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First
1. Pre-qualify: Pre-qualifying is a way to see if
the applicant "could" get the benefit.
The VA has criteria that you must meet
( see "how it works " on our site) But
what they do not tell you is it can change
with different scenarios such as:
* High age
* Too many savings ( should be in the
"safe zone")
(This is just an example of what we have
seen over time but possibly not always
the case.) A 76 year old senior with 40K
in savings (IRA's, CD's, Savings, and
Annuity) may be a good candidate, but
a 92 year old man may be considered to
have enough money to last him (due to
the fact he is over life expectancy in
the eyes of the VA.) Same goes for the
married couples. 80K may be fine for 76
and 74 year old married couple, but in
their upper 80's-90, you may want to consider
the possibility of denial due to high
savings.
The VA makes the final
decision and all we can do is give you
some advice on what we believe and have
seen to be the best case scenario. We
are not recommending that you fix the
financial status ( if savings, CD's, IRA's
are too high) to qualify, but we have
seen many do this in order to qualify
since the VA does not look back usually
on what you had before you applied. If
you do this, make sure you know what you
are doing. Please be careful not to fall
into the traps of bad annuity financial
salesmen that may talk you into "hiding"
your money while profiting off your senior
putting them in a bad annuity that they
were unaware of the penalties for. Be
careful.
Second
If you decide to apply, we will provide
all of the forms you need. YOU though,
must locate the documents needed:
Discharge papers
Marriage license (for marriage
of surviving spouses)
Death certificates (for surviving
spouses)
*** Cannot stress enough how
important it is to obtain the claimants
medical records from their doctors office.
This will make it much easier for the
VA adjudicator to make a decision when
they receive the application or else they
will send away for these records and that
takes TIME! Include proof of income (bank
statement or social security statements?)
The forms may seem overwhelming,
but with a little guidance you will do
just fine. You will be a "pro" when you
are done and now can help others! There
is no need to hire a person to do this
for you. This process is free.
Only the claimant/senior
signs the paperwork (VA does
not recognize a power of attorney to sign
for the claimant) if that is not possible,
have them sign an "X" and follow the witness
instructions.
****Make notes of what you cannot answer or don't know
how to answer and call us with those questions
and we can try to assist you or find you
a local VA officer who can . We cannot
legally fill out any portion of your application,
advise you on what your answers should
be or charge you or the eldercare provider
for the help we offer you. We are advocates,
here to help you get everything you need
to file, but you are the one who will
be responsible for all of the filing and
corresponding with the VA with the claimant.
We are more then happy to guide you or
put you in touch with a local VA officer
if you need one. You cannot pay a person
or company to help you. Doing so is illegal.
Usually families and their seniors can
get things all together in a week or less.
It's easier then you think. YOU CAN DO
IT!
Third
Make sure everything is correct
when you mail it off to the REGIONAL OFFICE
in your state.
1. You answered all basic questions on
the application correctly
2. The income reported is close to or
exhausted by ALL medical expenses reported.
Very Basic Example:
Income $2000
Medical expenses (includes PVT health
care, and other medical costs paid out
of pocket, RX, DR co pays, insurances,
nursing home costs, eye glasses, dentist,
,,,,,,so on) $2000 total medical expenses
Income here is zero, full benefit should
be awarded.
Always list all of your medical expenses
creating as much a deficit as possible
to show the VA you are in financial hardship
due to your medical expense vs. your income.
Better to play it safe! The VA does make
the final decision.
Savings reported are what was recommended
and at or under the amount in the "safe
zone"
3. Claimant signed ( or made an "X" and
had witnesses)
4. All copies of discharge papers, marriage,
death cert., and medical history provided
by DR office, Proof of income (bank statements,
block out account numbers) is all there.
5. Big envelope and an address to the
REGIONAL OFFICE IN THE STATE WHERE THE
CLAIMANT LIVES only. Do not send these
documents to any other location. Send
delivery certified so you can track the
package. Remember, if the VA loses it,
you will have to submit a new application
but now you can prove you sent one and
they will have to Retro-date it back.
6. Make a copy of the file to keep for
that purpose.
Fourth
You should receive a courtesy letter in about 4-6 weeks
form the VA stating they have received
your application and are working on it.
If you do not get this, let us know or
call 800-827-1000. We may suggest you
call to see why and if they do not have
it on file, if not you may need to resubmit
and use the proof of delivery to prove
you did do this once before. It happens,
not often, but it happens. Also, if you
are calling for the claimant, make sure
you did a 21-22a, have the veterans social
security number available ( so you can
represent the claimant legally in these
matters if you did a 21-22a) The VA still
may not speak with you but be persistent
or have the claimant present. Just make
sure it's filed!
Fifth
We expect you will receive a few correspondences from
the VA; some will make no sense, but still
need to be addressed. Just give us a call
and we will help the best we can. These
letters can be erroneous and sometimes
ask you for things you already submitted,
but all in all, you still need to address
it because it’s worth it! Be persistent
and vigilant for your senior.
Sixth
If all goes well, you will receive a letter saying
"Benefits have been awarded" in the average
time of 6 months with a date when they
will begin! Success! However, if they
have found the claimant to be " Incompetent"
due to extreme dementia or Alzheimer's,
they may withhold the benefit until a
fiduciary is set in place, this will more
then likely be the Power of attorney requesting
by mail to be this person for them. They
may decide to interview you, call you
or perhaps award this status by your mailed
request. Either way, stay on top of this
and keep bugging and calling until they
let you have it. Remember, benefits are
still accumulating each month while you
wait for this. Don't give up, it's so
worth it! Be your seniors advocate and
never give up!
In closing: Every case has its own
challenges, or maybe they don’t
and the VA just got it wrong. Oh yes,
they can be wrong on many cases. You have
to be willing to fight and hang in there.
Prove them wrong, fight. If it seems wrong,
tell them. Always try to write them instead
of calling the famous toll free number.
The persons answering the phones there
are not the adjudicators; they don't understand
the process most of the time and often
give out wrong information, only upsetting
the family worse. Their job is to offer
basic info, mail out applications and
move to the next call. It’s a shame
but unfortunately the way it is. Don't
put their word in stone.
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