government

Federal government routinely denies medical claims to injured, disabled veterans

Wednesday, July 18, 2012 by: J. D. Heyes
Tags: medical claims, disabled, veterans

eTrust Pro Certified

Delicious Pin It
(NaturalNews) Eight U.S. Army veterans have claimed in court that the federal government denied their medical claims and that the government regularly does so with scores of other veterans as part of a "standardized" practice.

In the suit, the vets - led by plaintiff Dannie Fail - claim the Army's Servicemembers Group Life Insurance Traumatic Injury (TSGLI) program "has standardized the practices of denying claims [from injured veterans] in a manner that is arbitrary, unsupported by its own guidelines and contrary to law."

They went onto say that the program routinely denies benefits to vets injured overseas and elsewhere, which in turn forces them to utilize an appeals process to get their benefits - a process which often can be lengthy and taxing, financially and mentally.

In their suit, all eight plaintiffs said their injuries were legitimate - all were certified as such by a medical professional.

The complaint does not detail the veterans' injuries specifically, but it does list what sorts of injuries qualify them for the benefits.

Forced to appeal, with uncertain results

"There are nine categories of losses covered as follows: 1) Sensory losses, 2) Burns, 3) Paralysis, 4) Amputation, 5) Limb salvage, 6) Facial reconstruction, 7) Activities of daily living, 8) Inpatient hospitalization, 9) Coma/TBI (traumatic brain injury) combined with another injury," says the complaint.

When injured veterans seek coverage, say the plaintiffs, the U.S. government "adds a criterion negating ADL [Activities of Daily Living] coverage where there can be adaptive behavior to accomplish the activity, even though the adaptive standard is not contained in the manual or guideline."

Each of the plaintiffs - identified in the complaint as Fail, Scott Buchholz, Christian Andersonn, John Zonta, Stacey Truax, Timothy Melson, Scott Philbrick, and Jedadiah Zillmer, all of whom live in Colorado - say they followed the government's requirements in filing their claims, which included obtaining letters from independent physicians certifying that their "traumatic injuries" left each of them unable to work.

All of them; however, were denied their benefits.

"(A)ny member who receives an adverse TSGLI decision may obtain judicial review in any United States District Court of competent jurisdiction," the complaint states.

"In addition, even if administrative reviews were required of TSGLI applicants prior to initiating a lawsuit, doing so would be futile because it is certain that a TSGLI claim will be summarily denied on appeal for the reasons stated herein."

Government 'regularly' denies claims, lawyer's group says

According to the Veterans Administration (VA) Web site, to be eligible for TGSLI benefits:

- If injured on or after December 1, 2005, military personnel must be insured by SGLI when they experience a traumatic event. For those injured between October 7, 2001 and November 30, 2005, SGLI coverage is not required to be eligible for TSGLI.

- They must incur a covered loss and that loss must be a direct result of a traumatic injury (covered losses are listed here).

- They must have suffered the traumatic injury prior to midnight of the day that you separate from the uniformed services.

- They must have a scheduled loss within two years (730 days) of the traumatic injury.

- They must have survived for a period of not less than seven full days from the date of the traumatic injury.

The rules go onto state that "as long as the Servicemember experienced the traumatic event while in service and covered by SGLI, they can apply for the benefit even if they have since been discharged."

Similar lawsuits have been filed across the country.

The Republican National Lawyers Association says in one of its online newsletters that Congress created the TGSLI benefit as a way to "off-set the expenses of being traumatically wounded."

"But," the newsletter continues, "in some cases, soldiers must prove that they required assistance with particular "activities of daily living" in order to recover. The burden of proof is on the soldier. Often medical records from combat and field hospitals are unavailable, or woefully incomplete, and fellow soldier witnesses are difficult to track down."

"The military," the group says, "regularly denies TGSLI claims."

Sources:

http://www.courthousenews.com/2012/07/10/48219.htm

http://www.insurance.va.gov/sglisite/tsgli/TSGLIFAQ.htm#11

http://www.rnla.org/Newsletter/ViewArticle.asp?ArticleID=326

Get breaking news alerts on GMOs, fluoride, superfoods, natural cures and more...
Join over four million monthly readers. Email privacy 100% protected. Unsubscribe at any time.


Have comments on this article? Post them here:

comments powered by Disqus

Take Action: Support NaturalNews.com

Email this article to a friend

Permalink to this article:

Reprinting this article: Non-commercial use OK, cite NaturalNews.com with clickable link.

Embed article link: (copy HTML code below):
Most Popular
Today | Week | Month | Year

See all Top Headlines...



