Yet Another John Hancock Long-Term Care Insurance Update


Me, a decade ago: “John Hancock made my father’s long-term care insurance claim the worst financial experience ever.”
John Hancock LTC team, a decade later: “Hey Nords, hold our beer.”

Image of a December 2024 letter from John Hancock Long-Term Care insurance team notifying Estate Of Dean Nordman of remaining benefits from a 2011 claim that finished paying in 2014. | MilitaryFinancialIndependence.com

10 Years Later.

This letter claiming to be from John Hancock arrived in December 2024, just before the holidays.

“Upon a recent review of your… long-term care insurance policy, insured and administered by John Hancock, we have discovered there are still benefits remaining, even though your claim ended on 10/5/2014 and your coverage was terminated.
To help make sure you receive correspondence as soon as possible, please contact our dedicated service area at 888-[redacted] at your earliest convenience to confirm we have your current information. This will also help us verify that this policy’s remaining benefits will be delivered as intended.”

Yeah, right. Nice try, scammers.

Yet why would John Hancock address the letter to “Estate Of”? (After the claim ended, Dad lived another three years in memory care before Alzheimer’s Disease killed him.)  They could have simply addressed the letter to my father or directly to me, his conservator.

Frankly it wasn’t worth my time to answer this suspect letter (even if it turned out to be legitimate), but half of Dad’s estate belongs to my brother.  He’s financially independent too, and he probably wouldn’t care about the money. Yet I still felt the sense of obligation, and my conscience would nag me.

Except… if this was a scam, then how did they know the policy number and the expiration date of the benefits?  Well played, phishers.

 

I searched the Internet.

The letter was signed by a John Hancock executive who has a Linkedin account. Other search engines seemed to confirm that there was such a person, although their public info was easy to clone into a phishing hook.

I looked up John Hancock’s corporate “Contact us” number and spent 45 minutes with two different representatives.  The first one couldn’t help but eventually transferred me to the long-term care insurance call center. That rep could see the letter on their system and confirmed that the number was legit. They also volunteered that the LTC department was reviewing old claims, but they had no further insight.

I decided to call the toll-free 888 number, which felt like time-traveling to the 1990s.  It went directly to voicemail, and here’s the full transcript:
“Welcome to the long-term care operations team. Please leave your full name, LTC ID, and/or claim number and we will call you back as soon as possible.”

John Hancock couldn’t even make the time to identify their corporate name, or offer an e-mail address, or provide a fax(!) number.

I left three voicemails during the next 24 hours, and I couldn’t tell that anyone bothered to check it.

My Internet search also turned up John Hancock’s $26.3 million settlement with New York over canceled insurance policiesSuddenly I could completely understand why the company was calling me about a 10-year-old claim from Denver. Maybe I should notify the Colorado insurance commissioner of my experience?

As I wrote in my 2014 post, John Hancock had attempted to terminate the insurance claim while it was still $6175 short of a full payoutDuring 2011-14 their claims reimbursement procedure was so laughably chaotic that I built a tracking spreadsheet. (I used their numbers in my father’s 1992 policy and from their 2011 approval letter of the claim.) When I sent them a copy of my spreadsheet, 19 days later they deposited the money in his checking account ($6175.20, to be precise) and followed up with a letter:
“Based on a review of the file, we are honoring your request for payment.”

 

Finally, The Callback

In early January 2025, two weeks later, they eventually checked their voicemail. I was in the middle of yardwork, and (as usual) I was listening to my phone’s classic rock music on my hearing aids. I recognized the 617 area code (“Boston– oh that could be John Hancock!”) and picked up.

The good news is that the caller from the LTC team knew there was a five-hour time difference, and they avoided the classic Mainland mistake of calling at 3 AM.

The other news is that by calling– instead of e-mailing or sending a letter– they didn’t leave a record which could be subpoenaed by a lawsuit.

The LTC team member acknowledged my voicemail and asked for a complete set of my father’s estate paperwork:

    • his will,
    • the executor’s appointment letter,
    • the probate records, and
    • IDs from the heir(s).

I guess their legal staff wanted to make sure the money went to the right heirs, even though their correspondence file already showed that I was the fiduciary son who had to deal with them for the three years that they were paying the claim. Especially for the part where they tried to short my father by $6175.

I explained that my conservator’s appointment ended with my father’s death in 2017 and his assets were passed by beneficiary designations. His will was filed but never probated (and never had an executor) because it wasn’t required. His estate was closed in 2018 after I filed his estate income-tax returns.  I didn’t even need to open an estate checking account.

Today all I have is my father’s death certificate and my archived copies of my conservator’s filings with the probate court.  Maybe the Denver probate court still has them too.

The LTC team member said that my father’s beneficiary designations didn’t meet their requirements. I was already antagonized so I lit up and shared my feelings: in 2011-14 their entire claims process left our family feeling victimized, and their scammy phishing 2024 letter (with its sketchy toll-free phone number to an unprofessional voicemail) brought back my trauma emotions all over again.

I amped up my military voice to emphasize that John Hancock had already been given their second chance in 2014 to pay the claim correctly, and today I didn’t feel obligated to prove I was still an heir of his estate.  And because I’m a nuclear submarine veteran, I pointed out that a decade of neglect should include compensation for interest & inflation.

I concluded by demanding that unless they were ready to send the money to me right now, then I was ready to talk with my estate lawyer and the state insurance commissioner’s office.

The team member said they’d consult their lawyers for guidance and let me know how they wanted to proceed. I doubt that I was talking with the person who signs the checks.

I had one more question.
Me: “Before we finish this call, do you have any information on how much money we’re talking about?”
LTC: “Let me look in the file… it’s a sum between $10K and $20K.”
Me: “Thank you. Please e-mail me when you have a response. I’d rather not talk on the phone.”

Image of logo for Sterling & Tucker LLP law firm for estate planning in Honolulu, Hawaii. | MilitaryFinancialIndependence.com

Hawaii estate planning.

I e-mailed my lawyer (Michelle Hobus of Sterling & Tucker) with a summary and asked to discuss it with her on a Zoom call.  She does outstanding estate planning.

 

Another Callback?!?

Four days later, the John Hancock LTC team member… called me again. (This time I was waiting in line for an auto safety inspection and had plenty of time to chat.) I reminded them of my “Do Not Call” preference, and they asked for my lawyer’s e-mail address.

I explained that I was waiting to hear back from my lawyer, and I asked what information the LTC team wanted to share with us.

The LTC team member said that in 2024 when they reviewed my father’s claim, they found my 2014 letter which told them that they were $6175 short.

