you can email your doctor. In addition, if you go through your VA medical appt..about ten days later the information will show up...wont tell you your rating of course, but you can see the docs notes of the physical.
www.myhealth.va.gov
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