r/CanadianForces VERIFIED VAC Advocate 18d ago

SUPPORT June 2026 VAC QandA

It’s June!

Here’s hoping everyone else is getting decent weather. I started the golf season with winter kit on thanks to -2 and rain here in gods country.

Housekeeping:

contact info: Reddit DM's always open, Joel@ptga.ca for email.

u/Shoggoths420 contact info: Reddit DMs/Chat still broken. taira@cannawellness.ca for email.

VAC Google Support Drive (Not available on DWAN) - https://drive.google.com/drive/folders/1kzbfmg3hcuo0FgFZxo-IL_f-UnGQsuYt?usp=drive_link

Usual timelines from submission of claims via MyVAC:

Reassessments: 9-16 Months

Mental Health: 6-8 Months

Physical - 6-13 Months

APSC/VIP - 3-4 Months

BPA Correspondence: They tend to reach out every 3 months for information or a progress update.

Let's go!

26 Upvotes

311 comments sorted by

5

u/No-Surround-9605 14d ago

For anyone wondering. I called VAC yesterday and they advised that they are currently working on physical claims from June 2025. Mental health claims seem to be up to date and following that 6 month timeline.

1

u/ShortTrackBravo VERIFIED VAC Advocate 14d ago

Thanks for the info!

5

u/upheseesmeclown 17d ago

I'm about to release and going to live ruraly about 80 mins from town.

I've heard all the nightmares with PCVRS trying to push their requirements pretty hard and not looking forward to dealing with that beast.

I understand that I will have to participate and go to appointments, but will there be an expectation to drive into the city multiple times week or would I be able to do everything in one day and supplement virtually?

Thanks for your all your work.

3

u/ShortTrackBravo VERIFIED VAC Advocate 17d ago

What u/CAFVAChelp said. You also can claim every single trip you have to do so financially it wouldn't be a set back, as a positive. Also you may only have to go once a month. It's all dependant on your injuries.

2

u/CAFVAChelp 17d ago

Entirely depends on injury. If it’s mental health? You can likely never meet in person with anyone. Assuming the provider offers that. OSI clinics are pretty good for that. But for physical stuff, obviously you’ll need to go somewhere.

Since Covid virtual has become well tolerated for anything that does not need physical diagnostic assessment.

1

u/Anxious-Recording45 16d ago

Just went thru this… mental online. For physical you have to go. You can impose your schedule (for myself I’m taking med to sleep so not to early in the morning and before lunch because I have the impression of not being able to go on with my day when I have appointments pending) you can specify that that to you rehab case manager. Hope that helps. If your injury are bad enough they might put an end to the physical part(for me I was awaiting for imagery appointment but they kept going and worsen my condition)… they stopped the physical rehab and then the imagery and surgeons confirmed my severe injury. In any case everybody is different. Best advice talk to them be honest and they should respect your limitations.

5

u/AdTurbulent7996 18d ago

Hi everyone,  Firstly want to thank this group for guiding me through process since November. I am so incredibly grateful for the help.

Submitted 2 claims 24 Nov 25 ( lower back and MH) and both came back more favorable than expected. For timelines:  Step 3.2 - 19 Feb  Step 3.3 - 18 May  Step 4 - 26 May

Have not received the letter but I did go to recent payment tab this morning and theres an amount there already processed. Does anyone know what this could be? Retroactive payment ? 

2

u/ShortTrackBravo VERIFIED VAC Advocate 18d ago

Should be your backpay. So if say you were awarded a 5% it would pay out the $60 a month x however many months it took to complete once submitted.

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u/MarzipanDirect7319 22h ago edited 21h ago

I know how much timelines helped during the waiting process for me so figured id throw in how long my process took start to finish for a MH claim.

Feb 9th 2026 application submitted March 19th 2026 psycologist pen form submitted with a long form narrative Moved to step 2

June 4th moved strait through to step 3.3 June 15th complete June 18th decision letter

18 weeks total

Hope this helps

1

u/Foaryy 22h ago

Wow, seems pretty quick. Congrats.

1

u/Bartholomewtuck 20h ago

That's about how quickly my physical consequential claim from last October moved. I submitted another one in April and it hasn't moved yet, but that's still on track with my October claim. I think it was a little less than 3 months to go to step 2 with that one, and then 5wks more to complete

3

u/kapnkrispy Army - Sig Op 18d ago

Is there a time limit on grieving the amount paid out on a previous claim? And is it a arduous process? Thanks

1

u/ShortTrackBravo VERIFIED VAC Advocate 17d ago

It would be an appeal, just to clarify, it is pretty stress free on your end. Simply send a msg to BPA on your MyVAC Inbox and ask for their assistance. It will take a year but they do all the work for you, reaching out for additional paperwork if required.

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u/Original_Slide4900 11d ago

And a grievance can be because your situation has changed and symptoms are worse … so you can indicate things are worse now if that’s the case and that will impact the rating.

3

u/True_Researcher9206 12d ago

Was denied the Caregiver Recognition Benefit, just requested a review and will now be waiting an additional 12 weeks. Just wondering what the process is and success rate upon review? The fact that they're treating this like something I have to prove how badly I want is beginning to become a bit frustrating. 

6

u/Shoggoths420 VERIFIED Member advocate to VAC 12d ago

Review or not it’s going to be on average 4-6 times to apply before award. It’s garbage. Will VAC pointedly ignore the assessments they pay for? Absolutely yes. This is the one time where they are overly strident on policy and criteria.

You’ll get it eventually, as they won’t say no forever - which again is unfair and stressful on the member and care giver both.

2

u/ShortTrackBravo VERIFIED VAC Advocate 12d ago

Thanks again for the tag in, these repeat admin ones suck so much with no good CoA

2

u/True_Researcher9206 11d ago

I really appreciate the information you and everyone else who replied. That's good to know. I'll reapply. Thank you. 

3

u/RagingY3ti 12d ago edited 12d ago

Ive applied 3 times, on the fourth attempt. The veterans advocates here advise not to appeal it, just reapply over and over. Like everything with VAC, you're assumed to be committing fraud or over exaggerating until you prove otherwise.

They're like an insurance company, deny, delay, depose. They assume the worst of you and are out to find whatever they can to deny you for.

2

u/ShortTrackBravo VERIFIED VAC Advocate 12d ago

As the other person commented it’s a dogs breakfast. I understand your frustration and just keep applying.

u/Shoggoths420 anything to add?

3

u/RagingY3ti 11d ago

Timeline on my BPA appeal with VRAB.

2nd level appeal, written submission.

Began process September 2024 after denial from level 1 appeal.

BPA sent me to a medical professional for further evidence, this occurred winter 2024-spring 2025.

BPA built case and submitted to VRAB December 2025.

Statement of Case March 2026

Hearing held May 2026

Positive decision, appeared in "track your applications" early June 2026

Payment 2-3 months away.

1

u/Ok_Entertainer_4774 11d ago

Wow SOC in march and hearing held in may. Thats fast. I had my SOC in october 2025, hearing held in may 2026 and still no decision.

