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PageMaster
Nov 4, 2009
First posting in this thread with retirement and DD214 incoming by the end of the month; we're dealing with a million questions as we get closer to the big day, but unfortunately we're also working on transfer of medical care to a post Active Duty life in the middle of COVID. We've never had to consider this option until now but it looks like we now have the option of using the VA instead of TRICARE if we wish (100% rating). We have always used major university clinics that accept TRICARE for the family, but now we're not sure if it's worth switching to a VA Primary Care team. I understand the answer will probably be heavily dependent on each area and clinic, but figured I'd reach out and see if there's a general consensus or idea on realistic quality of VA health care and clinics outside of the couple of scandals that were heavily publicized.

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PageMaster
Nov 4, 2009

CRUSTY MINGE posted:

Keep tricare if it's affordable, but even civilian medical care is as piss poor as the VA now. Waits, referrals, specialists, plus the added fun of copays and deductibles.

If YOU get sick, go to the VA if you want, but they're routinely understaffed, overbooked, and depending on where you are in the country, woefully poo poo care. I mean, it's fine out here in Colorado, but Tennessee VAs were awful for me.

VA will want insurance info if you have it, but aren't going to reject you for care without it. My brother uses the VA because he's poor as hell too. Even though he never deployed and doesn't have a disability rating, they still take care of his rear end and send him a tiny bill for his Wilford Brimleys medication and will probably be fixing his hernia.



Also, I think the VA charged me for my dental work from the backpay on my individual unemployability claim. Not that I'm complaining, but the numbers didn't add up right and that's about the only thing I can think of for reasoning why.


Sarah posted:

A place to start when considering if you want to select VA is to take a look at this list here: https://www.va.gov/QUALITYOFCARE/measure-up/End_of_Year_Hospital_star_Rating_FY2019.asp

You can also see previous years and if that particular VA has been improving or getting worse. If your VA is a low number, run as far away from it as you possibly can.


cult_hero posted:

Keep Tricare. The VA version is CHAMPVA, and is essentially the same thing. The VA hospitals only treat veterans, so you wouldn't need to transfer your family's care to a VA facility.

McNally posted:

VA healthcare is incredibly hit or miss, sometimes depending on what doctor you get at a specific location. I feel it's important to point out that I'm like 90% sure dependents aren't eligible for VA healthcare.


LtCol J. Krusinski posted:

KEEP TRICARE FOR THE LOVE OF GOD.

It’s the only real perk of medically retiring.



Thanks! Wife is a vet with her own VA benefits, and I will be enrolled in TRICARE For Life soon (which I believe has no coopays though I do need to pay Medicare Part B Premiums) which should let me see anyone as long as they take both Medicare and TRICARE without having to pay anything. Looking at moving to San Diego and the VA clinic and the university hospital are either next to each other or across the street, so I guess I can get a PCM at both and test the waters to see which works out better and if VA doesn't work out I have the freedom to just walk out and see someone else pretty easily. Annual family premium for TRICARE for the kid and wife isn't going to break the bank so it looks like better to keep and have it than risk not having it.

PageMaster
Nov 4, 2009

Fart Sandwiches posted:

So I have a 70% rating, and finally got them to recognize my tinnitus at 10%, but they didn't bump me to 80. Is that just how it is? You can only be 70 or 100, no in between with rounding down?

The new rating percents are only applied to the remaining amount to 100, if that makes sense. So if you were already at 70, any new percentages are only applied to the remaining 30 percent possible; basically your 10 percent rating gets you an extra 3 percent total (10 percent of 30 percent), so your new total would have been 73 percent (which is rounded).

PageMaster fucked around with this message at 18:58 on Feb 26, 2021

PageMaster
Nov 4, 2009

BULLETKISS posted:

I'll be retiring from the Air Force in a few months. Anyone have any hints? I don't know why medical and all the ins and outs are a drat mystery. It's like no one has ever retired before. I'm not really surprised, it's just frustrating. And COVID makes it difficult to actually talk to someone about these things.

Any advice as far as how TRICARE vs VA works and Dental/Vision stuff?

Did you go through TAPS? They covered a lot there, but I believe the quality of the program varies from base to base. Medical retired from the AF last July so I could probably help answer any questions you have as well.

