The IPEB will apply the VA ratings to your unfitting conditions and make one of the following recommendations: For IDES, the VA Disability Rating Activity Site (DRAS) will prepare a preliminary rating decision for all your referred and claimed conditions and will make it available to the IPEB. For LDES, the PEB will use the current Veterans Affairs Schedule for Rating Disabilities (VASRD) and apply the appropriate ratings. If the IPEB finds you unfit for continued military service, they will list the conditions which make you unfit. You are encouraged to contact an attorney at the ODC for review of these documents before submission to your PEBLO. If your suspense date lands on a weekend or holiday, your response/documents will not be due until the next business day. You may request an extension, however it must be presented in writing to the PEBLO before surpassing the suspense date. The IDES timeline is very rigid so you must ensure you are timely with each of these documents since only 7 (seven) days has been allotted within the MEB timeline to complete the IMR/Rebuttal process. If you elected to complete any of the above, (IMR, MEB Rebuttal Letter with CMA response, and/or LOE) these documents will be included in your MEB package and forwarded to AFPC/DPFDD to be presented to the IPEB. The LOE is not mandatory and can be submitted at any time in the IDES process. The LOE should support your wishes and is not another avenue to dispute your MEB case or narrative summary (NARSUM). In addition to the options above, you can submit a letter of exception expressing your desire to remain in the service, be separated, or retired. Your MEB case will not be forwarded to AFPC/DPFDD until the rebuttal process is finalized and the MEB results still indicate you are potentially unfit for continued military service. The PEBLO will forward your Rebuttal Letter and the CMA response to the MEB president for review. The CMA is a senior medical officer appointed by the MTF Commander and may not be one of the physicians who served on your MEB or the impartial reviewer (if you elected an IMR). You may also include any extenuating circumstances you feel should be considered. (Note: Any concerns you have about the AF Form 1185, Commander’s Impact Statement for MEB must be addressed to your commander.)Ī Rebuttal Letter is a document (memorandum format) that you submit to the MEB Convening Medical Authority (CMA) addressing why you disagree with the narrative summary or the MEB recommendations. You may submit a written Letter of Concern (memorandum format) to the IMR physician outlining any specific issues you may have about your MEB package. If so, the MEB Board President must consider whether changes to the MEB package are warranted and whether to reconvene the MEB once changes have been documented. In rare circumstances the impartial reviewer may not validate the MEB findings. Request an Impartial Medical Review (IMR)Īn IMR is a review of your case by a physician or other health care professional not previously involved in your MEB. You concur with the MEB decision and wish to submit your MEB case to AFPC/DPFDD without an Impartial Medical Review, Rebuttal Letter or Letter of Exception. Once briefed on your MEB results, including the completed VA C&P exams (IDES only), you may submit any of the options listed below: The ODC attorneys and paralegals are independent from the DES process and serve as an advocate for you. If you choose to consult with a member of the Office of Disability Counsel (ODC) they may be reached by email at: sending an email, please wait at least 24 hours before calling them at DSN 665-0739/Commercial at 21. Execution of the MEB (to include impartial review/MEB rebuttal)ĭuring the MEB phase you may either utilize legal counsel provided, or obtain counsel of your choosing at your own expense.VA Compensation & Pension (C&P)/Disability Benefits Questionnaire (DBQ) examinations.Claim Development with the Military Service Coordinator.The IDES MEB phase includes the following sub-stages:
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