Posted on Feb 6, 2016
How do I start an MEB process in the National Guard?
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Im currently in the Georgia National Guard i have over 70% disability with the Va for mental issues and 10 % for back issues and since i came off profile i havnt been able to adjust or get any better with my PT nor has my issues gotten any better by being in the NG i want to start the MEB process but how do i do that?
Posted in these groups: 
Army National Guard
Medical Board
Army National Guard Medical Board
Posted 10 y ago
Responses: 8
You do not actually start a MEB. A doctor has to recommend you as unfit for duty. Then it can go to a board. If you think you may have a condition that qualifies you for a medical separation, you should ask for medical appointments to consult with a physician who will be able to make a more qualified prognosis.
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SFC (Join to see)
That and knowing the difference between a SMRB and a MEB. You don't go straight to a MEB. It has to be determined from a SMRB to recommend a MEB. Another misconception is that a Medical Discharge from the NG WILL NOT get you any money.
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1SG Joseph Yorski, MHS
Good info, and if it's close to his PHA, he could always bring it up during the portion with the provider or BH.
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A lot of great information as already been given, but since you came off profile that means, to me, you haven't been seeking treatment, or haven't been turning in documentation of those visits, you need to make regular appointments with whoever your primary care provider doctor is and have them give limitations, hell I have seen them written on a prescription pad, when you leave your doctor's appointment request copies of care given, diagnosis, progress, etc and give those to who ever your state surgeon rep is. In Texas we had a representative designated to each battalion. I also turned a copy into my unit readiness NCO as he was HIPAA trained. If you are not still seeking care I would recommend starting again because you will have to show that you are doing your part. If you get a temporary profile and in 3 months have nothing to support it then you will possibly come off profile again. At your next drill sit down with your Platoon Sgt, explain your situation, you DO NOT have to reveal the nature of the conditions.Tell him you would like to be scheduled for an appointment with a military doctor and go from there. Each state may have a different process for getting a profile but the easiest way is the annual PHA that was mentioned earlier.. I think we called them FMR, where you do shots, dental, etc..a mini SRB. Hope that helps.
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LTC Yinon Weiss
Last year I had a Soldier with 20+ years who was "demanding" that he be Med Boarded. We made all sorts of medical appointments for him, but he provided no medical records to substantiate anything.
Some people think they are "entitled" for a medical separation, but it's not an entitlement issue, it's a medical issue.
Some people think they are "entitled" for a medical separation, but it's not an entitlement issue, it's a medical issue.
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The first step is seeing a provider. He or she starts the process. How are you in the ARNG with a 70% disability?
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SSG Brian Lovins
I would say half my unit was 70 percent at one time, I know a guy that is 70 percent with handicap DV plates that has no limitations, no profile, nothing but he has a VA rating for various issues.
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CPT John Antill
I have a disability rating and I am in the guard. What I found out this SRP is that my unit medical person at the Med Det didn't enter in my medical information back in December that would have triggered the process. I have Dual profiles limiting my duty. That was the kicker. as long as you can complete on event without a profile they are good with it. You have to elect to take Guard pay with reducing the VA Pay by the amount you get from the guard or VA pay if It is higher than the Guard Pay
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SGT (Join to see)
CSM (Join to see) - CSM, I'm sitting at 100%. I was active for eight years, until I shattered my knee and femur in 2016. Im a MILTECH now, essentially a DOD Civ, that has to be in the Guard to keep their job. Im finalizing my divorce next month, and I will be trying to push a MEB this year. I do not care for early retirement or anything, the physical demands of the guard, with the new PT test, and everything else is just too much for my knees at this point. I know plenty of troops who were prior active, who have 80%+.
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Be brutally honest in the MRE (or PHA, they seem to change the name periodically) that happens every year.... Identify your issues in the physician interview part and if you leave that event without a temporary profile and recommendation for medical followup I would be surprised.
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SFC (Join to see)
That is spot on Sir. I've had Soldiers walk out of a PHA with some crazy profiles. Almost to the point to where we almost didn't allow them to drill until issues were resolved or SMRB process had been started.
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Your military physician refers you to IDES for a condition that will not bring you to full active military service within 1 year. After you physician refers you, you will be assigned to PEBLO who will help you with the IDES process. After you are medically evaluated, and if the results are service connected, a statement will be sent to your commander that notes how your condition interferes with your duties. Then your medical records are sent to be medically accepted by the MEB. Its a long process that can be very difficult. Start with a Military MD, Good Luck
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Doesn't your state have an annual SRP (Soldier Readiness Processing) ??? It''s there where your PULHES is updated and changed to reflect any changes to your health. If a condition warrants a big change, they will place you in a Medical hold unit until they're brought up to standard. If they can't be changed, and your unfit, the process for Medical discharge will be initiated. I know this because i was meadicalled out in 2014.
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SPC Lawson
All the comments have been mostly spot on, though there are some in answered questions
1. How long were you on a temporary profile.
If you have a permanent the military has already decided you are fit for duty.
2. Are you in communication with the state medical personnel that are handling your medical issues?
3. Are you primarily seeing a private doctor and of so are you transferring your files to the Georgia state surgeons office?
4. Have you been getting evaluated by a military doctor ? Are you getting your medical records reviewed at least by the military doctors.
5. I just realized you said you came off profile, have you been reevaluated yet ?.
Now note I would request you don't answer these questions in a public forum as most if not all are considered hippa
Your next step needs to be your unit administrator and let him or her know your concerns but ensure you go through your COC so they know you are talking to him about this stuff. The UA will most likely inform the CO and 1SG when they have a need to know
All the comments have been mostly spot on, though there are some in answered questions
1. How long were you on a temporary profile.
If you have a permanent the military has already decided you are fit for duty.
2. Are you in communication with the state medical personnel that are handling your medical issues?
3. Are you primarily seeing a private doctor and of so are you transferring your files to the Georgia state surgeons office?
4. Have you been getting evaluated by a military doctor ? Are you getting your medical records reviewed at least by the military doctors.
5. I just realized you said you came off profile, have you been reevaluated yet ?.
Now note I would request you don't answer these questions in a public forum as most if not all are considered hippa
Your next step needs to be your unit administrator and let him or her know your concerns but ensure you go through your COC so they know you are talking to him about this stuff. The UA will most likely inform the CO and 1SG when they have a need to know
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