Regarding medical, you can use both. Enroll at the VA then you can either go to the VA (for service connected disabilities only unless 100% rated) for free or use TRICARE elsewhere with copays. VA also pays travel allowance for appts at their location. It's going to be up to convenience/comfort for you, but I personally use TRICARE for my specialty care since I can go to what I feel are better clinics(and closer) without waiting 60+ days for an appt, and then have my VA PCM/team fill prescriptions since it's free there.

TRICARE doesn't cover dental (but offers a federal dental plan your can sign up for), and VA only covers dental for a 100% rating or a dental related rating.

Edit: missed vision. TRICARE Prime covers routine eye exams once every two years, Select does not cover at all. VA offers routine exe exam and a set of glasses , but I don't remember if it's per year or two years.

PageMaster fucked around with this message at 00:46 on May 14, 2021

PageMaster
Nov 4, 2009

BULLETKISS posted:

Thank you. TAPS was purely online CBT (with some Zoom stuff about resumes) and the medical stuff only scratched the surface. I haven't had my VA appts yet (not within 180 days yet), but I'll pick the VA reps' brain.

Most of the info I've gotten was from folks I know that retired recently, but even they said they had to find out info like I am.

I forgot about COVID changes, that definitely makes TAPS much less useful. Most of your time is probably going to be spent on your VA claims and figuring out how to maximize that since the DoD stuff is a lot of admin box checking; other poster already pointed you in the right direction there, but if you don't mind digging, the actual VA scoring metrics are online to help you on your C&P exams (definitely do this), and claim everything possible. Your VSO should help with this (mine asked if I ever had acne or dry skin in my life so he could add it). Only other considerations I can remember when we were at that stage was deciding to sell leave or take terminal (never sell leave), and planning retirement PCS. If you're staying where you are nothing applies, but if you're moving you can plan in a PCS mileage per diem for that last drive, and you have some options for HHG/NTS if you want to try and wait the housing market out in the hopes it stops being crazy.

PageMaster fucked around with this message at 05:19 on May 14, 2021

PageMaster
Nov 4, 2009

Dial M for MURDER posted:

I could use a little advice for VA disability rating stuff.
I applied for IBS since I haven't had a solid poo poo since Obama was president, am gulf war vet, and have PTSD.
I had a doctors "exam" over the phone, then the VA scheduled an exam with QTC.
I just got the letter today saying that "Service connection for IBS is granted but with an evaluation of 0 percent..."
I was thinking I will start a log of my terrible bowels are for like a month then appeal, but is there something else or more I should be doing?

Frequency of "diarrhea and constipation" is half of the schedule rating (with those two words specifically on it), so poop log will help. Other half is severity of abdominal distress so track how bad any stomache cramps are, and take a good look at how your IBS affects your day to day activities. Simple stuff you might not think about but like if you plan around meals because they cramp your stomache and you have to run to the crapper, or thinking about having a bathroom close by just in case help explain the severity piece to the VA.

PageMaster fucked around with this message at 00:06 on May 20, 2021

PageMaster
Nov 4, 2009
If someone used their GI Bill before being eligible for VR&E does it still subtract? My wife was prior enlisted, then separated, then used GI Bill to get a degree and commission a couple years afterwards. 12 years later she's separated and disabled; we never knew about this program and I'm wondering if it's because her GI Bill used before still removes her VR&E time, even if she wasn't eligible for voc rehab at the time.

Edit: reading online apparently yes, using GI Bill looks like it prevents you from using Voc Rehab of you gain it in the future.

PageMaster fucked around with this message at 07:15 on Jul 6, 2021

PageMaster
Nov 4, 2009
That's good news! Also convinced is too just call and see what they say instead of second guessing; hopefully they can flex for us since we didn't become disabled until after using up the GI Bill.

PageMaster
Nov 4, 2009
I can't remember the exact details, but find an expert on the GI Bill at a base near you (ours was the TAPS briefer. I don't remember the specifics, but to get the locacal BAH of the college there's a set number of days you must attend and go in person for some college entry enrollment officers to consider and classify you as in person (like a week a month), so there were people taking courses in, like, Boston, and going out for the week or so. It's a specific type of enrollment split between online and in person but it sounded like a lot of university gi bill/vet counselors knew what was being asked.