The team member said that they agreed with my spreadsheet and wanted to send me the $6175 plus interest. Then they began explaining to me (yet again) why John Hancock needed the legal documentation to prove that I was the heir.

I (politely) interrupted their script to inform them that we’d already received the final payment.

The team member said John Hancock had no record of paying it.

When I affirmed that they’d already electronically deposited the $6175 into my father’s checking account in late 2014, they said there was no record of its deposit.

I felt the gaslighting.

On the other hand, John Hancock had screwed up before. Incompetent accounting is not a crime.

I reminded the LTC team member (once again) that I was my father’s conservator and I knew he’d received the deposit. We’d already paid his long-term care expenses with their final deposit and then, since the claim was exhausted, we moved on to private pay for nearly three more years.

I could have shared that I properly documented their deposit in my conservator’s 2014 report to the Denver probate court. If I did that, though, they would have asked for a copy for their record. After the way I’d been treated over the last few weeks… I felt no obligation to volunteer my help.

I told the LTC team member that I thought we had nothing further to discuss.

They said that they felt sorry for all of the trouble they’d put me through and they wanted to make it right.

At this point you may be wondering whether it crossed my mind to let them send me the $6175… again… maybe this time with a record of its payment.

They’ve certainly earned the karma backlash, but my brother and I are financially independent. We don’t need the money.

At that point I had two thoughts:
1. I was even angrier that they made me re-live this experience just to admit once more (and prove yet again) that they couldn’t handle their own accounting.
2. They’d still insist on estate & probate records which had never existed.

Then I had a horrifying third thought: in a few years a new member of the LTC team would review that file yet again (possibly with more diligence?), and realize that they’d paid out $6175 twice. They’d want their money back, and I’d have to re-live this conversation all over again.

Ever since I was a midshipman I don’t lie, cheat, or steal– and in this case, doing the right thing was easy.

I said that I appreciated the feelings of the LTC team, and we had nothing further to discuss.

They tactfully pushed back that if I’d just give them the proof of being my father’s heir, then they could…

I told them that I wasn’t going to fix John Hancock’s accounting errors. I suggested that they should discuss this whole issue with the team, decide on the right thing to do, and then do it. We had nothing further to discuss.

After more pushback I repeated that paragraph. I think they got the hint.

(Spoiler:  They didn’t get the hint.)

We agreed that if John Hancock ever wants to contact me again, they’ll e-mail me. Sure they will.

(Spoiler:  They did.)

After we finished our call I e-mailed our estate-planning lawyer, reported the update, and apologized for wasting her time. She graciously accepted my apology and didn’t even bill me.

 

But wait, there’s still more.

A week later (after I cooled off) I drafted this blog post.  I finally formatted it and scheduled it to post in early March.

Two days before the blog post went live, my Gmail inbox had a message from “noreply” with subject “[MLIencryptPII].”  I’m an experienced blogger, and these are usually spam or phishing invoices. A lot of them get past my e-mail filters, and I delete them without reading.

However I was still squinting while sipping my first cup of tea, and the “encrypt” letters seemed to be more creative than the usual invoice scam. I opened the e-mail, and I’m glad I did.

It was actually from “noreply@jhancock.com” through a Microsoft Office 365 encryption program. Gmail didn’t seem upset, and neither did my PC’s virus scanner, so I clicked through. I had to click a second link for an e-mailed unlock code (a really good spearphishing tactic!) before I could finally see an Outlook page with a tiny thumbnail of a PDF from… John Hancock Insurance.

At least they didn’t mail cryptic form letters, or ask me to leave voicemail at sketchy toll-free numbers, or call my phone. But only John Hancock could make e-mail even harder.

Image of screenshot of an encrypted letter from John Hancock Insurance offering to pay a "settlement" of $8298.60 each to me and my brother for the $6175 benefit that they'd already sent to us a decade ago. | MilitaryFinancialIndependence.com

10 years’ interest at 5.4% APY.

They might be struggling to understand that “do the right thing” part too.

This settlement letter was accompanied by a three-page release assuring John Hancock that we would not file a claim or take any other legal action.  (But it’s not a non-disclosure agreement!)  “All we have to do” is notarize our signature, mail it in, and wait for the check.

At least they’re no longer insisting on proof that I’m the heir to my father’s estate.  Yet I don’t think John Hancock’s LTC insurance team would know the right thing to do if it reared up and bit them in the assets.

Interestingly, I’ve never told them the [redacted] name of my brother. I’ve never even mentioned that I have a brother, because I thought they’d shift targets and start pestering him too. John Hancock must have done that research because they managed to spell his (unusual) name correctly.

Since I apparently failed to preserve my brother’s privacy, I forwarded my copy of the (decrypted) e-mail to him with a summary of Hancock’s letters & calls. Then I went surfing followed up a few hours later with a phone call. As usual, my call went straight to his voicemail.

I should mention that I haven’t talked with my brother in nearly seven years, and his last e-mail was four years ago. Bro doesn’t use the Internet, and he would never have clicked on John Hancock’s encrypted links. I don’t know how John Hancock would have discovered his e-mail address, which he only checks every few weeks. He moved out of Colorado years ago and (wisely) he doesn’t send out change-of-address cards when he moves.

He called me back a bit later, and of course he hadn’t even read my e-mail yet, so I reviewed our story so far.

I avoided telling him what I thought we should do, but he immediately had the same reflex reaction: we’re not accepting their offer.

I have to admit that he reached his conclusion a lot faster than me.

It irks me greatly that John Hancock knows they don’t owe us any money– and yet they still want to buy our compliance to shield themselves from hypothetical legal action.

I guess I should be flattered that my integrity is worth almost $8300 to them?

This could be their attempt to fend off another class-action lawsuit by settling with as many clients as possible before the subpoenas arrive. I searched online for another hour but I don’t have the access or subscriptions to know whether any new legal action is pending. I’d hate to settle for $8300 and then (a year later) have the Colorado insurance commissioner ask me for a deposition.

(If you’re in the Colorado insurance commissioner’s office, or if you can research pending lawsuit filings, please let us know what you find!)

The hard part about this “settlement” (which they shouldn’t have offered in the first place) is that their money could have come from another client who was shorted on their claim and never checked John Hancock’s math. Or a client whose claim was inappropriately denied. Or a client who let their policy lapse because it was too expensive or… you get the point.

Like I wrote a decade ago, I won’t buy long-term care insurance either.