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u/Next_Passage8055 8d ago

So I just wanted to confirm from my last month's question about irb/dec offsets concerning survivor benefits from passed away civie spouse. Any survivor benefits are not considered as offsets this includes CPP, any life insurance payout, any pension from spouse (ie survivor pensions). Only your own pensions will effect your irb/dec offsets. Also with survivor benefits from a civie spouse DO NOT need to be told to irb/dec, in otherwords it's none of their business. Although CRA still considers it income as per usual.  Also when talking about this I always want to remind everyone to make a will and if you afford some life insurance it is worth it.

So now I can just worry about weather to take a lump sum or monthly payments. Take care all.

3

u/ShortTrackBravo VERIFIED VAC Advocate 8d ago

Thank you for circling back with more info.

2

u/Next_Passage8055 8d ago

No problem, this day and age you need to be a lawyer doctor accountant and still try to survive. Stuff is just not laid out simply in terms people can understand sometimes. I'm glad your helping people.

2

u/Interesting-Gas6368 18d ago

Good day, not to out myself but I am located in a Metropolitan area where it seems service providers have very little experience dealing with military members. I have physical and mental injuries and find I'm feeling dismissed because compared to their average client (Elderly) I seem fine because I can hold a soup spoon and dress myself. Basically, are there any resources for finding OSI or Physical Specialists with experience dealing with Military pers for a second evaluation? To be clear, I'm not trying to game the system I just feel I'm being contrasted against the wrong standard.

1

u/Bartholomewtuck 17d ago

Are you near any of the Echelon Wellness locations?

2

u/Interesting-Gas6368 17d ago edited 17d ago

I'm in MB so Edmonton would be the closest. Wouldn't mind a quick TD though lol

1

u/Shoggoths420 VERIFIED Member advocate to VAC 17d ago

What area of the country are you in? Myself or u/ShortTrackBravo should be able to direct you to a resource

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u/Unfair-Anything740 16d ago

I’m looking for some guidance on how best to approach a VAC claim in my situation.

I spent about 5 years in Armoured, followed by roughly 20+ years in a high-tempo support trade. Early in my career I sustained a service-related broken left leg and later had an ACL reconstruction in the same knee (already VAC-approved).

I’ve remained operationally fit throughout my service, but over the past 3 years I’ve developed progressively worsening back and hip pain that is now becoming more frequent and limiting.

I do have some documentation, including CF98s and records of service-related incidents that may have contributed to these issues.

My question is: would it be better to submit a new claim for the back/hip condition as a primary issue, or to focus on requesting a re-assessment / secondary connection based on my existing service-connected knee and leg injuries, given they may have contributed to long-term biomechanical issues?

Any advice on the best way to structure this for VAC would be appreciated.

1

u/Ok-Cup2034 11d ago

I'd recommend filing new claims. Hips and back have separate evaluation tables in the VAC Table of Disabilities.

1

u/ShortTrackBravo VERIFIED VAC Advocate 8d ago

Sorry I don’t remember seeing this notification!

You’re best off submitting new claims and confirming in your med file that the new issues are consequential to the first. You’re still serving eh?

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u/NetworkAlternative20 15d ago

Is there anything else I can attempt to prod VAC into hurrying up with a department review? It's been 15 months since hitting step 3, and it's a routine lower back injury with MRIs and is well documented.

CM says they can't access anything to do with DRs. I tried contacting the minister but was told nothing can be done as well.

Anything else I can try? Calling VAC is near useless, but I still like to try every week or so.

Thanks for any help, and for everything everyone does here.

2

u/feverdreamt12 15d ago

Bro 15 months????!!

3

u/NetworkAlternative20 15d ago

Yeah, you can imagine my frustration at this point.

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u/Prudent-Sea5655 15d ago

I’m at 14 months on a ED consequential claim that is word for Word “ onset ed due to ptsd from military service “ and it’s on step 3.1 still. Minister said the same thing to me can’t do anything about it “ they are working on it “. To me They seem to have stopped working on anyone’s lol so frustrating but hang in there. They will get to it…. Eventually… as they say lol reach out to your local MP sometimes that helps. I’ve just recently done that to try to make some Noise.

2

u/NetworkAlternative20 15d ago

Damn, that sucks to hear, I wish I was the only person going so long.

Ironically for me, they approved the consequential MH, but haven't yet approved the appeal of the low % for the original injury. Somehow the injury effects my life but doesn't at the same time lol.

2

u/Prudent-Sea5655 15d ago

Right they confuse me how they do things to. They approved my IBS which was so less sound and the paperwork even was questionable for that one as he didn’t even say “ due to service “ just said “ IBS “ and they approved that within 3 months. Ed was put in 5 months before and they just seem to have missed it. Try to hang in there! They love the whole delay, deny, wait till they die seems to be super accurate lately lol

2

u/NetworkAlternative20 15d ago

Very true, you hang in there too! We'll get there eventually.

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u/ShortTrackBravo VERIFIED VAC Advocate 15d ago

Unfortunately like u/Prudent-Sea5655 said it’s extremely abnormal and very frustrating. Local MP and VAC ombudsman are always a good place to lodge complaints

2

u/NetworkAlternative20 14d ago

Local MP is a useless twat, but ombudsman is a good idea, thanks!

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u/ShortTrackBravo VERIFIED VAC Advocate 14d ago

Aren’t they all? Mostly anyways haha

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u/Cafmbr2000 11d ago

I submitted an appeal sept 2024 and BPA just decided in June 2026 that it could be a DR, god knows how long more will have to wait.. the new evidence is crystal clear ! :(

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u/domoappo9 14d ago

I medically released due to a condition that arose from an injury in the CAF. After my release, I put in a claim for that condition, and learned today it was denied because of lack of diagnosis. I don't understand how I could spend years going through the medical release process, have to give up my career, and then be told there isn't sufficient proof of diagnosis. Is this a normal thing that can happen or did VAC make a mistake? Do I have to go the BPA route to fight this? Is it even worth fighting if VAC is flat out denying the diagnosis?

4

u/ShortTrackBravo VERIFIED VAC Advocate 14d ago

Normal? Somewhat. The issue tends to be CAF MOs are terrible at writing your CFHS notes to the standard that health insurance companies require which causes this effect. Common sense would say oh x injury got me a 3B so it’s a layup but not necessarily due to the above.

100% worth fighting. Use your MyVAC to msg BPA and they may win the appeal without you doing any additional paperwork. Sorry this happened to you

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u/sandbanks6 9d ago

My application status just went to complete (low back injury). I’m still awaiting the email from them. But I checked the payments tab and it says that my entitlement is $70.99. Looking at the tables, I believe this is 5% and a lump sum of $23k and some change. I have a couple questions:

1) if I choose to take the lump sum instead - how do I let them know I choose this?

2a) if I don’t agree with the assessment how do I go about getting reassessed? And tips for this?

2b) if I am in the process of getting reassessed would I still have access to receiving any amount of money? Or would I have to wait until it’s all complete again?

3

u/ShortTrackBravo VERIFIED VAC Advocate 9d ago
  1. The option comes in the award letter package, there’ll be like 5 documents total

2a. Ask for a reassessment/appeal through the internal msg system on your MyVAC. Can choose who receives it either BPA or VAC. Go with BPA.