Edit: I guess they're called school certifying officials at the University. Wish I could find the rest of my notes.

PageMaster fucked around with this message at 01:23 on Jul 9, 2021

PageMaster
Nov 4, 2009
Just learned about travel reimbursement for VA appts and posting here just in case someone didn't know either. Lost out on a lot over the past year since it needs to be within 30 days of the appt.

PageMaster
Nov 4, 2009
They definitely were not automatically claiming it for me, unfortunately, but you can go to here and follow the'how to file a claim' directions. First time loading the claim website it did not show any appointments, but once you start submitting your first claim and click 'i don't see my appointment' mine all loaded. If reminds me of DTS a bit, and you can claim a bunch of different things for each appointment (like tolls and parking),. But I just added mileage and it automatically calculates with a bing search and I just accept and submit.

Edit: I used the BTSSS online site to submit mine, but link also says you can mail/fax form above poster linked as well

PageMaster fucked around with this message at 15:31 on Jul 9, 2021

PageMaster
Nov 4, 2009
We submitted 4 claims for mileage and the VA immediately closed them with no payment after manual review for one day. No notes or feedback and it was just for THEIR mileage calculated so not sure if they're going to make this painful.

Edit: drove down and talked to them, there's two systems that process claims, the'old' and 'new' one. So they don't get a backlog they close all new claims in the new process and then continue processing in the old process.

PageMaster fucked around with this message at 16:32 on Jul 13, 2021

PageMaster
Nov 4, 2009
Warning for retired PCScs (probably any PCS but it never came up before; your requested delivery date is a NLT; I stupidly assumed that was the date I actually wanted my stuff delivered but now I have HHG coming 20 days early to a house that's not actually finished with interior reno work because it'll still be before my request date.

PageMaster
Nov 4, 2009
VA loan is same just needs a termite inspection and a VA inspection as well as an appraisal. Ours still closed in 3 weeks.

One thing to note about refinancing is you can't do a VA streamline refinance until 110 days after you your first mortgage payment.

PageMaster
Nov 4, 2009
They're the same as every other big national online lending company; you can always get a loan estimate from them to see what rate they can offer, but they were generally slow and could not competitive with rates from local lenders and some of the big banks when we started working with them. They sell as a veteran specialized service, but really there's nothing specialized they offer that other lenders don't/can't.

PageMaster fucked around with this message at 22:35 on Aug 5, 2021

PageMaster
Nov 4, 2009
I'm honestly not sure as we had excellent credit. My main point is really to just treat them like any other lender and rate shop. Almost anyone can do a VA loan, so just go with whoever can give you the best rate.

PageMaster
Nov 4, 2009

Mustang posted:

What have you guys done for Dental Insurance while a student using the GI Bill? The VA is my primary healthcare provider. I had a dental visit shortly before getting out of the Army so I know I'm not eligible for that one paid for visit I remember from the VA brief.

My teeth aren't bothering me or anything but I'd like to get back to having yearly checkups and cleanings.

I get mine through VA but we did shop before I became eligible for it there and honestly, for just annual cleaning and checkups we would havespent more than the cost of the exam and cleaning alone while also being restricted to a network. It was ultimately cheaper to just pay for that out of pocket. Even if we did have it there are a lot of restrictions on dental plans (like total coverage payout in a year) which may have limited what we could really get out of it. If your teeth are in great shape and you take good care of them I would do the math on that; someone recommended that we just put a dental premium into a high yield savings account instead just in case for root canals/fillings/whatever. Not knowing your exact situation, other expensive medical issues with your mouth would hopefully fall under VA or Tricare anyways.. I'd let some other experts who do have their own chime in as well, though.

PageMaster fucked around with this message at 05:38 on Sep 13, 2021

PageMaster
Nov 4, 2009
We used VA loan in both San Diego and Seattle markets and it never once factored in to losing us an offer, and still won us more than a couple; there's a very specific setup where it would probably come into play with literally everything else in the offers being equal, at which point sellers will most likely just go with the conventional over VA. This never happened to us over 6 months of offering and you're going to probably lose out due to the same reasons everyone else is (higher offers, cash only, waived contingencies, etc.)instead, and we actually had one offer accepted $3K under the highest because sellers were vets (do not count on this happening, though!). Realistically, we found that the type of loan (VA vs Conventional) was basically inconsequential; what was more important was your lender as sellers prefer local lenders who can reliably close quickly and effectively and a VA loan with a local lender was always preferred to a Conventional loan with a random faceless online mortgage company or bank.

