For veterans dealing with pes planus, commonly known as flat feet, pursuing a VA disability for flat feet is crucial in securing the compensation they deserve. However, it’s not uncommon for flat feet VA claims to face denials. If you find yourself in this situation, don’t lose hope.
This guide will walk you through the essential steps to take if your flat feet VA claim has been denied, helping you understand the reasons behind denials and the appeals process.
What is Pes Planus (Flat Feet)?
Pes planus, also known as flat feet, is a medical condition that manifests as the absence or reduction of the natural arch in the sole. This condition may be congenital, meaning a person is born with it or acquired, often due to injuries or the gradual wear and tear over time. The implications of flat feet can extend beyond mere discomfort, frequently leading to persistent pain and reduced mobility.
For veterans pursuing VA disability benefits, flat feet present a genuine and often debilitating concern, as the condition can significantly impact their daily lives and overall well-being. Consequently, understanding how the VA assesses and rates this condition is essential for those seeking compensation for their service-related medical issues.
How Are Flat Feet Rated?
Understanding how the VA assesses and rates flat feet as a disability is necessary when pursuing a VA claim for this condition. A pes planus rating can vary and typically falls between 0% to 50%. The degree of impairment experienced by the veteran plays a pivotal role in determining the precise rating. This rating system considers the impact of flat feet on the individual’s daily life, considering factors such as pain, mobility limitations, and the need for assistive devices.
Why Are Flat Feet Claims Denied?
Unfortunately, many veterans face the frustration of having their flat feet VA claims denied, which can happen for various reasons. For example, failure to establish a service connection is one of the leading issues resulting in a denied claim. To successfully pursue a claim, Veterans must demonstrate that their flat feet condition is related to their military service. Sometimes, this connection is not adequately established in the initial claim, resulting in a denial.
Another reason a claim is frequently denied is not submitting sufficient medical evidence to demonstrate that the severity of the Veteran’s condition warrants receiving disability benefits.
Upon receiving a denial letter, it’s essential to review it carefully for specific details regarding the reasons behind the denial. Understanding the grounds for denial is the first step in taking corrective action, and veterans can appeal the decision if they feel it’s unjustified.
Service Connecting Your Flat Feet Disability
Establishing a clear service connection is crucial to increase your chances of successfully pursuing your flat feet VA claim. One powerful method is obtaining a medical opinion with a nexus letter from a qualified healthcare professional. This document can connect your condition directly to your military service. Providing an expert opinion that clearly links your current condition to your time in the military with a nexus letter strongly substantiates your claim for VA disability benefits.
What To Do If Your Claim Is Denied
If your flat feet VA claim is denied, it’s imperative to respond promptly to initiate the appeals process. Appealing the denial and going through the appeals system may take some time, so managing your expectations regarding the timeline is essential for your peace of mind.
- Submit a Notice of Disagreement (NOD): You’ll need to go through a series of stages, starting with submitting a Notice of Disagreement (NOD). This document serves as notification to the VA of your intent to challenge the denial. The VA will conduct a review of your case. If the initial denial persists, your claim advances to the next level—the Board of Veterans’ Appeals (BVA)—for further evaluation.
- Support Your Appeals Claim: You must accumulate all the relevant medical records and supporting documentation to substantiate your appeal. This evidence must be meticulously organized and directly relate to your flat feet condition. If your VA claim is denied with a nexus letter, you have the right to get an examination from a private medical professional to bolster your claim.
- Carefully Monitor Your Claim Status: Exercise care in your submissions to avoid common pitfalls that might hinder your appeal. Refrain from submitting duplicate documents or inundating the VA with extra paperwork. By adhering to these principles, you can navigate the appeals process effectively and increase your chances of overturning the denial and getting the compensation you deserve for your disability.
If you have difficulty at any stage of the claims process and need assistance, you can consult an accredited law group like VetsForever or a Veteran Service Officer (VSO) for help. These professionals can guide and support you throughout the claims process, ensuring you have the information and resources to pursue your claim successfully.
FAQs
Can I appeal my flat feet VA claim?
Yes, you can appeal your flat feet VA claim if denied. The appeals process involves several stages, including filing a Notice of Disagreement (NOD).
How long does the VA appeals process take for flat feet claims?
The duration of the VA appeals process can vary significantly, but it typically takes several months to several years. Managing your expectations regarding the timeline is important.
What happens if my flat feet worsen after my initial VA claim is denied?
If your flat feet condition worsens after your initial claim is denied or lowered, you can file for an increased rating based on the worsened condition. This involves submitting updated medical evidence to support your claim.