Hello all
I am just getting started in all of this. I was told that they are sending me thru the MEB process. Just a little back ground I am a National Guard soldier, that works as a Dual Status Technician. With that said, I have to be in the Guard to have my job. I have been depolyed to Iraq twice and have been evaluated thru the VA and rated at 100%.
So my unit just finished all of my LOD's to send to the board. I have no idea wht to expect next, no one has explained it to me.
Welcome to the PEB Forum!
Wow! In my opinion, this is totally unacceptable action by your military medical leadership!
In an effort to provide you with some background information about the DoD IDES MEB/PEB process, I offer the following via an U.S. Army perspective:
After referral into the DoD IDES MEB/PEB process by your military PCM who initiated a permanent physical profile with PULHES of 3 or 4 in any one category, the Military Treatment Facility (MTF) who has approval authority for DoD IDES MEB referrals shall review the originally PCM-initiated permanent physical profile request.
Upon acceptance into the DoD IDES MEB/PEB process, during the MEB Phase is when all of your medical conditions are reviewed to determine which are "medically unacceptable" or "medically acceptable" conditions.
To that extent, the MEB Physician is supposed to review all applicable medical condition(s) associated with a PULHES category of 3 or 4 in the AHLTA EMR database system, and then make an informed objective medical evidence determination to either maintain, down select, or upgrade the specific category code in the PULHES.
Upon approval by the DoD IDES MEB Physician(s) at the MTF of the PCM-initiated permanent physical profile referral, the MEB Physician shall either generate a new permanent physical profile with updated PULHES (most favorable course of action in my opinion) or transpose the PCM-initiated permanent physical profile with PULHES as written (least favorable course of action in my opinion).
In continuation of the DoD IDES process, a Narrative Summary (NARSUM) is dictated after receipt of the DoVA C&P Examination results which outlines in detail all medically unacceptable and medically acceptable conditions. It's unknown what type of C&P Exam clinician you will get on the day(s) of the evaluation. In my opinion, some DoVA C&P Examination clinicians are good-to-go while others seem not to care about the military service member.
With that said, you may receive good or bad results from either of the aforementioned type of DoVA C&P Exam clinicians; there are no guarantees. Depending on the type of C&P Exam, the clinician will just ask a lot of questions and/or perform a physical evaluation.
If the MEB determines that medically unacceptable conditions exist, then the IDES case file is forward to the PEB for a fit for duty or unfit for duty determination.
If the PEB determines any unfit medical conditions, then the IDES case file is forward to the DoVA D-RAS for ratings of all PEB referred unfitting conditions (e.g., DoD disability rating(s)) and all DoVA claimed conditions. It's important to note that DoD
must adopt the DoVA D-RAS rating(s) for each PEB-referred unfitting condition(s).
Upon receipt of the IPEB findings inclusive of DoD and DoVA proposed ratings, the DA Form 199 (or similar Service specific document) is generated. When the DA Form 199 (or similar Service specific document) is finally signed [e.g. after resolution of a PEB appeal/review and/or an one-time VA Rating Reconsideration (VARR) request, if warranted], then it's forwarded to the Transition Point Processing System (TRANSPOC) II.
Moreover, TRANSPOC II performs transition processing functions in which it generates the DD Form 214 (Certificate of Release from Active Duty or Discharge) document, and schedules the generation of retirement/separation orders from US Military.
By the way, I believe it's remains a good idea to seek the point of contact information of the medical healthcare providers who informed you of "I was told they are sending me thru the MEB process" and also ask them a lot of IDES questions until your official acceptance into the DoD IDES MEB/PEB process and assignment of a PEBLO.
Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."
Best Wishes!