This offer feels transactional and uses what feels like tainted money. I’ve gone over the release with a lawyer, and it does not prohibit me from blogging about it.

I’d be happy to donate Hancock’s money to charity, but I don’t trust them to even buy us off. I’m concerned that they’d come back another decade later to report that they’d fixed their bookkeeping and want us to return their settlement. Or, even worse, they’d lose their record of this payment too.  Or, worst of all, that they someday contact my heir about my father’s estate.

I want nothing to do with them.

My brother’s waiting for a few more weeks to see whether he gets a letter or e-mail too, and he’ll let me know if he changes his mind.  (I’ve known him his whole life.  I doubt he’ll change his mind.)  As you can tell from this post, I’d rather snark freely than sell out my editorial privilege due to their incompetence.

 

Your Call To Action:

Thank you for reading. Writing this post has been helpful keyboard therapy… and I hope it helps you make an informed decision on your personal long-term care plans.

Regardless of your long-term care planning, I hope you’re also pursuing your financial independence today so that someday you don’t feel compelled to accept an unrefusable offer.

Let us know how we can help.

 

 

 

There are no affiliate links or paid ads in this post.  Try your military base library or local public library before you pay money for these books– in any format.

 

Military Financial Independence on Amazon:

The Military Guide cover
  • Reach your own financial independence
  • Retire on your terms
  • Success stories and personal checklists
  • Royalties donated to military charities

Use this link to order from Amazon.com!

Raising Your Money-Savvy Family on Amazon:

The Money-Savvy Family cover
  • Reach your own financial independence
  • Teach your kids how to manage their money
  • Specific tactics from my adult daughter
  • Checklists and spreadsheets for your family

Use this link to order from Amazon.com!

 

Related articles:
Why I Won’t Buy Long-Term Care Insurance
Alzheimer’s Care Financial Update
Geriatric financial management update

Posted in Insurance, Money Management & Personal Finance, What Do You DO All Day?!? | 2 Comments

Medical Tourism at Bangkok’s Bumrungrad Hospital (2025 update)


Whether or not you’re financially independent, when was your last physical exam?

This post updates our medical tourism travels for our third visit to world-famous Bumrungrad Hospital.

Image of Bangkok night skyline from a balcony by a Sukhumvit hotel | MilitaryFinancialIndependence.com

Awesome skyline nights.

If you’ve never been there (or in Thailand) then please read this 2014 post first for more context about our Bangkok trips.

And of course if you want to see the rest of our 29 days in Bangkok, feel free to stalk my (totally public) Facebook album.  All of the photos have captions, because I really dig seeing these FB memories for years after we’re back home.

As I wrote on this blog over a decade ago, the two biggest obstacles to financial independence are inflation and healthcare– yet everyone (especially military retirees) seems to have more options for handling inflation.

Healthcare is complicated, especially for vets who aren’t supported by the VA or by retiree Tricare. Fortunately medical tourism is one of the global solutions to healthcare expenses: if Bangkok is not part of your travel plans then
you can still pay for outstanding medical care in Europe, South America, Mexico, or the rest of Latin America.

I’ve also learned that if you’re eligible for Tricare Select, then you might even get back most of your money. Thank you to the readers who recommended filing a claim: Gordon Hembree, Nick Makrides, John Kim, and everyone else who chimed in about Tricare reimbursements.

 

Tricare Prime

I’ve been a military retiree for 23 years, and we’ve spent most of that time on Tricare Prime. It’s a good program, especially if you’re raising active teens. Yet you quickly learn that if you neglect to get a referral from your primary care manager, then Tricare Prime might regretfully decline to pay your claim.

In 2014, during one of our family trips to Bangkok in our Tricare Prime years, we tried one of Bumrungrad Hospital’s comprehensive physical exams. Hypothetically we could have requested a referral from our Oahu PCM, but we didn’t even try. Instead we were happy to pay what seemed like a very reasonable fee for concierge medical care. In 2016 we repeated the process.

That was it for a while, because before we got around to our next Bangkok trip: pandemic. That set us back a few years, because medical tourism only works if you can travel.

In 2022 when my spouse started her Reserve pension, we empty-nesters belatedly realized that we could also switch to Tricare Select. We greatly appreciate the flexibility of visiting any ol’ doctor without authorizations or referrals, yet we were also still in our old Prime mindset of seeking referrals & pre-authorizations.

 

Tricare Select… Going Overseas

In 2024 when we decided to make our first Bangkok trip in eight years, it never even occurred to us to chat with Tricare.

At age 64, I was still way behind on my routine medical maintenance. In addition, a cardiopulmonary checkup suddenly seemed like a Really Good Idea. We might have been emotionally affected by the news that a friend, a retired Marine who seemed ready to live forever, had just gone through triple bypass surgery. (He’s doing fine now.) I already have a little calcium sludge in one of my cardiac arteries, and I wondered how that would show up on an EKG during a treadmill stress test.

I wanted to learn what cardiovascular symptoms to watch out for in case (um, just as an example) they happened to manifest on a longboard during heavy-duty North Shore winter surf.

My spouse and I have been married for 38 years, so I’ll spill a little more tea about her side of our medical tourism: she’s not a big fan of regular physical exams. (I can hear our daughter rolling her eyes already.) In my spouse’s defense, she’s disgustingly healthy (especially compared to my genome) and she’s gotten away with her attitude for decades.

Since 2022 I’d been politely (well, all right, maybe rather bluntly) nagging her to get even a routine post-pandemic checkup. She offered a compromise: if we visited Bangkok again then she’d do a Bumrungrad concierge physical.

I bought our (non-refundable) plane tickets before she could reconsider.

 

Back In Bangkok

Image of Bangkok's Bumrungrad Hospital main entrance, including the side building where their physical exams are conducted. | MilitaryFinancialIndependence.com

Concierge medicine.

Although Bumrungrad is still using the same building, they’ve updated their process since 2016.

This time, the biggest challenge was arranging appointments (and payments) online. The Bumrungrad website wants to charge a credit card before picking the appointment, and when I logged in from Oahu then my Costco Citi Visa kept timing out at Bangkok Bank’s site.

I never solved that problem.

Instead, on our first morning in our Bangkok apartment we walked over to Bumrungrad, and they had plenty of appointments over the next few days. (If I read their spreadsheet correctly, it looked like they handle about 150 patients per day from all around the world.) The hospital’s cashier had no problem charging my credit card in person, either.

Image from Bangkok's Bumrungrad Hospital website showing that Tricare health insurance is accepted for their services. | MilitaryFinancialIndependence.com

Bumrungrad takes Tricare!