GET SHOW DETAILS
+ a FREE GIFT

Now Available at ShopNaturalNews.com

O3 Essentials OraJuvenate™
A powerful, cleansing dental cream for maximum oral/dental health.
New Cancer Solutions
Over 3 hours of content covering today’s best cancer tests, how to kill cancer cells and the best diets and exercise routines.
Freeze-Dried 100% Organic Whole Corn
Our freeze-drying method preserves taste, texture and nutrients better than any other food preservation method ever invented.
Fenix TK35 Flashlight
Tough, waterproof, extremely bright and it’s touted to throw an 800+ lumen beam more than 1,000 feet into the night.
Inca Treasure Smoothie Pack
This pack of our four most popular superfoods from South America is the perfect combo pack for smoothie lovers.
Pink Himalayan Salt
This salt delivers significant levels of magnesium, zinc and selenium, with trace levels of dozens of other elements.
Pinhole Glasses - Aviator Style
Pinhole glasses are becoming famous for helping people improve their vision without the risks of laser surgery.
Oxy-Rich Facial Serum
O3 Essentials Jojoba Oxy-Rich Facial Serum is cellular nourishment for your skin. Helps smooth fine lines while enhancing tissue elasticity.
Freeze-Dried 100% Blackberry Halves
Our freeze-dried blackberry halves are grown in Serbia under strict organic standards.

Also on NaturalNews:

Health Ranger Videos
Activist music
CounterThink Cartoons
Food documentaries
FREE Special Reports
Podcasts
Colloidal Silver

Advertise with NaturalNews...

Support NaturalNews Sponsors:

Advertise with NaturalNews...

Most Popular Stories

Flu shot kills 19-year-old, but vaccine industry still has total immunity against lawsuits
Here's a nutty fact: Eating more tree nuts lowers the risk of all-cause death by up to 20 percent
Six important facts you're not being told about lost Malaysia Airlines Flight 370
Malaysia Airlines Flight 370 now clearly a government cover-up: All evidence contradicts official story
10 other companies that use the same Subway yoga mat chemical in their buns
BLM fracking racket exposed! Armed siege and cattle theft from Bundy ranch really about fracking leases
High-dose vitamin C injections shown to annihilate cancer
U.S. treating meat with ammonia, bleach and antibiotics to kill the '24-hour sickness'
USDA to allow U.S. to be overrun with contaminated chicken from China
Vaccine fraud exposed: Measles and mumps making a huge comeback because vaccines are designed to fail, say Merck virologists
Battle for humanity nearly lost: global food supply deliberately engineered to end life, not nourish it
Diet soda, aspartame linked to premature deaths in women

25 Amazing Facts About Food

This FREE downloadable report unveils a collection of astonishing and little-known facts about the food we eat very day. Click here to read it now...

 

Resveratrol and its Effects on Human Health and Longevity - Myth or Miracle.

Unlock the secrets of cellular health with the "miracle" nutrient Resveratrol Click here to read it now...

 

Nutrition Can Save America

FREE online report shows how we can save America through a nutrition health care revolution. "Eating healthy is patriotic!" Click here to read it now...

The Healing Power of Sunlight and Vitamin D

In this exclusive interview, Dr. Michael Holick reveals fascinating facts on how vitamin D is created and used in the human body to ward off chronic diseases like cancer, osteoporosis, mental disorders and more. Click here to read it now...

Vaccines: Get the Full Story

The International Medical Council on Vaccination has released, exclusively through NaturalNews.com, a groundbreaking document containing the signatures of physicians, brain surgeons and professors, all of which have signed on to a document stating that vaccines pose a significant risk of harm to the health of children. Click here to read it now...

Health Ranger Storable Organics

GMO-free, chemical-free foods and superfoods for long-term storage and preparedness. See selection at www.StorableOrganics.com



Recommended Resources On:

Natural News trends
Health Ranger news
Natural News GMOs
Mike Adams tracker
Natural News photos
Natural News Global
Natural News in focus
Natural News connect
Natural News shocking stories
Natural News radar
GMOs
Quackwatch
Vaccines
Health freedom
Dr. Paul Offit

This site is part of the Natural News Network © 2014 All Rights Reserved. Privacy | Terms All content posted on this site is commentary or opinion and is protected under Free Speech. Truth Publishing International, LTD. is not responsible for content written by contributing authors. The information on this site is provided for educational and entertainment purposes only. It is not intended as a substitute for professional advice of any kind. Truth Publishing assumes no responsibility for the use or misuse of this material. Your use of this website indicates your agreement to these terms and those published here. All trademarks, registered trademarks and servicemarks mentioned on this site are the property of their respective owners.

eTrust Pro Certified Android app on Google Play

Sign up for the FREE Natural News Email Newsletter

Receive breaking news on GMOs, vaccines, fluoride, radiation protection, natural cures, food safety alerts and interviews with the world's top experts on natural health and more.

Join over 7 million monthly readers of NaturalNews.com, the internet's No. 1 natural health news site. (Source: Alexa.com)

Your email address *

Please enter the code you see above*

No Thanks

Already have it and love it!

Natural News supports and helps fund these organizations:

* Required. Once you click submit, we will send you an email asking you to confirm your free registration. Your privacy is assured and your information is kept confidential. You may unsubscribe at anytime.