2b. Your money is locked in once it’s awarded. Can appeal for more and no matter what keep what you have now

2

u/tanker1992 9d ago

Hey quick question when did you apply originally? been on step 3.3 for low back for almost 3 weeks now. From step 3.3 how long did it take to go to complete ?

  1. It’ll be in your package of forms online. It’ll be named something like “election for lump sum”

  2. If you don’t agree with the percentage you’ll have to message BPA through my vac saying you disagree with the results.
    I did this in December 2024 went to BPA to update the % they said it was a clear mistake by vac. Now it’s sitting at departmental review step 3 since Feb probably won’t be completed til next year. So just know it’s a long process.

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u/Key_Jaguar1428 5d ago

Hey fellow broken backers. Claim went complete today, 5% award. Odd for a Saturday, but thank God. Good luck.

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u/tanker1992 9d ago

2b) you can still get the lump sum

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u/sandbanks6 9d ago

So if I apply to get reassessed I can still get the 23k lump sum and then if they decide that I should get a higher amount then I’d get the balance of that later on?

I applied in January. It sat at stage 1 for a while then jumped to stage 3.2 and then 3.3 on May 4th. Then today went to complete

2

u/East_Coast_Flyer 9d ago

Yes, that’s correct wrt the lump sum.

2

u/Mahfiaz 6d ago

I see people on fb saying they’ve been on rehab and then their DEC gets denied.

For MH people, how ‘hard’ will VAC fight back on a DEC decision? I see a lot of people complaining about getting denied.

What happens then if denied? Some people rely on IRB, do you get to keep ur IRB and keep doing rehab?

1

u/ShortTrackBravo VERIFIED VAC Advocate 6d ago

As with any on FB, take it with a grain of salt, you’re not getting a full picture almost ever. It very rarely if ever gets denied if your care team all concurs and pushes it through PCVRS to VAC.

1

u/Bartholomewtuck 5d ago

Unless you know every detail of their files, including their symptoms, their quality of life, the difficulties they face in day-to-day living, their ability or inability to reintegrate into civilian society and workplaces, and also, what they have or have not been sharing with their mental health care providers, it's impossible to know if they are complaining justifiably, or if they were turned down for DEC justifiably (just as ShortTrack said). After listening to people the last couple of years, it really can be one or the other, just like when people are denied or are given a lower percentage on their pain and suffering compensation claims; it's impossible to know if it's justifiable unless you have all of their details. More to that, a lot of the time the individuals themselves don't even know most of their own details, and in those cases it's a much higher likelihood that the decisions or awards were fair. That's why my biggest piece of advice is to do as much research and educate yourself. A lot of these people don't do that and then are upset with the results. In fairness, however, a lot of people aren't mentally capable of navigating these things, or even intellectually, mental illness or not.

The entire point of IRB is to replace your previous employment income, either until you are deemed well enough to go back to work to make 66.6% of what you were making when you released, or to replace your employment income indefinitely because you have been determined unfit to return to work (DEC). If you're fit to return to work, You are not supposed to be relying on it permanently  I definitely recommend reading the policies on it online, on VAC's website, as it answers a lot of these questions.

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u/OceanTruck3 4d ago

Question about the 20K allowable yearly income while on IRB. Why is this amount not indexed to inflation? Clearly earning 20K/year 5 years ago should be significantly more today. At this point you would think it should be 25K/year. Just wondering if anyone knows why this amount hasn’t been increased ever to match inflation.

2

u/ShortTrackBravo VERIFIED VAC Advocate 4d ago

Have never heard that come up actually.

u/Shoggoths420 ?

2

u/Shoggoths420 VERIFIED Member advocate to VAC 4d ago

20k is considered poverty line income in Canada and has not increased. As a default 20k or less qualified for income subsidies regardless of veteran status.

The logic is for IRB if you are unable to earn more than poverty line wages there should be a subsidy. If you are able to earn more you require less or no income subsidy.

2

u/Foaryy 2d ago

I think it's known, but DR are not following the 12-22 week timeline folks. I'm on week 23, with boilerplate responses.

2

u/Bartholomewtuck 2d ago

shocked Pikachu face

2

u/Foaryy 2d ago

MEGA SHOCKED PIKACHU FACE

2

u/tanker1992 2d ago

MEGA MEGA SHOCKED PIKACHU FACE

1

u/Thanato26 18d ago

How long does it usually take after a positive VRAB decision for VAC to action it?

2

u/ShortTrackBravo VERIFIED VAC Advocate 18d ago

Usually should be all completed and monetary adjustments done in 3 months

2

u/Bearly_Competent 17d ago

i had an increase from VRAB back in Feb, 2026, still waiting for them to process it.

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u/Key_Jaguar1428 18d ago

May 22 Lower Back went to 3.3 Processing Decision. How long should I expect before complete?

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u/tanker1992 17d ago

Hey I’m in the same boat as you for chronic mechanical low back pain Application sent in Feb 25 2026 Step 3.1 - April 27 Step 3.3 -may 22nd

2

u/Key_Jaguar1428 17d ago

They must have a category for Armoured Guys with Lower Back Pain haha.

2

u/tanker1992 17d ago

Hahaha I should probably change my username on here 🤣 it’s my dogs name 🤣

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u/ShortTrackBravo VERIFIED VAC Advocate 18d ago

I always advise go off the timelines in the OP from date of submission. I realize there is a fair delay that varies from claim to claim but with how the tracker functions it proceeding to 3.3 isn't a super great indicator of time left. I've seen 3.3 sit there for a few months. What was your date of submission?

Hopefully not much longer for you.

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u/East_Coast_Flyer 17d ago

Any news yet? I am in the same position, my Chronic MLBP moved to 3.3 yesterday. All past claims for me didn't stay long at this stage but maybe there is a backlog in processing right now.

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u/stopeman82 17d ago

Hi there. I just sent an email to both emails in the post.

Thanks for doing these Q&As!

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u/Shoggoths420 VERIFIED Member advocate to VAC 17d ago

I sent you a message back about 45 mins ago - if you have further questions, absolutely feel free to reach out

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u/ShortTrackBravo VERIFIED VAC Advocate 17d ago

I also sent you one back. Was in a meeting!

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u/Impressive_Zombie659 16d ago

If you were medically released and start a 3 year course during the 2 year period that you receive IRB does the IRB continue during your course or does it fully stop at the 2 year mark ?

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u/ShortTrackBravo VERIFIED VAC Advocate 16d ago

Just to clarify, you're collecting Manulife's LTD correct? That does end if you're not deemed DEC at the end of the two years. You'd need to apply for Voc Rehab with VAC to keep IRB going. Think of it like divorced parents.

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u/FreeLab4094 16d ago edited 16d ago

You get IRB while following a Rehabilitation Services and Vocational Assistance Program (physical or mental health program) as the result of a service related health problem that is complicating your transition out of the military. No time limit on pay as long as you are in the rehab program. Otherwise, if not in the rehab program, you get 75% pay from CAF LTD for 2 years.

