Why Did The VA Deny My PTSD Claim?

How do you prove PTSD is service connected?

Service connection for an injury or illness seems easy to prove; medical records documenting that the injury or illness occurred or was first treated while in service is enough to show service connection.

Some are easy such as falling off a ladder and connecting that with later back problems..

What do I do if my VA claim is denied?

If you’ve received a denial letter and ratings decision from the Department of Veterans Affairs (VA), don’t be discouraged. It’s common for initial claims for veterans disability to be denied, and you can appeal. To appeal, you will need to file a Notice of Disagreement (NOD) with the VA.

How long does a VA PTSD claim take?

about 3 to 4 monthsAfter your VA claim exam Each claim is different, but it usually takes us about 3 to 4 months to process a claim from start to finish. The processing time for your claim depends on how complex your claim is and how many conditions you’ve claimed.

What are the chances of winning a VA appeal?

The Board of Veterans’ Appeals Annual Report for Fiscal Year (FY) 2018 indicated that the VA disability appeals success rate for veterans was 35.75 percent. Specifically, out of 85,288 decisions issued, 30,492 were allowed, or granted.

Will the VA deny my PTSD claim?

The VA cannot simply do its own research and then deny the claim. The VA also likes to deny PTSD claims on the grounds that you don’t have a diagnosis of PTSD. In many cases, however, if you are not diagnosed with PTSD you may be diagnosed with depression or generalized anxiety.

How often does Va re evaluate PTSD?

Scheduling of Re-Examinations or Re-Evaluations If the Veterans Administration decides that your PTSD requires future re-evaluation, you will normally be scheduled within 2 to 5 years from the date of their decision to grant disability benefits.

What does a 70 PTSD rating mean?

70% – “Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near- …

What does the VA look for in PTSD?

For PTSD, VA has ratings of 10, 30, 50, 70, or 100%. VA often rates veterans by the average of their symptoms. So, if a veteran has such symptoms that fall in the 30, 50, and 70% ranges, they will often get a 50% rating. However, this is not the correct way to rate a mental health disorder.

Should I get a lawyer for my VA claim?

First, the only reason to hire an attorney is if you believe that they can help you get a better result from the VA on a disability claim that has been denied, or not rated high enough for your liking. … The lawyer can only charge you for help when you challenge a VA decision on your disability claim.

Why did the VA deny my claim?

Increased Rating Claims and Evidence Similar to service connection claims, VA denies increased rating claims due to a lack of evidence. VA will typically look through your medical records and schedule a C&P exam to determine whether your condition has worsened over time.

How do I prove my VA disability for PTSD?

A Current Diagnosis of PTSD For service connection purposes, VA requires a formal diagnosis from a qualified healthcare professional, whether it be a therapist, psychiatrist, or general practitioner, made using the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5).

What are the 17 PTSD symptoms?

Common symptoms of PTSDvivid flashbacks (feeling like the trauma is happening right now)intrusive thoughts or images.nightmares.intense distress at real or symbolic reminders of the trauma.physical sensations such as pain, sweating, nausea or trembling.

How do I file a PTSD claim with the VA?

The specific department to submit to is the Compensation and Pension Service within the Veterans Benefits Administration (VBA). You can also file a claim online at the VA’s website at www.ebenefits.va.gov. You must also be seen by a psychiatrist a VA medical facility so that the psychiatrist can diagnose you with PTSD.

How many times can you appeal a VA claim?

If you file a VA disability application and are denied or given a low rating, you have one year to appeal that decision. If you wait longer than a year, you can file a new application. If that application is also denied, you can appeal.

Can you claim PTSD and anxiety?

Anxiety and Depression are common symptoms of PTSD, though they also may be separate diseases without a PTSD diagnosis. Bipolar disease is another example. If the disease arises during military service, or because of military service, the disease is compensable.

Is 70 PTSD a permanent VA disability?

Although the terms “Permanent” and “Total” are often discussed together, it is possible to have a permanent disability that is not totally disabling. For example, a veteran may have a permanent disability (such as PTSD) at 70%. Her PTSD is not “Total” because it is less than 100%.

How do you win a PTSD claim?

Get out in front of your VA PTSD claim or appeal and don’t wait for the VA to assist you in developing these elements: Know the 4 Pillars of a PTSD Claim and KNOW what evidence is and is not in your C-File already. Know how to prove up your UNIQUE type of Stressor Event. Get a solid Diagnostic Exam.More items…

How do you prove tinnitus is service connected?

To prove a VA Tinnitus Claim, you simply have to show the 4 pillars: exposure to noise in service or symptoms in service, a current diagnosis of tinnitus, and the rating should be automatic – 10% is the highest you can get.