@PestyMastermind The DoD rates any conditions that are unfitting for military service, based on the VA examinations. In your NARSUM you should have conditions listed that started the IRILO and any other conditions that are unfitting for service, if you want to stay in beyond 20, then you have to prove the unfitting conditions no longer exists and you can safely continue service, if you want to make 20 then you make sure everything is identified and you have confirmed diagnosis for your claims and you can appeal along with other avenues to make it in to your 19 years. Inside here there are a couple options that only those with 19 years of service get to apply to their case (such as presumption
MEB is the blanket term misused used, ie we all have went through the MEB process... but the actual Medical Evaluation Board (MEB) will decide if your total health is fitting or unfitting for continued service = if found fit, stop here and go back to work.... if unfit then continue to the PEB or Physical Evaluation Board phase =>
If you enter the PEB phase then you will receive ratings = all identified claims are sent to VA for the C&P exams and questionnaires will be used to develop VA ratings.
VA ratings will all be applied using VA math and you SHOULD have a higher total VA rating than DoD because....
DoD only rates conditions that started the MEB process and conditions that deem you unfit to serve.
The PEB reviews your ratings and final disposition and appeals take place based on:
Less than 30% DoD (VA rating doesn't matter) than severance is considered and you may be discharged with a severance package.
More than 30% and you may be Medically Retired will retirement pay equal to your service multiplied by years times 2.5% or the DoD rating.
You my request a VARR or VA rating reconsideration to increase/decrease your ratings with proper documentation and medical advice.
(I say "may be" because you can appeal in this phase also , that you are fit to serve and continue service).
Final Notification on continue service/severance/retirement is received, you have another opportunity to appeal that decision for an outcome you want to achieve (ie continue service).
MEB is concluded with return to work, severance orders or retirement orders signed and in hand.
This is the framework, there ar many intricacies in the process with appeals, medical evidence disagreements, and what not... making most cases a little different than every other case.