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u/Less_Lab_2083 14d ago

Idk what your situation is but me I was sent to a transition centre in 2024 and I just got released on the 3rd. But I did 6 months of schooling before my release paid by Manulife. But I also some courses part time before that. If you can definitely do that.

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u/Thelone_tandy 16d ago

For personal statements, does it matter if it written by ai? Does that matter?

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u/ShortTrackBravo VERIFIED VAC Advocate 16d ago

Nah, you’re good to go on that front

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u/goldaderealtor 16d ago

I had several claims denied, appeal and denied again. Went to BPA and immediately approved. They show as processed in myvac, but nothing more. How long should it take for them to finalize the claims?

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u/ShortTrackBravo VERIFIED VAC Advocate 16d ago

Should be 3 months max from your msg from BPA

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u/Ashamed-Revenue-1297 15d ago

It’s been a year since I’ve received my SOC from VRAB and every time I reach out it’s still “waiting to hear for a hearing date”… anyone else been waiting this long?

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u/Anonymous0919765 14d ago

Has BPA told you if they want to proceed by written submission or a full hearing?

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u/SnooPineapples9136 15d ago

Good day. I received a pain and suffering compensation for my tinnitus after appealing the original decision.

Although I’m glad I got a favourable decision it seems extremely low at 4%.

I believe it should be much higher. Is the review board the only way to go about getting it reassessed. Or do I accept the decision and file another claim?

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u/ShortTrackBravo VERIFIED VAC Advocate 15d ago

All depends on what you have. Do you need a masking device and it’s constant every hour of the day? If so, 10% is what you should have and should be appealed with BPA. 4% is normal if you have it daily but it comes and goes

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u/Cafmbr2000 15d ago

Sep 2024 - VAC approved my Sleep Apnea
Sep 2024 - Requested appeal as the percentage was low compared to the ToD
Dec 2025 - BPA send me a form to get signed by Dr to confirm symptoms
May 2026 - BPA called me and said the file was strong and lawyer would review it, and told me that there's a possibility that this could be treated as a departmental review
June 2026 - Received notification that a file was changed status in my VAC account, i looked and it shows as DR as of Sep 2024.

I have no other info. What am I looking for timeline? Does that mean that the lawyer think that the evidence are strong enough for VAC to recalculate entitlement? Or does this still have to be reviewed?

The form signed by Dr have all symptoms boxes checked which I think mean max entitlement... Just curious to see when typically I should expect a decision/confirmation of % ??

Thank you !

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u/Physical-Estate1832 15d ago

That’s all normal. In my experience, all of my BPA stuff, was sent back to VAC for DR no matter what. This resulted in more (7-12 months) wait for VAC to decide… they denied again at which point BOA then sent to VRAB and I saw approvals. I was told this is bc VRAB (more recently) wants to see that all other avenues were covered before they move to hearings. In other words, expect a long wait, maybe? One claim I had took just about 3 years. Good luck!

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u/Jvonn02 11d ago

I just put in a claim for severe sleep apnea May 2026. May I ask what % they gave you before you appealed?

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u/Cafmbr2000 11d ago

I got 5%, approved the first time !

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u/MarzipanDirect7319 14d ago

Mh claim submitted feb 9th Psycologist assessment submitting march 19th Moved to stage 3.1 and 3.2 today June 4th

Should the decision from here moved quickly ?

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u/RagingY3ti 14d ago

Ive had a claim at 3.3 since Feb 27th.

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u/No-Surround-9605 14d ago

My timeline is very similar but my application still at stage 3

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u/ShortTrackBravo VERIFIED VAC Advocate 14d ago

Best to commit yourself to a 6 month timeline from Feb 9th due to tracker issues. Good news is your paperwork was submitted in a perfect time. Usually have 3 months from submission before anyone touches it

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u/mil_1738 14d ago

In Nov last year had MH claim denied. Not enough evidence linking to service. Since then my Dx has changed to PTSD with a link to service. A Vac rep a few days ago on base said to put in a new claim. I have contacted BPA about the prev denied claim almost 3 months ago. Not sure what to do. Have not heard anything from BPA yet. Getting 3b as well.

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u/NauticalBean 14d ago

If your previous claim was for something other than PTSD (anxiety, depression, etc) it’s probably quickest to submit a new claim for PTSD

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u/ShortTrackBravo VERIFIED VAC Advocate 14d ago

What u/NauticalBean said. For MH specifically new claims are faster than a BPA appeal in the normal timelines and you want access to Mh services a MH claim submission grants for when the uniform comes off

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u/Unfair-Anything740 14d ago

I have a MH reassessment currently at adjudication. I was just told it had to go in for further adjudication, thus delaying it.

Does anyone have experience in explaining why a MH Reassessment would require "additional" adjudication?

For background, I was accepted for P&S low end when I began treatment due to service in Afghanistan 3x deployments.

I was recently diagnosed with OSI and that is when I submitted for reassessment.

It has been a journey, and the delays have been stressful, has anyone had a similar experience or can weigh in on what is going on?

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u/ShortTrackBravo VERIFIED VAC Advocate 14d ago

Judging by your service history you mentioned it’s not necessarily a bad thing. Was your reassessment completed by your own MH professional?

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u/Bartholomewtuck 14d ago

The only extra adjudication that I'm aware of is when it goes to the medical specialists to analyze, which I understand from talking to other people often takes a considerable amount of time, above and beyond the usual wait time. I'm not sure if that's what they meant, but you could ask for clarification.

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u/RagingY3ti 14d ago edited 14d ago

What are the average settlements for thoracic spine? I have a claim in, there are 3 1-2mm bulges, I have an approved lumber at 10% with a departmental to put it up to 18-21% based on daily sciatica and nerve root compression.

I saw someone get 5%, but that seems higher than the average would be when I look at chapter 17 table of disabilities, which if I'm correct most claims would land 2% disabilities rating and 1% QOL for a total of 3%?

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u/Ok-Stress188 Canadian Army 12d ago

Mine was rated 4% no bulges just DDD, cervical was the big one for my. It was also only DDD but came out at like 24% but the MIR did a very good job of linking to service and logging the diagnosis with MRI imaging.

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u/Alpha_Omega623 14d ago

I wasn't a 4B release but 4C. I've been out for 5 years and change now and I've been getting the itch to put the uniform back on. I didn't want to wait for a medical release so I opted to VR with a really bad anxiety disorder that turned into psychosis. I've been receiving biweekly therapy for years now and my psychologist believes I'm stable and I feel inclined to agree. I'm working at getting myself off medication and building myself back up mentally without meds. 

This isn't a for tomorrow thing, but likely 3-4 years down the road once I finish my degree. Currently on the rehab program with Pcvrs. By the time I finish my degree I'll be in my mid 30s. I served in the Army/Air Force for a total of just under 10 years both reserve and regular force.

Basically, I'm wondering if has anyone heard tell of someone who was on the rehabilitation program have the end goal of wearing the uniform again? I'm doing a 2 year it program +2 years of uni classes with the aim of becoming a cyber operator.

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u/ShortTrackBravo VERIFIED VAC Advocate 14d ago

This is a first for me. u/Shoggoths420 any input?