That afternoon I wrote about our appointments in my Facebook feed, and I was greatly surprised to learn from a couple of vets that at least 75% of the expense might be covered by Tricare Select. D’oh!

Sure enough, Bumrungrad’s website lists Tricare as an insurer.

After a protracted in-person discussion with Bumrungrad’s cashier about referrals & authorizations, we decided that I’d pay up front and we’d file our own claims.

 

The Comprehensive Vitality Programs

It turned out that my spouse and I are still healthy. Mostly.

This time I signed up for the “Comprehensive Male Vitality” package. This was by far my most comprehensive (and expensive) exam ever, and it adds a body composition analysis. (Electrical impedance, not a DEXA scan.) It also includes a hormone screening which might guide my future choices in supplements.

Both my spouse and I are amused by the stock photos marketing accompanying their packages. After extensive parsing of the options (not based on the photos), she chose the basic “Comprehensive Program Female” version.

The U.S. military’s Defense Health Agency could still outsource all their physicals to a Bumrungrad crew. At the very least they should license the hospital’s new tracking software that moves us smoothly among the stations.

My 2016 Bumrungrad checkup used clipboards with our headshots. The staff could use the photo to look around the waiting area and quietly walk over to us to discuss next steps.

Image of a printout from the Tanita Body Composition Analyzer showing details of my body weight, muscle mass, and fat distribution | MilitaryFinancialIndependence.com

Motivation.

In 2024 we had a one-page checklist, barcoded wristbands, and a pager. We moved through all of the stations in under three hours, and sometimes they were waiting for me at the next one before I finished the previous one. I rarely waited more than five minutes between stations, and the results populated the database as we went through the gantlet. The longest delay was 15 minutes after the last exam while we changed from scrubs back into street clothes and waited (at the buffet lounge) for our chat with the family doctor.

Because of the various parameters of my exam, I had to fast for 12 hours (not even drinking water) beforehand. Once we did the blood draw and the body composition test, I had a bottle of water. I had my late brunch (a gourmet menu!) after I finished the rest of the exam.

This was my first-ever body composition analysis, and I’m sure they threw in some feel-good vibes. The analysis claims that my metabolic age is a whippersnapper 49 years old. The rest of this image can be summarized as “surfing muscles.”

It was interesting that the machine immediately noted my left leg is slightly shorter than my right— due to my left knee’s bone-on-bone cartilage erosion. The doctor also got mildly excited about my chest X-ray showing a little thoracic spondylosis, with the possibility of my left leg eventually messing up my spine and my right hip. The vertebrae curve is very slight, and I’m pretty sure I’ve seen it on X-rays for at least 30 years. Now we know what to watch for during the next 30 years, because I’m certainly in no hurry to replace my left knee.

The very next step after the body composition analysis was five test tubes of blood with a large-caliber needle. The phlebotomist even noted that my hemoglobin was low, and smiled with relief when I asked if it could be due to donating blood (on Oahu) a week before flying to Bangkok. I didn’t even think to mention it until they asked about my iron consumption. Of course when I left that station my hemoglobin was even lower.

The lipid panel flagged my higher cholesterol numbers (again, *sigh*), and it already included a check of my Lp(a) lipoprotein risk factor. (In Hawaii medicine, Lp(a) is an extra test that has to be outsourced to a California lab.) The family doc started to gently ease into the statin discussion, so I volunteered my ApoB protein number and my coronary artery calcium score. (Those are topics for a whole ‘nother post.) He’d never heard of desmosterol in the brain’s cholesterol synthesis (another topic for that future organ-recital post) but he agreed with my Oahu doc on starting 5mg of rosuvastatin. This is fine.

 

Treadmills and EKGs

I’ve always enjoyed Bumrungrad’s treadmill test & EKG. Judging from the reactions and comments of the techs, I suspect that most of their (less fit) patients struggle and end up hitting their target heartrate in only a few minutes.

In a possibly-related fitness coincidence, they still limit the treadmill to patients of less than 150(!) kilos. Yeah, I started the treadmill test last November at 83 kilos– but then I walked off more fat in Bangkok and four months later I’m at 78 kilos for my first time since 1970s high school. Surfing for life, dude.

Once the EKG electrodes were attached to my chest, my sitting pulse rate was 52 bpm. They decided that (at my age) my treadmill target would be 132. (When I’m using a treadmill, I keep my pulse around 125.) All of the parameters are displayed next to the treadmill, so I could watch the numbers as they cranked up the speed & incline.

As I watched the display I discovered that if I stretched out my stride a bit then I could actually slow down my accelerating pulse. They seemed a little surprised that my heartrate was taking so long to get up there.

It was all fun&games, chatting with the staff about the numbers– until I had a premature atrial contraction* which briefly spiked the EKG to 173 bpm.

*(I had to look up that term.)

This is apparently not unusual, or at least they’ve seen it before.

The monitor changed its font color from green to a wall of red, a beeper went off, a tech suddenly put a supporting hand on my back, a doctor teleported into the room, and another tech backed off the treadmill speed.

The cardiologist crowd huddled around the EKG printout. “Please keep walking, sir. How do you feel? Ahhhh, all right, that looks fine now.”

A minute later they decided everything was fine and we rolled on. My heartrate reached 132 bpm at just short of 10 minutes, with a 14-degree incline and a slow jogging speed. The post-treadmill analysis decided I’d had a “skipped beat” or a PAC instead of atrial fibrillation.

That was a fun conversation to listen in on, especially if you’ve heard about afib from your… older friends.

The rest of the checkup stations were routine.

 

Reviews And Reports

Later I learned that a friend (living in Bangkok) is the marketing genius who persuaded the JW Marriott catering staff to sponsor the upgrade of Bumrungrad’s buffet services in the patient lounge. (Thank you again, MikeH, we enjoyed it!) It was all yummy, and the attendants ensured that I didn’t even have to make my own cappuccinos.

Once again, the most valuable part of this exam was reviewing everything with a family doctor for nearly 45 minutes. He patiently answered all of my questions, especially when he heard me sling some of his technical vocabulary. (I was probably clogging the patient pipeline with my questions.) He even walked me through hormone chemistry to suggest that I might benefit from more DHEA.

They e-mailed our detailed records two weeks later, and I can go over those with my Oahu family doc for a second opinion. I’m not sure that my decision-making skills (let alone my life choices) would benefit from restoring my testosterone levels to those of my 20s or 30s, but I’m willing to do the experiment.

