Hello @Jmc81So not much has changed with my timeline, I'm waiting for fit unfit determination from NGB. My base has not done a very good job at explaining where my case is and where it will go next. Reading though my post I realized I didn't do a congressional inquiry for the LOD denial. I did a couple of consultation with attorney's to ask if I should fight for a medical retirement vs being medically unfit. One attorney said yes get all the benefits you can Tricare is worth it and it may push it to getting my 20 years military. My wife and I made a pro/con sheet if hiring an attorney and fighting for medical retirement is worth it. I don't think the returns are worth the pain in this case. Guardguy11 said take the VA Fers medical pension and I think that's a really viable option. Josh C said his fight took 4 years I don't want that. Does anyone have opinion on my situation? Has anyone hired an attorney appealed and have it take years to complete the process? This forum has been awesome cause the process is crazy.
Thanks it's crazy being put in a situation that's very hard to fight. I got ahold of the JAG I had reached out to but he had PCS'd. He told me in an email bottom line I have to appeal the IPEB results and argue service connection at SAF level with another JAG or attorney. That is not what my personal told me but I guess they a not legal either. If that fails he told me than I have the option to go the BCMR route. My issue is I don't want to be put in a limbo status for years waiting for others to make a decision on my livelihood unless there is something really good at the other end more than Tricare. How my personal office explained it to me prior service condition refered to while I was in service prior to now the present moment not a condition that started prior to joining because there is no proof of the condition prior to my joining. Now that makes me wonder more if that just a line of bull.What they said is partially true. NGB loves to throw around the pre existing condition / prior service condition all the time and treats it like a trump card. Unfortunately for them, the AFI states you CAN have a condition that Existed Prior To Service (EPTS) as long as it was aggravated by your military service. Not sure what reg they showed you, but 36-2910 states you can appeal all formal determinations (para 2.4) one time. Since they screwed you on this and you missed the window... this is going to be a really really hard battle for you. AFBCMR rarely overturns determinations if you as the member fail to use the mechanisms to appeal a decision you don't agree with. You can put in there exactly why you didn't appeal, but set your expectations early and often that this will be a shit show.
AFI 36-12 section 4E describes the DES processing for non-duty related, but it really sounds like they are trying to punt you via para 3.17.5.1. Either way, they lied to you then and they are lying to you now saying you "can't appeal" the NGB determination. Your AFBCMR is going to have to be a two part-er.
Part 1 - Fight the NGB determination. You have to now prove that your EPTS condition was aggravated by your military service. Since you didn't appeal the determination, the onus is now on you to show how your condition was aggravated. Doctors notes, letters from people that know you, etc.
Part 2 - Once your condition is found In the Line of Duty (ILOD), you request that all unfitting conditions be reviewed for compensation rating.
Godspeed on your journey. It is going to take at least a year just to hear back from the AFBCMR. I would highly suggest retaining legal counsel, but know that BCMR cases typically cost $10k+ depending on complexity. You could potentially work out a payment plan where the lawyer gets a significant cut of the back pay. It's sucks, but the positive is if you don't win, you don't end up having to pay. You win, the lawyer doubles the money they get.
Like I said above.... manage your expectations.
Not fighting it is certainly understandable considering how long you have been in limbo, but you need to be aware that the Tri-care now versus at 60 is a HUGE benefit and worth fighting for.My case moved forward some. I was found unfit it only took 16 months to get here. Since my LOD was denied it is non duty related and I see I have to sign my right to any further appeal. I do believe it should be in line of duty but I don't think I want to fight it cause I don't want to be in a limbo status for who knows how long. After I'm out of the military I still have to jump though the hoops on there FERS side. I feel good that I'm getting out nervous cause it's been what I do for so long. I do feel little shafted by the National Guard but if the only thing I lose is Tricare tell I'm 60 don't think I want to fight it. At least I do have a good rating by the VA. Also I'm less than 1 and half years to my 20 so no concurrent VA retirement either but close.