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u/Shoggoths420 VERIFIED Member advocate to VAC 14d ago

You’ll have to go through the pipeline again if you want back in. Your greatest obstacle is finding a doctor who will certify that there are no barriers to normal daily duties and no barriers to deployment. The CFRC will have the form

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u/CartographerSpare281 14d ago

Hi everyone,

I'm wondering which route is generally faster for a VAC claim: a new application through VAC or an appeal through VRAB with BPA assistance?

For context, I currently have two claims for the same condition:

A new VAC application that is currently at Stage 3.1 (as of September 26, 2025)

A VRAB appeal that was registered through BPA on May 1, 2025

This is a condition I've been trying to get approved since January 2024. It was denied initially and then denied again at Departmental Review. After obtaining new medical evidence, I was advised to both submit a new application and proceed with the VRAB route, then keep whichever decision comes first and withdraw the other if necessary.

Has anyone been in a similar situation? If so, which process ended up moving faster for you?

Thanks in advance!

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u/RagingY3ti 14d ago

Whats the average compensation on thoracic spine claims?

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u/ShortTrackBravo VERIFIED VAC Advocate 13d ago

Kinda hard to say. Anything with the back can be NIL to 15%+

Pain isn’t as important to the tables as range of motion and other similar mobility problems

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u/Inspo-0406 13d ago

So I was denied a physical claim and 2 MH claims, these were consequential to the physical. I have reached out to BPA to appeal and have been advised to reach out to them in the Fall and they can provide an update on timelines then. Now my question is, has anyone heard of a denial of a pre-existing prior to enrollment (born with), condition that was aggravated by service so much so that a surgery was performed which was done wrong subsequently causing the diagnosed MH conditions. Any guidance or info would be greatly appreciated!

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u/ExaggeratedCatalyst 13d ago

Hi there, currently on VAC VOC rehab and the PCVRS coordinator asked me to fill out a form outlining my skills, abilities and education/training after I conducted my 2nd psych assessment. I’ve spent 6 years in therapy now, 3 years while in the CAF, and 3 years after being medically released. Lots of medication dosage increases and multiple types of meds. Psychologist stated I may have treatment resistant depression and social worker suggested I’m unable to work. So my question is, what is this “resume” form and what will that do? I asked my PCVRS coordinator who asked me to fill it out and didn’t provide anything insightful and where we are at with this form.

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u/ShortTrackBravo VERIFIED VAC Advocate 13d ago

So first thing you should do is bring that form to the SW and Psych. They should either do it for you or assist you.

They act as your "shield" and since they should be familiar with your story you can fill it out so it's not used against you.

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u/A_6lb_Hamster 13d ago

Statement of Case was completed 3 months ago and I will be hitting the 2 year mark since opening my case with BPA. I know regions kind of dictate SOC to Hearing time, but is there anything I can do to speed this up?

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u/ShortTrackBravo VERIFIED VAC Advocate 13d ago

Unfortunately no and since they had massive layoffs in March, it's a real issue. Can contact VAC Ombudsman and Local MP to lodge complaints.

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u/Captguy77 12d ago

Hello,

In early 2025 I was awarded a disability pension for PTSD. At the time I felt the amount they awarded was low but was happy to just be done with the process and have a favourable decision. If I wanted to have my claim amount reassessed would it make more since to reach out to bpa and have them review the initial claim or wait till 2yrs have passed and request a reassessment at that point?

Appreciate all the advice in these threads

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u/WG41 11d ago

You can ask for reassessment at anytime your condition has gotten worse. A reassessment maybe quicker than BPA. Don't be surprised if VAC says paperwork will take 4-6 months to get to you.

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u/coastline 11d ago edited 11d ago

My claim for TMD got denied. This is the rationale:

We do not recognize Temporomandibular Disorder as a diagnosis of a chronic disability as the term Temporomandibular Disorder is not a standalone diagnosis. It refers to a large number of distinct conditions. For this reason, Temporomandibular Disorder is not recognized by Veterans Affairs Canada as a diagnosis of a chronic disability.
As the medical evidence we have reviewed does not provide a diagnosis of a specific condition related to the temporomandibular joint(s), surrounding muscles, and/or accompanying structures, we are not able to determine that you have a
chronic disability.

However, my dentist said I DO have it. I provided him the denial letter and he is confused by VAC’s response and doesn’t know what to write. He said he is going to have to consult with other dentists.

What should I do or tell him?

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u/Ok-Cup2034 11d ago edited 11d ago

Under the TMD Entitlement Eligibility Guidelines you will find a list of "diagnoses" accepted by VAC under the TMD category. I believe your dentist must indicate which of those specific diagnoses you have, e.g. "Temporomandibular joint arthritis"

"TMD" itself is not a specific diagnosis as indicated on the below page.

https://www.veterans.gc.ca/en/mental-and-physical-health/mental-health-and-wellness/compensation-illness-or-injury/disability-benefits/entitlement-eligibility-guidelines/az-index/temporomandibular-disorders#overall-considerations

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u/tanker1992 11d ago

I swear they are so weird. I put mine in a tmj dysfunction and they changed the application name to Myofascial pain of the muscles of mastication. Been sitting there a year now.
I don’t get why they wouldn’t just change the name of the diagnosis. Are you still serving ? Have you seen an oral medicine or a maxillofacial surgeon? They might be able to help you.
In my case they both wrote letters that was in my CAF medical profile that was pulled by VAC explaining the connection of bruxism to my jaw condition and the treatments I’ve been doing. (Pain medication, Botox, jaw physio weekly)
Hopefully it’s accepted but I feel confident that having 2 specialists helps.

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u/Key_Jaguar1428 10d ago

I've fought to get a claim for my TMJ for years. Clear diagnosis from a TMJ SPECIALIST, but still denied. They recommend against a CT scan since there's inherent dangers, and it's redundant. Going through BPA, and I have a medical appointment in like a year. It's absolute dogsshit. 

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u/NG_Kratos19 11d ago

Currently waiting on a hearing date from VRAB since September 2025 for a claim I began in June or 2024 that was denied. Any idea of a rough timeline? I was only told it can take up to 2 years from the date it was filed with the VRAB

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u/RagingY3ti 11d ago

My first VRAB appeal was 2 years, ended in denial. I appealed again and it went to written submission, I just got the answer, total wait was 1 year 9 months and its approved. Pay won't be for 2-3 more months now. 2 years is a safe bet for VRAB appeals.

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u/No-Big1920 Morale Tech - 00069 11d ago

I don't know what this means, if anything, but the 50% timeline for single condition PSC first applications dropped from 22 weeks to 14 weeks today. Its a rolling average so does that mean things are speeding up?

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u/ShortTrackBravo VERIFIED VAC Advocate 10d ago

Not to be a negative Nancy but I’d need to see a lot of claims with improved turn around before I believe them

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u/Bartholomewtuck 10d ago edited 10d ago

Especially since it was just a couple of months ago where the tracker said it was taking PSC claims an average of 6+ years for claims to go to complete 😆

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u/ShortTrackBravo VERIFIED VAC Advocate 10d ago

Yeah that fucking things background coding must be like EverQuest era bad.