My spouse’s exam went well, too, although there were a couple of questions for further research. I’m still (politely yet firmly) nagging her about the followup: “As your most likely future first responder and primary caregiver, dear…”

It’s her story to tell, although there’s a 75% chance that everything is fine. Just fine.

For the rest of you military families, it’s worth repeating another of my decade-old paragraphs: if you’re a servicemember who’s a little concerned about symptoms that may affect your eligibility for submarine pay (or any other specialty pay), then consider an off-the-record trip to Bumrungrad. You’ll have to burn leave, but a few months of that specialty pay will cover your expenses.

Even if you’re in the Reserves or National Guard, you can obtain education & reassurance about your future without feeling stigmatized. Perhaps you’ll avoid the risk of being unfairly benched by your service while the military docs do further research. I’m sorry that the American military healthcare system discourages full disclosure about our concerns, but its higher priority is force readiness– not so much our personal issues between career and health.

We will return to Bumrungrad in a few years. Next time I’ll be ready with my Medicare* card and my Tricare For Life supplemental insurance.

*(Medicare won’t reimburse outside the U.S., of course, but I’m just about finished with Tricare Select.)

 

 

Tricare Select Paid For (Almost All Of) It!

I’ll repeat a couple paragraphs for those who may be skimming the headers.

During this Bangkok trip, I posted about our Bumrungrad visit and showed the receipts.  (That’s part of my totally public Facebook album. Feel free to browse.) Before the end of the day, my Facebook friends began telling me that we could get Tricare to pay for the exams.

I spent more time on Bumrungrad’s website, and sure enough: they take Tricare.

I doubt that Tricare Prime would have authorized a referral, but Tricare Select lets us choose any medical provider.

The Bumrungrad staff was very polite with my Tricare questions, but it was clear that they were not eager to file the claim for us. We weren’t worried– we could file our own claim when we got back home.

The wheels of Tricare’s bureaucracy turned very slowly, but eventually they reimbursed us.

Let me pause for a moment to mention that this was the first time I have ever– in my entire life– filed a Tricare claim.

I started with my timing mistake of sending the claim to my Tricare Select Western Region contractor on 24 December, only a (holiday) week before they surrendered their contract to the new provider. I’m sure the old contractor was overwhelmed with a surge of last-minute claims– and perhaps a bit disgruntled about losing the contract– so I was unsurprised by a total absence of response for a month.

At the end of January, we finally got a couple of letters announcing that our claims had been punted over to the Tricare Overseas Program.

It may look like a rookie mistake– and it was my rookie claim– but there’s nothing in any of the Tricare websites that tells a Tricare Select sponsor to file with Tricare Overseas if they just happen to be passing through an overseas area during their slow travel.

In early March (69 days after I filed) our checks arrived. We paid $2507.98 up front and received $2229.16 on the claims for an 89% reimbursement. Tricare Overseas disallowed a few procedures as “not medically necessary” or “noncovered” and diverted another $150 to our deductible.

Mahalo nui loa hana hou to the alert readers who reminded me about Tricare Select claims!

Once again, I can stop worrying about reimbursement bureaucracy (and insurance companies!) and continue managing the rest of my longevity.

 

 

 

There are no affiliate links or paid ads in this post.  Try your military base library or local public library before you pay money for these books– in any format.

 

Military Financial Independence on Amazon:

The Military Guide cover
  • Reach your own financial independence
  • Retire on your terms
  • Success stories and personal checklists
  • Royalties donated to military charities

Use this link to order from Amazon.com!

Raising Your Money-Savvy Family on Amazon:

The Money-Savvy Family cover
  • Reach your own financial independence
  • Teach your kids how to manage their money
  • Specific tactics from my adult daughter
  • Checklists and spreadsheets for your family

Use this link to order from Amazon.com!

 

 

Related articles:
Why You File Your Veterans Disability Claim (Not Just How)
What Happens When (Not Just How) You File Your VA Disability Claim
What The VA Really Does With Your Disability Claim
What Happens After Your VA Disability Claim Has Been Approved
Medical Tourism at Bangkok’s Bumrungrad Hospital
Lifestyles In Financial Independence: Your Mortality
Economic Refugees at RetireEarlyLifestyle.com

Posted in Financial Independence, Insurance, Military and Veterans Benefits, Money Management & Personal Finance, What Do You DO All Day?!? | Leave a comment

Financial Peace While in the ICU


This post is brought to you by a reader– and his spouse– who choose to stay anonymous about their experiences with their local Intensive Care Unit during the pandemic.  

It’s a timely reminder of everyone’s “why” of financial independence– and your estate planning for disability, not only for death.  Who’s going to take over your family’s care & finances if you’re suddenly in the hospital’s Emergency Room and the ICU?

 

During the early stages of the COVID Pandemic, I started feeling poorly while on active duty.  I didn’t have the “normal” symptoms of COVID that were being announced on the news. I ended up going to the medical clinic on base where I was stationed, and they gave me two bags of IV fluid. They also told me to go to the Emergency Room (ER) if I didn’t feel better the next day.

So the next day, I took myself to the ER where I was diagnosed with pneumonia but not tested for COVID. It was so early in the pandemic that only admitted patients were getting tested for COVID. I was sent home with a Z-pak. After 24 hours my wife told me that I should go back to ER because I was not feeling any better. When I went back, the ER screener told me I should come back when the Z-pak was finished.

Because I felt something was still off with me and my concerned wife was being extra vigilant about my health, I went back to the ER after finishing the prescribed medication. Fortunately, this time there was a military Reservist in healthcare acting as the ER screener, and he told me that I would be taken care of. The ER staff ran some tests and my oxygen level was below 90% which was abnormal. Then they ran a test called the Arterial Blood Gas Test revealing my blood oxygen was at 40% which is life threatening. I tested positive for COVID and was sedated and intubated quickly after. I was at death’s door according to my doctor and yet I felt a peace. I had time to quickly call my wife but not much time to think about the gravity of the situation until I woke up in the Intensive Care Unit on a ventilator.

Death was a very real possibility, but at the time, I was comforted by a few facts.  I believed in a God, I lived a full life seeing and doing the majority of my bucket list and then some, and I had reached a financial peace. We are taught in the military to prepare, to be ready at a moment’s notice, and that incudes preparing for death. Over my 20 plus year military career, I improved my personal financial savviness that gave me an inner confidence my family could survive on SGLI and the nest egg that we had built allowing my spouse the choice of continuing to be a stay at home mom or returning to the workforce. I started in my mid-twenties living on less than I make and saving at a high rate to include retirement savings. We began our debt free journey by not having a car payment since 2011, and paid off student loans in 2016. When we started having children, I established a legacy drawer so my spouse knew where all the important information was to include: last will and testament, life insurance, letters to kids, passwords to accounts, etc.