Basically, yes, the VA loan is simply just better than a conventional in every way for you as the buyer (unless you're trying to pay way over in a house, or looking at a fixer-upper), especially at 2.2% (I can just get to 2.25% on a VA refinance and closed with 2.875% in March) and just has a couple extra steps/requirements (appraisal, VA inspection, pest inspection) which will not be a headache as long as your lender is on top of things, and is not likely to matter to the seller unless your offer is completely equal to others. If your offer is better it will almost definitely not matter to the sellers at all.

PageMaster fucked around with this message at 16:33 on Oct 12, 2021

PageMaster
Nov 4, 2009

GoGoGadget posted:

Springfield, Missouri. I called the Missouri Veterans Commission and left a voicemail. As for paying for Tricare, I receive $1,566.71 a month, which is the rate for 70% with spouse. Unless that's baked in to the compensation amounts, I don't seem to pay for anything. My rating is from the VA and not the Air Force, if that matters. The AF was only going to give me 60% (they didn't accept the 10% for anxiety/depression.)

I'm legally separated from my spouse now though, so I should probably do something about that..

If you are medically retired (greater than 30% DoD rating), then you are elligible for TRICARE Prime or Select (Tricare for life isn't until you start receiving Medicare). You could theoretically have opted to not enroll in either. However, if you are medically retired, your enrollment fees for Tricare Select are waived, so it's possible you are enrolled in Tricare Select which is why you aren't seeing an annual enrollment fee.

Edit: that being said, you do actually have to go enroll with Tricare after retiring, so make sure you didn't just forget to do that...

PageMaster fucked around with this message at 19:41 on Nov 4, 2021

PageMaster
Nov 4, 2009
Anyone successfully used the VA automobile allowance to buy a new car? Who can help guide through that process? Same counselors as vr&e? Social workers?

PageMaster
Nov 4, 2009

CRUSTY MINGE posted:

I would probably talk to your DAV rep about that, seems like their ballpark.

Thank you. Is there just a centralized number to call a DAV?

Edit: nevermind, found it. Thanks again!

PageMaster fucked around with this message at 20:05 on Jul 12, 2022

PageMaster
Nov 4, 2009

LtCol J. Krusinski posted:

Hekk- Question for you. I’m retired, have TRICare Prime, also 100% P&T. Can my non VA PCM I use send RX’s to the VA and I can get them for free? Or cheap? I don’t use the VA for anything other than my fun bux and education benefits. What is the process to get setup similar to what your doing?

Also, will the VA fill things with less bullshit than TRICare? My Doctor tried to get me on Mounjaro and TRICare said no, try these other alternatives and when my doc tried to put me on them they continued to decline filling it because TRICare says I have to take Metformin, some other drug, and then some other drug before I can be prescribed the Mounjaro alternatives.

Sorry for wall of text. :shobon:

I don't know if it's the same for everyone, but the VA will not fill a prescription from a non VA doc for me. I can get prescribed something by another doc, but I still need an appointment from the VA to get them to prescribe the same medication even if an outside doc already did. Despite that headache, I find prescriptions through the VA much more convenient; they deliver in like 2 days to my place, and they also do 6 months worth where Tricare has some wierd restrictions where I can only get 30 days at a time.

PageMaster fucked around with this message at 00:01 on Feb 3, 2023

PageMaster
Nov 4, 2009

lite_sleepr posted:

I should have a tax document explaining my VA disability and retirement pension right? For filing taxes?

Also, it seems my TRICARE for life turned off on Feb 1 2023, and I can't understand why if it's for LIFE. The benefits web enrollment site said that if I'm happy with coverage and making no changes then no action is needed. Why then is Walgreens telling me that I have no insurance for my kids 2nd COVID shot?