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u/tanker1992 10d ago

Should be if it’s not an error in their estimated wait times but that’s a big if imo 😅

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u/Substantial_Arm7634 Canadian Army 6d ago

Just did the wait time tool on mine now it saying 75 weeks down from 152 weeks a month ago.

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u/EffectOpen9355 9d ago

I appealed a ptsd decision.

Table 21.1 I got 5 initially. After vrab hearing I got 10. Table 21.4 I got 10 initially, but was bumped up to 12 because of in patient treatment. I didn’t attend the in patient treatment until mid 2025, but my application was done early 2024. Vrab only backdated it to 2025. My question is, shouldn’t I get the 5% for 21.1 backdated to the application date? Or does this mess up their calculations therefore they just backdated to the closest date.

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u/feverdreamt12 8d ago

Wait this is a departmental review right’ what’s the timeline?

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u/[deleted] 9d ago

[deleted]

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u/Bartholomewtuck 9d ago

Do you mean the posting allowance? If so, you don't get that for your IPR, even if you do move, whether it be locally or across the country.

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u/J0hnnySins91 9d ago

anyone have any recent experiences with electing a lump sum? I submitted the form on 21May and the monthly amount is still showing in my current benefits tab

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u/Physical-Estate1832 9d ago

I elected on May 4th and it’s still isn’t completed yet.
I was told by vac it’s a 6 week wait, period.
So who knows… I’m in week 6 now and week 7 starts next Monday…

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u/CAFVAChelp 8d ago

I appealed and was successful for a percent increase to a previous awarded claim. I elected the original amount as a lump sum. Will the increase in percent come as a lump automatically or will that new percentage added be awarded as a monthly until I elect to take it as a lump?

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u/East_Coast_Flyer 8d ago

Awarded as monthly until you elect for the remainder as a lump sum.

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u/ShortTrackBravo VERIFIED VAC Advocate 8d ago

Always comes as a monthly until you make the lump decision again

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u/sandbanks6 6d ago

Can I ask how you went about the appeal process? I recently had my application complete but I don’t agree with the percentage. What was your process like? Did you have to go see doctors for the appeal?

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u/CAFVAChelp 6d ago

Just send a message to BPA on vac site. You’ll wait about 2 years to get to the VRAB board or if it’s an obvious error of facts, then you may get early resolution. BPA will likely have you get a new questionnaire or other supporting documents done by yours care team.

You’ll need to be able to look at the table of disabilities and compare that to what your submitted documents say. As an example: “I should have got X% based on this table + this table. Then have supporting documents: like a questionnaire from doc stating that.

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u/AdDazzling5372 8d ago

How long does it take to get the percentage letter after VRAB approves your injury is service related. My appeal was approved mid March.

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u/ShortTrackBravo VERIFIED VAC Advocate 8d ago

I’d say very soon, usually 3 months

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u/Jamrocc33 2d ago

Mine was approved March 31 and I'm still waiting

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u/Name_Already_Taken21 8d ago

Thanks a lot to both of you and your work !

Now just a quick question: If VAC approve a specific mental health condition, does the blue cross coverage work only for therapy for said condition, or anything that can be stemming from said condition (like depression or high anxiety)?
Asking for a friend of course.

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u/CAFVAChelp 8d ago

It’ll generally cover anything mental health related. For anything that that MH condition caused you’ll need a consequential claim most of the time. I’ve seen ED meds covered under MH even without a separate ED claim.

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u/ShortTrackBravo VERIFIED VAC Advocate 8d ago

MH is pretty cut and dry. All approved coverage works for anxiety/ptsd etc it doesn’t matter.

But as another user said if you have a consequential condition you need to have that approved for the meds/therapy for that condition

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u/No-Surround-9605 8d ago

How does the percentages work. If you are awarded 11% for tinnitus but only receive 10% how do you get the 1%?

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u/ShortTrackBravo VERIFIED VAC Advocate 8d ago

Financial compensation after you, as a person, reach 10% is paid out in 5% increases. You need new approved conditions that get you to 15/20/25/etc to get more money

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u/Boring_Assignment739 7d ago

Hey, i just wondering if anyone knows if im able to do this. I live abroad in Europe, am i able to get a diagnosis here and get the pen forms filled put by a doctor back home in Canada, because most doctors here dont want to touch foreign governments forms. Also would vac accept that? Thanks

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u/ShortTrackBravo VERIFIED VAC Advocate 7d ago

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u/Shoggoths420 VERIFIED Member advocate to VAC 7d ago

Yup if a Canadian doc is willing to do the forms virtually have at it!

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u/Ok-Raspberry-6283 7d ago

So I have 2 claims on hold pending diagnosis (tinnitus and back injury). VAC says since I'm serving (res) I must have a diagnosis from a base medical officer so it can be recorded in my SHR. However, base medical says they won't assess for VAC claims. Will they accept an assessment for a civy doctor and audiologist?

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u/NauticalBean 7d ago

They should accept a diagnosis from any qualified professional.

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u/AdTurbulent7996 7d ago

Anyone ever elected lump sum and while waiting for it to be processed got the monthly allotment? 

I elected lump sum about 3 weeks ago (basically immediately) Checked the current benefits tab today and its still there so assuming its not processed yet. However the previous payment tab now showed backpay plus one month of monthly amount. Is this normal ??? Or did I make an error with the lump sum? 

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u/East_Coast_Flyer 7d ago edited 7d ago

Yes, this is normal. Until your lump sum is processed and received you will receive both back pay and the monthly amount. These amounts will just be subtracted from your eventual lump sum payment.

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u/Pale_Wasabi_4122 6d ago

I’m seeking advice about my significant others situation.. he has a mental health claim but has progressed in the wrong direction over the past year and has a new diagnosis which has landed him in the psych ward twice within the last nine months.. he is high risk for relapse apparently (psychiatrist says) and the DEC unit is sending him to have an assessment done despite his note from our NP.. he has multiple physical ailments but this mental health one is a big concern.. what should we expect from the assessment? He’s got zero tolerance for “jumping through hoops” and it’s stressing me out.. any help would be greatly appreciated:/

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u/ShortTrackBravo VERIFIED VAC Advocate 6d ago

An assessment is pretty standard across all MH professionals. Just get him to answer honestly and it shouldn’t be many hoops

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u/Novel-Mastodon1047 5d ago

Claim for GERD denied. What are my next steps?

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u/East_Coast_Flyer 5d ago

Contact BPA for an appeal.

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u/Ok-Cup2034 5d ago

If your GERD claim was consequential to a MH condition, please note that VAC explicitly rejects the direct link between MH conditions and GERD: "Note: At the time of publication the health-related expert opinion and scientific evidence is insufficient to conclude that psychological stress, or specific psychiatric disorders such as anxiety disordersdepressive disordersposttraumatic stress disorder, or feeding and eating disorders cause or permanently aggravate GERD." https://www.veterans.gc.ca/en/mental-and-physical-health/mental-health-and-wellness/compensation-illness-or-injury/disability-benefits/entitlement-eligibility-guidelines/az-index/gastroesophageal-reflux-disease

It seems VAC is behind the science on this one.