I write all this not to brag about what we have done, but to emphasize the importance of planning for unexpected life events. I knew if I passed, my wife and family could survive without struggling financially.  This was important to me as it was a goal I had set for myself at a young age after seeing my parents struggling with personal finances.  I knew my wife could find everything she needed with ease and not have to go look in the backyard for some safety deposit box or in some cookie jar hidden in the freezer.  Death and mortality is a hard subject to discuss especially in your twenties and thirties, but it’s much harder on those left behind if there was no plan in place. I strongly recommend having a will for yourself– and your spouse, if applicable. Financial planning is not just about freedom in living but also financial freedom (for those left behind) in death.

Initially, I didn’t think my experience was that big of a deal, honestly.  I was glad that I listened to my wife, and that we had planned for this situation financially. Obviously, I survived with a long road to recovery. I thank my mentors for all the great financial guidance I’ve received over many years. Much of what I have learned about personal finance in the last 10 years came from Dave Ramsey. I know he isn’t for everyone, but in most areas, he provides great common sense advice to include the legacy drawer mentioned above. I am grateful to be here with my family, to watch my girls grow up, to continue to check off items on my bucket list, and to enjoy retirement at a relatively early age.

 

If you’re interested in contributing a post at MilitaryFinancialIndependence.com, please see our guest posting guidelines.

 

There are no affiliate links or paid ads in this post.

Related articles:
Family Estate Planning For Your Disability
20 Years Of Financial Independence & Military Retirement

Posted in Financial Independence, Insurance, Military and Veterans Benefits, Military Life & Family, Military Retirement, Money Management & Personal Finance | Leave a comment

Armed Forces Insurance: “Your home policy is canceled.”


 

My spouse and I have been with Armed Forces Insurance for 44 years… starting with a personal-property policy way back when I was (unbelievably) a teenage midshipman.

It’s quite possible that their decades of low premiums and generous claims service have accelerated our financial independence by a year.  We spent less for our insurance during the 1980s-90s and cut those expenses even further after retiring from active duty.

In 2025, though, AFI kicked us to the curb with barely six week’s notice. (Maybe it’s not personal: it’s just business.) They’ve told Hawaii that they’re pulling out of our market. Their retrenchment could be related to the catastrophic August 2023 Lahaina wildfire.

Are you one of the hundreds of thousands of Americans dealing with the insurance crisis?  I’ll share our coping tactics at rebuilding our insurance.

Image of letter from Armed Forces Insurance canceling our homeowner's insurance policy with six weeks' notice. | MilitaryFinancialIndependence.com

“Hasta la vista.”

Whatever AFI’s financial or risk-adjusted reasons for pulling out, their timing certainly destroyed our one-sided trust. During our four decades, 13 military moves, and five houses we only submitted two claims. Both were under $2500, and that second claim was nearly three decades ago.

We’re not risky clients, either. We don’t carry personal-property insurance, and we don’t carry collision or comprehensive insurance on our autos— only liability.

The really annoying part of AFI’s cancellation was that we’d just spent the back half of 2024 overhauling our policies. Our home, rental property, and umbrella liability were with AFI and our autos were with USAA but it had been several years since we’d shopped around.

We’re keenly aware that America’s insurance expenses are skyrocketing, and that national insurers are pulling out of several areas of the country. All of the corporations seem to be struggling with their claims ratios and they’re losing more money every year.

My spouse and I are not pinching pennies. We’ve saved tens of thousands of dollars with AFI over the decades, and today we’re not price-sensitive. However we feel that we invested hours of effort to negotiate with AFI in good faith, only (a couple months later) to have the rug jerked out from under us by a change of corporate policy.

 

The Process

In June 2024 we started all the insurance adulting. We:

  • contacted five independent brokers for referrals and quotes,
  • talked with several insurers about the details of our home & rental property,
  • gave copies of our AFI policies & premiums to the interested companies,
  • updated our replacement-value rebuilding databases with the companies offering the best quotes,
  • requested manual underwriting for higher deductibles on hurricane insurance (because Oahu),
  • researched a more realistic limit for our umbrella liability policy, and even
  • considered minimizing our coverage of our rental property.

One broker responded with a warning:

“I reviewed the details of your current policies and my premiums were way higher than your current premiums. I have a suggestion regarding your current coverage: please increase your limits for the dwellings. Labor and material costs have increased over the last few years.”

Good advice. This is why we check our insurance every few years.

Image of rental property built in 1979 with cedar shake roof from 1997 still in good shape. | MilitaryFinancialIndependence.com

Hurricane-ready!

The worst part of this review was our rental’s 27-year-old cedar shake roof. In 1997 our homeowner’s association codes required this roof style, and national insurers had not yet declared cedar shakes to be a fire hazard. (Back then, clay tiles and aluminum shakes were expensive and even more problematic.) We keep the shakes in good shape (regular maintenance with spray coatings every four years), it still looks brand-new, and we expect to get another 20 years from it.

After a long discussion, AFI agreed to renew our rental’s policy with a limit of actual cash value for the roof (not replacement value).

Those rental-property discounts were our reason for renewing with AFI, and that facilitated our subsequent decisions to keep our home & liability policies with them… until the company decided to abandon Hawaii.

During our months of slogging through policy reviews, we checked with USAA about our real estate. We were only doing our due diligence, and we weren’t counting on them. They’d already pulled out of the Hawaii property insurance market in the early 2000s, and when they returned a decade later they were much more expensive than AFI.

In 2024 USAA’s app immediately shot back:

“We are unable to provide you an insurance policy because of an increased exposure from coastal storm-related damages.”

Well, yeah, that’s because *every* storm on our 30×40-mile island is coastal, even when we’re in the center of that landmass. But that bot’s boilerplate probably applies to all three coasts on the Mainland too.

I called USAA’s member service representative, and they clarified that they’d be willing to insure our home because it was built in 1989 and upgraded in 2011 with hurricane-resistant hardware. However our 1979 rental with its 27-year-old shake roof would have to be laid off with their specialty-insurance partner: American Modern Insurance.

Just to be clear, AMI is not related to American Family Insurance.  AMI is a boutique subsidiary of Munich Re and has a pretty good track record of insuring older (problematic) homes.

However by this point Armed Forces Insurance was quoting premiums of $1300/year while USAA and AMI were closer to $3000/year.