You only get enrolled in Tricare for life if you have Medicare part B, which has a monthly premium for enrollment, and requires you either have certain disabilities, or be on SSDI for 24 months, or be over retirement age to even be eligible for. T4L REQUIRES Medicare part B enrollment, so if you stop paying that premium you automatically lose T4L. Additionally, T4L would only cover you, not your son. Honestly, it sounds like you just had another Tricare plan (especially with a 20 year retirement) and maybe missed a premium payment for the plan that covered your son.

Edit: it's also hypothetically possible that only you have coverage right now. Assuming you do have T4L, you still need to separately enroll your family in Tricare prime or select. And while you don't have to re-enroll(like, apply) every year in whatever Tricare plan your family has, you do need to pay the enrollment fee each year to stay on it, so your T4L may not have turned off; just your dependent's plan.

PageMaster fucked around with this message at 08:05 on Feb 12, 2023

PageMaster
Nov 4, 2009

ASAPI posted:

Speaking from my experience, I only received a 50% rating for PTSD. I'm not sure if that is assigned on a scale of severity or just a blanket value.

That being said, it might be worthwhile to explore additional service related issues to increase the rating.

Disability ratings are based on severity with few exceptions, (ie: you either have blindness or you don't) and the scoring schedules are all public so you could see what the criteria are that are used to pick that percentage (or needed for a higher percentage).

PageMaster
Nov 4, 2009

lite_sleepr posted:

Sounds like I just let my annual re-enrollment fee lapse like a dummy, but I can't help but wonder why I wouldn't have had the option to set up autopay or autorenew, or why I didn't receive any specialized or personalized notices to re-up. It was just open season emails that I believed I didn't need based on a phone call and the BWE website.

Looks like I'm a group A retiree and Tricare select will be the best option for me at 171 bucks a year for just me, but I can't find out my annual cost to enroll for myself + 1.

e: looks like it's 345 bucks!



Glad you were able to figure it out! Do note that if you are medically retired the enrollment fee for tricare select is $0.You can also set up your enrollment fee for autopay from your retirement pay, but this is definitely not advertised well anywhere and I literally only remembered to paid my enrollment thanks to annual calendar reminder I set up for EVERY YEAR, so I agree it would be nice if there were more active reminders and warnings.

Tricare Select is definitely the best option in my mind unless you're near and just want to use a military hospital (or more accurately let me just say it's my preferred plan). you can pick your own doctors and make your own appointments (as long as they're in network) without a PCM referral, and if for some reason you want to you can also go out of network (with a 25% co-pay). at WORST, you're going to end up spending $3000 (or whatever the catastrophic cap is now) in medical bills for your entire family for the entire year, which is apparently obscenely good after looking at health care options on the outside.

Edit: looks like it's $4000 for 2023; still seems good to me.

PageMaster fucked around with this message at 18:42 on Feb 12, 2023

PageMaster
Nov 4, 2009

Throb Robinson posted:

Could someone point me to a resource to explain how best to buy a house with my VA benefits? The .gov website just feels like it's in another language. Thanks.

Unless there's something I'm missing, the main benefit is you can get a VA backed mortgage loan which (usually) provides better rates than a traditional mortgage, and also doesn't require putting a down payment (if for some reason you don't want to), and having a rated disability means you also don't have to pay the VA funding fees in the mortgage closing costs. In practice, it basically just means that while rate shopping with lenders, you can ask for a VA Loan which will give you different numbers as far as closing costs and interest rates as opposed to a traditional loan. It's no different than buying a house as "normal," you just have the chance to get better numbers on the mortgage.

PageMaster fucked around with this message at 23:08 on Mar 17, 2023

PageMaster
Nov 4, 2009

Hekk posted:

Yeah there is an additional step compared to a conventional mortgage where the VA will inspect the property ahead of approving your loan but you can go to Navy Fed or USAA or wherever and apply for a VA loan. Any realtor or real estate agent that's worth a poo poo is going to know exactly what they need to do to make sure all the i's are dotted and t's crossed.

The one disadvantage to going the VA loan is that it takes a little longer to close compared to a typical FHA or conventional loan. Our loan (in late 2021) took just over 3 weeks to get everything sorted. When the housing market was screaming hot, some sellers might have been picking other buyers because they knew they were going to get their money more quickly.