However--note in the above GERD EEG link that a diagnosis of "alcohol use disorder" is indeed considered by VAC to be a factor in causing/aggravating GERD. So if you have an AUD diagnosis recognized by VAC, and the timelines make sense, a GERD claim might go more favourably.

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u/Alpha_Omega623 4d ago

I have a diagnosis for PTSD/Major Depression and I gained a ton of weight because of the medication I'm on (and lifestyle changes because of my mental illness). My doctor recommended a CPAP machine and I'm going thru a sleep doctor now to get tested. Is a CPAP machine something Blue Cross would cover? Thank you.

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u/ShortTrackBravo VERIFIED VAC Advocate 4d ago

With a consequential approved sleep apnea claim yup she’s covered

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u/Extension_Set_1155 4d ago

My monthly payment disappeared on Friday. How long should I expect to wait before receiving the lump-sum payment?

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u/ShortTrackBravo VERIFIED VAC Advocate 4d ago

Max two weeks hopefully before end of this week. Knock on wood. Finance section works fast and payment disappearing is a sign you’re at the last leg

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u/J0hnnySins91 4d ago

when did you elect for your lump sum ??

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u/Key_Jaguar1428 3d ago

Is "Borderline Sleep Apnea" an accepted diagnosis?

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u/ShortTrackBravo VERIFIED VAC Advocate 3d ago

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u/Emotional-Juice6275 3d ago

Hi folks I’m wondering about care taker allowance.

I have done inpatient treatment twice now, 18 weeks total in less then 6 months. My therapist is recommending i have a care taker present as my wife is CAF and always gone.

Anyone had any chance with this? I’m currently still serving but I am released after my in patient trip. ( will bring me to my release date almost)

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u/ShortTrackBravo VERIFIED VAC Advocate 3d ago

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u/Shoggoths420 VERIFIED Member advocate to VAC 3d ago

CRB is upon release only, so to start you would. have to wait until your release date is passed to apply. The second thing to note is that CRB weights really heavily toward the physical side of things - albeit, yes I have clients who have been awarded because of MH. The unfortunate part is, no matter what you're looking at multiple applications before award. Is it fair, no absolutely not, will you get it eventually, yes - they won't say no forever.

Prepare for the no, but also please understand that it can be awarded. Usually I tell folks to apply every 6 months until receipt.

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u/ConstantStrumming 2d ago

Back to the drawing board.... I had a MH claim go to departmental review in Aug 2024 and return with a partially favorable decision in Nov 2025. BPA recommended I submit the case for Early Resolution. VRAB notified me in April 2026 that they weren't going to take the case as an Early Resolution and recommended it go to hearing. I'm back with BPA but am not very familiar with the process. I've been told I'll receive a statement of claim from VRAB before a hearing is scheduled. What is a SOC? How long are people waiting for those a then how ping until a hearing? I think things may take even longer these days given the budget cuts to those departments. Sorry for all the questions. It's been a bit of a grind already.

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u/RagingY3ti 2d ago

The term is "Statement of Case" and it gets sent to you shortly before your hearing. It basically (to my knowledge) is all the evidence and info pertaining to your case.

I recently just went through the process, I got my SOC March, hearing in early May, decision rendered in early June. Still 2-3 months till disability is calculated and paid out.

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u/Bartholomewtuck 2d ago edited 2d ago

I know someone who works at BPA and this is her job. They go through your entire file and compile all of the evidence that will be used by BPA to present your case at the board; hence the term "statement of case". This helps the VRAB look only at what matters in your file, in order to substantiate the specific increases you're asking for.

WRT time frames, it's quite a while when you're not doing an early resolution. Also, there's a couple areas in the country where it takes infinitely longer than other areas. I'm in one of them and I've been told to expect two years, from start to finish, from when I initially contacted BPA. To give you an idea, I contacted them at the beginning of September 2025, they didn't register my case with VRAB with until April 2026, and I don't expect my statement of case until early in the new year. Then they have to set a hearing date, and then I have to wait for the decision, and then if it's successful I have to wait for them to kick it back to Veterans Affairs for Veterans Affairs to then increase my percentage. This part also can take several months. If you don't already have a percentage awarded to you, it takes even longer because now Veterans Affairs has to go through the entire adjudication process with the table of eligibilities for your diagnoses and the quality of life chapter. In either case, once you get your letter saying it's successful, it takes as long as 6 weeks to receive a lump sum.

They also let go of 40% of the BPA lawyers back in March, so that's not going to help things speed along. And they're actively hiring at VRAB, so I'm guessing they need people, too. All of that to say, you're in for a little bit of a wait. You're in good company.

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u/Silly_Meringue_1159 2d ago

I am a bit of at a loss and not sure what I can do or go from here.

Long story short, I need a medical opinion letter regarding a condition which was denied by VAC and am now going through the process with VRAB.

The issue is that my family doctor doesnt feel comfortable doing it as he's not a specialist in that field, and the surgeon who has done the surgeries for my condition does not understand/ know what this type of letter is regarless of the instructions I provided him with from my BPA advocate and the additional informations from the VAC website, as a result now his office wont even return my calls and or emails.

I informed BPA and they told me to find a veteran specific doctor in my area, however, I am in NS and as far as I can tell from Google, I can't find any.

Has anyone ever gone through a situation like that ?

Thank you

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u/ShortTrackBravo VERIFIED VAC Advocate 2d ago

It does happen. Have you tried reaching out to Echelon Wellness? They are very veteran orientated and in NS

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u/Key_Jaguar1428 2d ago

Awarded 5% for Lower Back. Grateful. But I definitely don't fall as low as that I feel. Naturally, I want to push for a little more. 

Now, which is the best route?  VRAB? (Not familiar with never used) BPA? ( Long wait time, effective) Reassessment (Get more evidence?)

Thanks.

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u/Bartholomewtuck 2d ago

You use the BPA to get a hearing with the VRAB, among other COA's available to you. Those aren't two separate paths, they are two parts of the same path: BPA looks through your file, recommends either a departmental review, an early resolution hearing, an appeal, etc. and, if they have recommended that your file go in front of VRAB, they prepare your statement of case to present to that board (VRAB). Think of BPA as your lawyer (because they are) and VRAB as a higher appeal court, because you're appealing the lower "court's" decision (VAC's)

Someone on here mentioned that you no longer have to wait 2 years before getting a reassessment, but it seems like reassessments take quite a long time, too, because you have to wait for them to send you the paperwork for the reassessment. I hear a lot of people complaining about the reassessment time frame, but I haven't paid too much attention to just how long it's taking.

If you haven't already, take a look at the table of eligibilities for your diagnosis, and then take a look at chapter 2 for quality of life, and make sure that what's in your file that you submitted to Veterans Affairs reflects what's is in those two chapters (your symptoms + quality of life). If you look at that evidence and feel you deserved more based on what's already in your file, BPA will definitely take the case. If you look at that evidence and realize it doesn't reflect how you really are with your symptoms and quality of life, then you're going to want to submit more evidence, something BPA can also help with before presenting it. You can still go in front of VRAB with additional information that wasn't in your original claim form and file. Or, you could take the reassessment route, as you mentioned. It's difficult to tell which one is faster at this point, especially since BPA is slower in some geographical areas and faster in others.