As I expanded our search, I contacted our local State Farm agents. Their e-mail quotes were lower than USAA but still higher than AFI.

During our research I learned that Costco offers insurance from affiliate companies.  After entering our property ZIP codes into Costco’s site:

“Thank you for your interest in getting an insurance quote with us. We are unable to provide an online quote for you through Costco CONNECT. However, we have established relationships with other reputable insurance carriers and would be happy to help you find coverage with one of them.”

Hey, at least Costco is trying to send us an affiliate link. Yet when I phoned Costco’s call center, they said they’re not offering property insurance in Hawaii.  “Never mind.”

If there’s anything good about the months we spent on our insurance review, it’s that (like any good nuclear-trained submarine veteran) I’d built a spreadsheet summary of our research.

When AFI bailed on us, I went back to that spreadsheet and started the tab for Plan B.

 

Oh That Was Fun. Let’s Start Over And Do It Again.

By the time we finished negotiating earlier in 2024, AFI had hiked our home’s comprehensive insurance premium by 17% (to $1326/year) and our rental’s landlord “named perils” policy premium by 30% (to $1292/year). Annoyingly, they’d insisted on their standard 2% hurricane deductible instead of our request for a 5%-10% deduction. We’re happy to shift some of the risk to us owners, but AFI didn’t want to spend the time or money on the manual underwriting.

A couple of months later that deductible debate felt moot when they sent us the cancellation letter on our home policy. We became skeptical that AFI would renew our rental’s policy, too… and if they wouldn’t insure our real estate then they wouldn’t renew our umbrella liability policy either.

We were happy to re-engage with USAA, especially for their military affinity. It also makes sense to coordinate home, auto, & liability policies with a single insurer so that a catastrophic loss doesn’t involve negotiations with 2-3 separate companies.

However I’d felt a similar affinity with our local State Farm agents, a couple who literally live in our neighborhood, and the company has a good reputation in Hawaii. After a few e-mail exchanges, we updated our properties in their database and got a more precise quote for adjusted rebuilding costs and revisions to the construction codes. We’ve kept up with local building codes but if a big hurricane hit the island then construction contractors would be in very high demand while materials would be scarce.

For $2505/year our home would have State Farm’s deductible of 5% and a hurricane deductible of 10%.* That’s 90% higher than AFI yet still cheaper than USAA. Better yet, State Farm does a lot of business on Oahu and seems less likely to abandon us like AFI or USAA.

Image of Oahu home with photovoltaic panels on ground-floor roof and solar water panels on second-story roof. | MilitaryFinancialIndependence.com

Also hurricane-ready.

(*We really wanted a higher deductible because our home has a newer shingle roof that’s covered with photovoltaic & solar-water panels. We can DIY repair any shingle damage from a CAT 3 storm.)

For $1541/year our rental property would have a deductible of 3% and a hurricane deductible of 5%. That’s 20% higher than AFI’s renewal but… we’d be insured for a 27-year-old shake roof and we have a long-term landlord plan for a 2040ish rehab.

I was pleasantly surprised with State Farm’s user-friendly website. Their app is not as robust as USAA’s world-class member service, but both insurers’ apps have dramatically streamlined their claims process. AFI’s website looks like it was last overhauled in 1998, with bare-bones navigation.

AFI billed on something like a four-month payment plan for each of their separate annual policies, which meant that we could only predict the annual totals. The monthly ACH transfers for those bills fluctuated by several hundred dollars.

State Farm bills on a 12-month schedule, so we know today that our next year of property premiums will cost a consistent $338/month.

 

Our First Attempt At Umbrella Liability Insurance

Our next step with State Farm was a $4M umbrella liability policy (on top of our home & auto liability coverage). The agent readily admitted that he could only approve $2M without additional underwriting, but he was confident that State Farm would approve $4M.

That was good enough for our next step: ditching AFI.

We took State Farm’s $2M binder while awaiting underwriting approval for $4M. Once my spouse and I checked over the three policies we were ready to talk to AFI.

 

“No, We’re Not Canceled, *You’re* Canceled.”

I have to admit that I fantasized a few times about calling AFI to cancel our accounts.

I hadn’t talked with them since last September (when we updated our policies) and I certainly wasn’t going to call them about their December cancellation letter.

I was quietly hoping (against hope) that this was all a horrible mistake. Maybe they’d reversed their decision, or they’d meant to only cancel beachfront properties, or their retention team would negotiate a different policy with higher deductibles.

I certainly wasn’t going to argue about their decision or beg for reconsideration, but I was willing to be persuaded.

I poured a fresh cup of coffee, Bluetoothed my hearing aids to my iPhone, logged into AFI’s website, made the phone call, and… ended up in their call center’s hold queue. This was fine.

The member service rep came on a few minutes later and went through the usual identity verification. When they began asking questions about updating our records, I politely interrupted that we wanted to cancel all of our AFI policies.
Them: “I see we’re already declining to renew your homeowner’s policy.”
Me: “Yes.  Please cancel that as of today. Please also cancel our rental property policy, our liability policy, and our umbrella liability policy. We’d appreciate it if you’d refund us the unused premiums.”
Them: (keyboard clicking) “I’m sending you the confirmations now. You’ll have to Docusign them to verify that you’re canceling.”
Me: “When will that take effect?”
Them: “As soon as you finish the Docusign. We’ll refund your unused premiums. Will there be anything else?”
Me: “No thank you, I’ll watch for the refunds.”
Them: “Yessir. Thank you for calling. [click].”

Our conversation was professional yet notably free of empathy– let alone any retention discussions or offers to refer us to other insurers.

Maybe the rep was burned out from handling all of the other Hawaii policy cancellations? Or maybe the call center didn’t even know about the corporate decision to “discontinue the Hawaii line of business.”

44 years of history ended in less than 10 minutes… just like that.

Two weeks later, I still can’t tell that AFI is issuing any premium refunds. We’ll give them another couple weeks to honor their commitment.

AFI’s refund check ($75.95) arrived on Day #17.

 

The Liabilities of Umbrella Liability Insurance

Unfortunately we learned that we weren’t quite finished talking with insurers yet.

State Farm’s auto insurance couldn’t compete with USAA, and then their $4M umbrella liability policy came in at $1476/year. That was nearly double what we were paying AFI for a $5M umbrella liability policy.

Even the State Farm agent thought $1476 was high. Upon further research, it was because State Farm wasn’t insuring our autos and couldn’t give us a consolidated discount. It was also one of the highest umbrella liability limits that they were willing to underwrite.

