Below, we have key information on qualifying and applying for VA Health Care, VA Disability. Page down to learn more.
To apply, go to va.gov/healthbenefits/apply/. The form is relatively easy and you probably won’t need any help. You will need a PDF of your DD214 (you can fax, but it could end in a black hole and will definitely delay the process).
Requirements:At least one of these must be true. You:
Don’t wait until you are in desperate need. Even though this is a yes/no decision, it usually takes several months. Once approved, you will get an appointment for a physical (normally a week or two after approval) and the meds you are on will be converted to the VA pharmacy. Once accepted, you can just walk in to see your Primary Doctor (emergency) or send them an e-mail for an appointment, usually the next day (Primary Doctors are required to respond within 72 hours to e-mails). Your Primary will automatically see you yearly for a physical. Specialists, in my experience, are 7 to 10 days, unless an emergency.
Cost? If you are not retired military or disabled by at least 30%, you will have a co-pay of $15 for your Primary (physical is usually about 45 minutes), $50 for specialists and $8 for a month’s supply of any medication. Surgery, x-rays, blood draws and virtually anything else, including hospital stays are FREE. This is a really good deal.
Care? I have been in the system for over 10 years and it’s been amazing. Great Doctors, nurses, facilities…basically everything. Meds are mailed to my home. ER services, too, up in Denver.
Where? Our clinic is at 3141 Centennial Boulevard, Colorado Springs, CO 80907. The hospital is at 1700 North Wheeling Street, Aurora, CO. If you need transportation, the VA will supply that at no cost.
Congress passed a law specifying that if you can’t receive service within 30 days of request (after acceptance), then you are automatically sent to Choice. This Choice is new - i.e. new contractor is doing this. I haven't tried. Feedback please?
This one, in my mind, falls into the category of absurdity. You can go to the VA website and apply on your own. The site doesn’t give you a clue as to requirements or what qualifies. Worse, presumptives aren’t mentioned (those are the medical issues that are automatically awarded). Regardless of how you apply, you can expect a wait of several months to get a decision.
What are the requirements? Your illness or injury must be service connected and you must have an honorable discharge (there are exceptions for PTSD and other mental diagnoses). Obviously, if you hit an IED and lost an arm or leg, or had a traumatic brain injury during your service, you are going to get benefits. If you are retired military, there is a pretty good chance that something happened during your service that would qualify you for some disability benefits (and you probably were given support on discharge for applying for these benefits). However, if you served 2, 3 or 4 years and got out (especially if this was years ago), it may be tough to prove that your military service is connected to your disease or injury. All applications for disability will require that you be seen by a VA Disability Doctor (VA Healthcare Doctors are not allowed to help or support your application). My experience is that this will occur down in the Colorado Springs clinic, but it can be somewhere else here in Colorado.
Let’s start with the presumptives that I know of: Parkinson’s Disease and Type 2 Diabetes, but only if you served in the Vietnam War or the First Gulf War. Why? Agent Orange. This also applies if you can prove you were exposed to any designated chemicals during service anywhere. If you qualify here, the minimum award is 30% disability and you get FREE healthcare for that specific diagnosis – including mileage back and forth form the Denver VA hospital or the Colorado Springs clinic. Additionally, you get a monthly stipend for life, and if you are married, your spouse will receive some financial benefits now and after you are gone.
So, if the VA website isn’t much help, where can you go? Let’s look at what can happen if you do apply without experienced help. There is no way to know what qualifies and what doesn’t. It isn’t obvious. But let’s say that you truly think you have a claim. You submit online, and for whatever reason, they decline your application. You can appeal, but the current wait is 6 to 8 years. Yes, years.
Where can you go for help? First, don’t waste your money on a lawyer. They will take a big chunk of your award and won’t do anything that the groups I’m going to mention can do. My favorite is the El Paso County Veterans Services office at 5850 Championship View, Suite 130, Colorado Springs, Colorado (across from the East Costco). Phone: 719-520-7750. This is paid for by the Colorado State Government. It is totally FREE and staffed by veterans trained to help YOU.
Next, virtually all American Legions and VFWs have trained support people that will help you navigate this process. They really know what they are doing and they are located in many cities and neighborhoods. Membership is not required.
What if you or a loved one is suffering PTSD or other mental issues and needs emergency help? The VA pays for walk in counseling officers right here in Colorado Springs. The address is 602 South Nevada Avenue in Colorado Springs. Phone: 719-471-9992. No appointment is necessary. You fill out a 1 page form and within minutes you see a counselor. Individual, couple and group counseling is offered until you believe you have resolved your issues. Months, years, decades, it doesn’t matter, and they are always FREE. VA Health Service acceptance or a disability rating is not required.
Once you are awarded a disability rating, what are the benefits? Rating is in 10% increments, starting at 10% and going to 100%. Each approved injury or disease is separately rated and then totaled for your final benefit rating (this is VA addition, so 20 + 40 might end up being 50). However, once you hit 100%, that’s the cap. You can’t get any more.
Besides the monthly benefit check, which starts at about $100 (if you have a spouse, you get a little extra), there are some “secret” plateaus that you want to keep an eye on. First is 30%, where you get free healthcare, including meds, for life, for the specific injury or disease that you were given the disability for. The VA will also give you mileage to get back and forth from the VA Clinic, VA Hospital and any Choice appointments (no one tells you that one). Blood draws and imaging do not qualify for mileage (go figure).
At 50%, all your healthcare is free, regardless of whether it is disability connected or not. And, if you ever wondered how Veterans got their Colorado DV license plates (which are free for life), this is it.
At 70%, you are eligible for free Veterans Home care. In Colorado, this runs from $7500 to $10,000 per month for non-disability rated Veterans. Additionally, you or your spouse gets to keep the benefit money that you were already receiving. Your spouse can also come (space available), but they have to pay, but at least they don’t lose the checks. Veterans Homes may also admit you for free if you have a disability rating under 70%, but will take all of your disability payment, with the exception of $90 for your personal use.
At 100%, your benefit check doubles (approximately) from the 90% amount, and the VA will give you a free $10,000 life insurance policy. Not a lot of money, but it probably will help your surviving family. Like everything else, you have to apply for the life insurance.
There are many other Veteran benefits offered, regardless of disability rating. Any of the support groups that I mentioned can explain those to you.
...and thank YOU for YOUR service.