Thanks for bringing this up; I also forgot the VA will also appraise the house and only fund up to the appraisal amount, so if you're offering way high on a property you'll end up needing more cash to make up the difference. For what it's worth in our experience we never lost an offer because we went VA over conventional; it all ultimately came down to price, and absolutely if the sellers have two offers of close to equal price and one is a VA and ones not, the VA loan lost out, but outside of that the VA Loan didn't really affect our ability to get an accepted offer, and like you mentioned, there's no difference on your part as the buyer in using a VA Loan; it's just the loan officer has some extra forms to fill and documents to get from you.

PageMaster fucked around with this message at 03:53 on Mar 18, 2023

PageMaster
Nov 4, 2009
Who do we talk to in order to clarify internment benefits? We're e in the pre-need stage, but looking at internment in a VA national cemetery. I was under the impression Costs would be zero (casket, headstone, plot, funeral, etc. However. Being bounced around between the cemetery office. The VA, VSO we start to get conflicting info and told the VA only reimburses certain amounts, but I think they're confusing the benefits of using a private cemetary. Is there like one head central office that we can talk to to find out for sure? It's bad enough having to shop for plots, but it's be nice to know for sure the family would actually be covered financially and administratively

PageMaster
Nov 4, 2009

ASAPI posted:

Specifically, you want the Veterans Benefits Administration. I assume that you are getting "bounced around" via their web app, which is mostly designed to either find an existing grave or set up/request a burial at a memorial cemetery.

Google is telling me that the VA will offer $300 for non-service connected deaths and $2k for service connected reasons, an additional $807 (very bizarre number) if the person was in the VA hospital when they die and social security will offer up $255. Still with Google, I am only seeing that they cover the gov headstone or marker, , opening/closing of the grave, burial flag, care of the site (in a national cemetery). The only reference I can find to covering the casket is if the individual is indigent with no next of kin.

Have you tried calling the VBA 800 number? 800-698-2411. Lots of the VA people do better when physically talking to someone.

Hope you find what you need. Sorry that you even have to do this.

Thanks, we're still researching, but it looks like the site and burial are free, not not the funeral and transport there, I didn't know those were all completely separate things. Wifi is why I got confused, but the folks were were talking to were probably accurate

PageMaster fucked around with this message at 23:34 on Sep 8, 2023

PageMaster
Nov 4, 2009

Mustang posted:

I requested an appointment on myhealthevet for my closest VA clinic (Edmonds) for today and never received a phone call from the clinic to schedule an appointment. Online it shows my request as "pending" still.

I'd really like to start physical therapy again because my back has been bothering me a lot lately.

In the past when I call the number to request an appointment they always want to send me to the American Lake VA campus because the Seattle one is "full". I think it's ridiculous that they expect me to have a hospital that's over an hour away as my primary location.

Is there a better way to schedule an appointment or change my primary care location? I'd love to go to the Edmonds clinic because it's like 15 minutes tops from my apartment.

Request a community care referral, I think you should be eligible based on that travel time/distance.

PageMaster
Nov 4, 2009
What's the actual reality of CBD while on dod and VA disability pension? Currentlyon cancer treatment, and ive read it to be effective for others' nausea, pain, anxiety,and irritability, mood swings, which sounds great compared to the 7 different medications being offered to me right now, but I'm not sure of the legalities and risks as far as affecting benefits. Ironically it would just be better if the VA would prescribe it to me so then I'd at least know how to take it, dosage, types,etc. It is legal in my state, but I'm not sure I want to blindly walk into a dispensary and just say please give me a serving of your finest CbD please eand thanks. (I know absolutely nothing about this and would've even know what I'm looking for)

PageMaster fucked around with this message at 19:55 on Nov 4, 2023

PageMaster
Nov 4, 2009

Zero VGS posted:

Sorry about your cancer. Smoking weed doesn't affect your benefits (unless you go to jail from it somehow, in which case benefits are paused if you're in jail long-term), so CBD won't affect them either. The VA will not prescribe you either of them as the FDA doesn't approve either for medical use.