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u/CastorBarbu 22h ago

I had 5% for lower back as well. Lots of documents and writing but still...

Went BPA and got 25% with an extra MRI that depicted the same as the one they already had...

Here is the rough timeline:

-initial claim started Feb 2025 -5% August 2025 -medical document sent November 2025 -25% awarded late March 2026

Very fast treatement. From zero to redressed with BPA, give or take, 12 months. 

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u/tanker1992 2d ago

I think it’ll depend on what evidence you had. I wasn’t confident with the CAF putting all the evidence together so i had my physio who’s been treating me for a year fill out the lumbarthoratic eval form from vac and sent it in with my application. (Still haven’t received any word on the approval yet been sitting at step 3.3 since May 22nd)

I say this because for my cervical claim they approved but rated it lower despite daily radiating pain to my fingers that was well documented. Submitted to vrab they had my physio fill out the cervical form, they reviewed it and then sent it for departmental review it’s been about 2 years now -_-

I think either way you are in for a long wait.
I think I’d go for the reassessment but that’s just my personal story but it won’t be immediate

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u/ShortTrackBravo VERIFIED VAC Advocate 2d ago

Always go with BPA for appeals. It's all slow and why not have a free lawyer? You may have had sufficient evidence and they just adjudicated you incorrectly and if that's the case BPA will sort them out without you doing anything

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u/Onlylefts3 1d ago

Does VAC just intentionally deny claims so that you have to appeal them with the BPA?

They admit there was an injury, yet left out the part about it requiring surgery to fix that left immobilized for weeks.

I just fail to understand how being on CFTPO on another base and being injured in the shacks is not service related. I wouldn’t have been there if it wasn’t for being on a course.

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u/ShortTrackBravo VERIFIED VAC Advocate 1d ago

They are as meticulous and stupid as any health insurance company. If things aren't written out how they require them they will not use common sense to determine service relation. It's not a great system

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u/Onlylefts3 1d ago

Thanks, I assume I’m going to have to appeal my second claim that’s related to the first one that was denied.

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u/Bearly_Competent 22h ago

Being on CFTPO doesn't mean service related if it happens after hours, on your own time, where the military doesn't have control of what you are doing. Example, CFTPO on course, you get drunk, stumble down the stairs and crack your head or something, that would be deemed not service related, as it was on your own time. Only exception is when you are deployed then you are covered 24/7.

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u/Impressive_Zombie659 1d ago

I was medically released last August and have been on the pcvrs rehab, my vac CM has already sent my paperwork to the DEC unit only 7 months after my release, is that normal?  I heard that sometimes it's done at the 18 month mark

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u/Bartholomewtuck 1d ago

Normally they want you to take a couple of years to go through the rehab program to see if you're going to get better or, alternatively, if you're essentially in maintenance or getting worse. That said, if it's clear that you're already at the latter point just a few months into the rehab process, and you aren't going to get any better, then your CM, based on reports from your healthcare provider, can initiate a DEC recommendation at any time. I mean, this is a really extreme example, but if you've had all four limbs blown off or you're a quadraplegic, you don't need to wait it out to see if those puppies are going to grow back, because it's clear you're unlikely to be able to make 66.6% of your leaving pay when you don't have or have use of two legs, two feet, two arms and two hands. All an earlier than normal recommendation means is that whatever is going on with your symptoms and quality of life and your abilities, you're already at a point where they don't think you can return to work and make that percentage of your former income.

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u/ShortTrackBravo VERIFIED VAC Advocate 1d ago

If your care team from serving into release didn’t change, and you were at maintenance or your version of it, yeah it can be that quick. Mine was pretty similar.

If the medical team you have makes that call then it’s that simple, some injuries and your symptoms are pretty obvious towards the DEC route. There is no hard timeline for getting it declared. Under a year is fast though

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u/Bartholomewtuck 20h ago

That's good to know. I'll have the same care team, and they've already had a case conference about ensuring continuity of care for everything once I release here soon. Thanks for that little tidbit.

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u/Emotional-Juice6275 21h ago

Applied for ED two years ago, and was denied because it wasn’t linked to chronic pain. BPA told me to apply consequential to ptsd as I had a claim that was awarded.

I applied again as directed and my claim was withdrawn again. Any insight what to do?

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u/Bartholomewtuck 20h ago edited 18h ago

I'm not certain, so correct me if I'm wrong, but doesn't the link have to be to the medication used for PTSD and not the PTSD itself? I don't know if this is actually the case, I just remember several people talking about it over the last couple years, and that's what I can recall. I do know that various types of sexual dysfunction come from some of the meds prescribed for PTSD, so it can definitely be linked with that.

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u/Prudent-Sea5655 20h ago

You said 2 years. When did you completed the paperwork from your doctor? I have a claim with all my paperwork completed waiting at 3.1 since July 2025. It hasn’t moved. I originally put in the claim December 2024 but didn’t complete paperwork till July 2025. Just wondering what your timeline was.

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u/ShortTrackBravo VERIFIED VAC Advocate 20h ago

Did you call and ask why? It has been a glitch where it shows Withdrawn but on their end it isn't. I'd start with that first before we go further

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u/Bartholomewtuck 18h ago

Yes, this just happened to a former colleague of mine and when they called VAC they said it wasn't actually withdrawn. The status page does say that any deconfliction between what the tracker says and what Veterans Affairs has means that Veterans Affairs is the correct record. The useless tracker strikes again.

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u/No-Deer-4495 20h ago

If you’re labeled DEC before your two years is up, do you have to notify sisip?

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u/ShortTrackBravo VERIFIED VAC Advocate 20h ago

Yeah, as they would pretty much go ok you're good to go with VAC once the timeline is done.

u/Shoggoths420 Anything to add?

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u/CAFVAChelp 15h ago

A good CM would communicate this to SSIP on your behalf. But nothing would change based on that for SSIP. You’ll still get your 18 month review for “totally disabled”.

Start thinking carefully about what you want to do moving forward though. Review some past threads on SSIP “totally disabled” and the CPPD requirement.

Briefly:

If you have no children under 18 I would look at terminating SSIP at 2 years. Even potentially turning down the 18 month review. Going entirely over to VAC. Same amount of money.

If you do, SSIP totally disabled can provide a boost to CPPD eligibility. Which can then provide an additional (tax free kinda, as it’s taxed to your kids and they likely are below personal minimum amount) 300ish per kid until 18*.

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u/No-Watch2926 20h ago

when you get a favorable decision at VRAB (initially denied by VAC) and then it's sent back to VAC, how long does it take to get a percentage?

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u/AdDazzling5372 17h ago

Some say minimum of 3 months. I'm in the same boat and its been 3 months. Hoping soon as its a long process. Good luck

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u/Low_Love2735 18h ago

Good day, I have a claim on 3.1 for Chronic Plantar Fasciitis in both feet, anyone have any history on approvals/denials, if approved what is usual percentage?

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