If it makes you feel any better, the touted CBD benefits are likely just a placebo effect. I've never had CBD (or weed) but I mean, if you're going to bother maybe just skip to weed since it actually does something.

https://www.publichealth.va.gov/marijuana.asp

Thanks! I've never had it either so I can't say what it would do, but again I'm so uneducated on the subject I didn't know weed was different from CBD, I just lump weed, marijuana, CBD, and THC as the same thing

PageMaster
Nov 4, 2009

LtCol J. Krusinski posted:

Not trying to Doxx you or anything, but what state do you live in? That kind of influences further advice I give on this topic.

CA so that's not an issue(I think), I'm not really desperate to get high or anything, but it would be nice to pair down how many meds, especially psych) I need to take each day

PageMaster fucked around with this message at 04:53 on Nov 5, 2023

PageMaster
Nov 4, 2009
I feel a little sheepish along this, and realized it may be trivial compared to some of the other vet's needs and challenges right now. I know the VA has provided and grants to coversome disability gear and equipment k like for my car and house etc.). Would they also cover accessibility helping peripherals? Bottom line is I love j gaming and been a giant fan my whole life, and besides playingwith my kids and brothers, it's my escape and let's me just zone out and stop thinking and stressingabout my diagnosis/prognosis and treatment for at least a little bit and fight my depression and anger unfortunately my condition has finally progressed such thatI don't have control orfeeling of my left arm and leg. I'm going through OT and PT but, finally had to face reality that thatI can't playgames anymore because I can't just my left hand, or evengrip a controller, to say nothing of no control of buttons or sticks. On the more in depth side of things, my brother found a company (evil?) That makes custom controllers for disabled players specific to the disability and capabilities of the individual. Without going that far, I'm looking into some smaller quicker solutions like buying straps for everything they allow for over handed holding and adjustments, and while not exhorbantly expensive, could add up over multiple controllers is; there a way to get the VA to pay for some of this?Like I said earlier, I kind of hate to ask this since I'm sure there are still others with greater challenges and needs. And I have the walker and wheelchair and braces which were Nick more necessities, but if lot to see if there's a way to get back to the other things/hobby I enjoy

PageMaster fucked around with this message at 07:55 on Jan 1, 2024

PageMaster
Nov 4, 2009
[quote="Queer Grenadier" post="537588414"]
StackUp is a non profit focused on using gaming to help prevent Veteran suicide. They have a program called 'Supply Crates' that may be worth a shot. A general outreach to discuss your story, disability, and accessibility needs for gaming could be a good start!

https://www.stackup.org/supply-crates
https://www.stackup.org/contact


Also consider requesting a consultation from your VA primary care team to see a Recreational Therapist to discuss your hobbies (including gaming) and ways to get involved through adaptive / accessibility tools, such as peripherals for gamin

Thanks, this is great! I didn't even knowthere was a recreational therapist specialty, we've been stuck bouncing between OT and PT because they keep denying referrals for some reason so we finally just went with our Tricare to get some care because I got sick of waiting and talking to the same couple offices back and forth without accomplishing anything, but I can look into RTherapists as well now.

Thanks to everyone else she t the other responses she's ideas above as well (I didn't check in enough to respond to everyone individually, sorry!).

PageMaster
Nov 4, 2009
Not not sure if this belongshere, but I didn't find a wheelchair thread, and it's still VA related; VA just sent me my powered wheelchair (Igotthe pride jazzy) and looking at website and the VA rep who evaluated me transfer is supposed to be 9 miles. Anyone actually or one of these VA issues chair to the treat? Add exciting add riding over of these 5 miles over easy would be. Is he when less exciting to be stick without charge 5 miles away from him. Are these realistic numbers or things that are only chirvable in lab settings discounting air resistance and assuming completely perfect conditions only?

PageMaster fucked around with this message at 23:15 on Apr 17, 2024

PageMaster
Nov 4, 2009

Zero VGS posted:

Wind resistance is not a factor at the speeds a wheelchair goes. Wind resistance doubles roughly every 10mph, so at the 4-5mph these claim the aero drag is negligible even when you're sitting mostly upright.

The things that affect range are going to be:

- rolling resistance (how pumped up the tires are, if they are pneumatic)

- the total weight with you in it

- if your area is hilly (I don't think wheelchairs have regenerative braking, so you use extra energy uphill which you don't reclaim when you're braking while descending)

[edit: it says a bunch of Jazzy models DO have regen braking! interesting since some with regen still use lead-acid batteries, that's a rare combination but not unheard of, turn of the millenium EV cars did this. Regen going down a hill can recover half the energy you used to climb it, in ideal conditions. If you brake too suddenly it will failover to physical brakes which don't recoup energy]

- the climate (below-freezing climates reduce usable battery energy somewhat, mostly by hindering charging from regen braking)

If there is still a lot of extra weight capacity with you on the wheelchair, you could add more batteries (same capacity and chemistry) in parallel.

In other words, and this is just an example, I see one website that claims a certain model of the Pride Jazzy uses a U1 tractor battery, which are found at Home Depot for $55 each: https://www.homedepot.com/p/TITAN-12-Volt-U1-Tractor-Battery-U1-1T/300791097

If that is for sure the battery your wheelchair accepts, you ensure the rated amp-hour capacity is a match, and you could find a stable and safe way to secure an additional battery, you could wire that extra battery and the original battery negative-to-negative and positive-to-positive, they would balance the charge between each other and you'd effectively have twice the time to charge and twice the time to drive. Your range might even be slightly more than doubled, because of https://en.wikipedia.org/wiki/Peukert%27s_law

12V is generally safe to handle, but not if you drop a metal tool across both battery t
Oh wow thanks for all this. I don't think I'm ready to try adding extra batteriesi can look at the actual nebatterieswhen I get it though, the VA evaluator also told me lithium ion ion that slide out on rails(something about lead acid netwand checking, getting on a flight?) tho actually I thought it was lithium ION that you have to carry on and cannot check it looks like the original before are just thrse eliminated slide out one so I will definitely go with a pro like your said above

I'm assuming lithium ION bridge with it the same concerned with charging as other electronics to prevent shortening the life of the better as well?

PageMaster fucked around with this message at 17:31 on Apr 18, 2024

PageMaster
Nov 4, 2009
Has anyone done the vha driver rehabilitation program? Is it therapy to get you roadworthy, or is it the evaluation (f reaction time, vision, cognitive) that gets you a letter to the dmv

PageMaster fucked around with this message at 04:34 on Apr 21, 2024

PageMaster
Nov 4, 2009
Sorry fo more wheelchair question but I'm taking it to my kids school trip tomorrow and I'm doing everything can man to more sure don't get stranded orclueless and the I know everything about it

I found this video when looking for guides:

https://youtu.be/nxX1WmbXB3c?feature=shared

IT's titled battery install and removal but that is not the battery I have the manual calls it a battery case. What is does it hold a charge? it's shown being charged in the video.

For reference here's where mine looks like:

https://www.millercare.co.uk/quickie-carbon-q50-replacement-battery/ d so I'm wondering if I actually have 3batteries total and was not told, the VA wheelchair repair shop said not talk about th"battery" in that video at all when training me.

PageMaster fucked around with this message at 05:35 on Apr 28, 2024

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PageMaster
Nov 4, 2009

Zero VGS posted:

I would need you to be very specific here, so that I don't give you the wrong information. The wheelchair you show in that YouTube link is the non-carbon-fiber (probably aluminum) version of the Quickie C50, which has a large battery which removes from the rear of the wheelchair.

Can you confirm if the wheelchair you were given is actually the "Quickie Q50 Carbon" that you said yours looks like? If that is true, the battery can be removed by hand from the front of the wheelchair. You could bring extra batteries with you, and swap them much like you would change the battery on a power tool.

What makes you think you have 3 batteries total? Could

Thanks. I have theq50r carbon with the two removable front batteries. I didn't even notice it wasnt the carbon in the video. I assumed that I might have 3rd battery because the video was titled battery removal but showed something different from my two.;I didn't realize it a different chair modeso I must have that same battery

Auto I'm probably over thinking or over complicating this d over thinking this so I missed that detail (I honestly thought thatvideo was showing a q50r carbon). Tomorrow is my first day since I was found to need a chair thatI'll be taking it out in public, in crowded pieces, public transport, etc and today I couldn't even get up on my driveway because of a tiny 1" "cur at the bottom of the driveway different so I'm still a little apprehensive

PageMaster fucked around with this message at 06:50 on Apr 28, 2024

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