The reason we were even considering buying ridiculously high limits of $4M-$5M was because Oahu real estate has been appreciating at a compounded annual rate of 5%/year for over two decades. We can do math, and we wanted to get this policy in place before we had to renew our driver’s licenses in our 70s.

I was also making the (flawed) assumption that we’d want to have umbrella liability coverage for our (future) gross worth. I thought that judges and juries would routinely impose damages at that level, and we’d need to insure for it.

I was wrong.

It turns out that the vast majority of liability suits don’t even get to court, and (short of a felony) multi-million-dollar judgments are rare.  $3M would be plenty conservative for our current needs and at least the next decade. $4M was overkill, let alone $5M.

Sure enough, State Farm was ready to pry us loose from USAA with a financial crowbar.

If we left our auto insurance with USAA then we’d pay:
USAA annual premium + State Farm $4M umbrella liability = $961 + $1475 = $2436/year.

If we moved to State Farm for both then our premiums dropped by 19%:
Auto + $4M umbrella liability = $1241 + $738 = $1979/year.

If we reduced the State Farm umbrella liability to a slightly more reasonable limit then:
Auto + $3M umbrella liability = $1241 + $606 = $1847/year.

A rigorous comparison would reduce USAA’s $961/year premiums by their $100-$150 distributions from their Subscriber Accounts, but that annual rebate is unpredictable and could drop to zero if USAA’s claims year is especially bad.

Even so, insuring everything with State Farm and dropping our umbrella liability to $3M would reduce our annual premiums by 25%.

I was ready to send the e-mail, but at the last minute I realized that I was overlooking a different move.

We’d only considered quitting USAA’s auto insurance because AFI is backing out of the Hawaii property market. It wasn’t USAA’s fault that we had to find our umbrella liability insurance somewhere else.

With that epiphany, I went over to USAA’s site for a quote on umbrella liability.
USAA auto + USAA $3M umbrella liability = $961 + $527 = $1488/year.

39% is a heck of a consolidation discount over State Farm.

It’s a bit unusual (and very gratifying) to see that USAA offers umbrella liability even if we only insure our autos with them, and not our real estate. Considering USAA’s real estate premiums, I’m surprised that they’re cheaper for umbrella liability than both AFI and State Farm.

USAA wants nothing to do with Hawaii homeowner’s insurance, but apparently they’re willing to get paid to accept the risk of people slipping and falling on our wet driveway.

Better yet, USAA is still (as usual) much cheaper for auto liability than other insurers. Dropping collision & comprehensive has saved us tens of thousands of dollars over the decades. Not having C&C on our cheap used cars has also accelerated our financial independence!

I checked with the State Farm agent again, who already knew that USAA has lower umbrella liability rates. (Not that he was required to volunteer that detail.) I confirmed that we can have our homes with State Farm for these prices while we do auto liability & umbrella liability with USAA. He responded:

“There is no discount on your home or rental dwelling for having the umbrella policy with State Farm. The homeowners would get a discount for having car insurance with us.
You are correct the biggest discounts are on your auto policies. You should definitely keep your umbrella and auto insurance with the same company to maximize the discounts for those two policies.”

10 minutes later, USAA’s app issued us a $3M umbrella liability policy. (No phone calls required.) I e-mailed State Farm to cancel our umbrella liability policy, and we promptly received their confirmation.

We’re still split between two insurers, but USAA doesn’t compete with State Farm on Hawaii real estate– and State Farm can’t compete with USAA on Hawaii auto liability. If they get along then I sure hope this reduces the hassle factors from a possible large claim with both.

I’m very relieved to put this seven-month insurance saga behind us.

 

Your Call To Action

I recognize that people are paying far more for insurance in their ZIP codes (if they can even get the coverage they want) and I’m not complaining about our new premiums.

But if this happened to us– 40-year customers in our 60s– then it could happen to everyone facing damage from winds or fires.

We’re done with Armed Forces Insurance and we’re not goin’ back, but if you’re still with them then I’d check their annual report to see if their reserves and claims loss ratios raise any financial concerns with you. (And maybe you’d want to build your own quotes spreadsheet from other insurers.) We’ve generally been happy with their customer service over the years, but their Hawaii exit is clearly a financial & risk control. Customer loyalty does not seem to be considered.

And self-insure whenever you can afford the risk!

 

(P.S.:  Once again I’d like to thank the mentors and other members of the Millionaire Money Mentors forum. The information they shared during our insurance research helped us make the right choices for the right prices, and their feedback also helped write this blog post. If you’re already a member there then you can read more of those threads by searching the forum for the phrase “American Modern Insurance.”)

 

 

There are no affiliate links or paid ads in this post.  Try your military base library or local public library before you pay money for these books– in any format.

 

Military Financial Independence on Amazon:

The Military Guide cover
  • Reach your own financial independence
  • Retire on your terms
  • Success stories and personal checklists
  • Royalties donated to military charities

Use this link to order from Amazon.com!

Raising Your Money-Savvy Family on Amazon:

The Money-Savvy Family cover
  • Reach your own financial independence
  • Teach your kids how to manage their money
  • Specific tactics from my adult daughter
  • Checklists and spreadsheets for your family

Use this link to order from Amazon.com!

 

 

Related articles:
“Do I Really Need Servicemembers Group Life Insurance?”
How Much Life Insurance Do You Need?
Your Auto Insurance Premiums Are Rising, But It’s Not Just You
Why I Won’t Buy Long-Term Care Insurance
USAA Answers Your Insurance And Financial Questions
20 Years Of Financial Independence & Military Retirement

Posted in Insurance, Money Management & Personal Finance, USAA | 2 Comments

Updated VA disability claim and medical tests


In early 2023, as the pandemic restrictions eased (and as healthcare workers tried to recover from burnout), I decided to catch up on three years of deferred maintenance: my medical bodywork.

Financial independence is great, and Tricare (plus military veterans’ benefits) make it even better.

The physical exams and blood tests came out fine. I even volunteered for a routine tetanus shot, because it was my first decade in 50 years without hearing an ER nurse admonish me “… and you’re gonna need a tetanus booster before the stitches come out.”

Image of the seal of the Department Of Veterans Affairs | MilitaryFinancialIndependence.com

The PACT Act has helped speed up claims.

Yet later in 2023, other problems started to snowball. In mid-2024 I updated my VA disability claim to raise my 30% rating to 40%.

(And before anyone asks: No, I don’t want to pay the price to get to 50% for Concurrent Retirement and Disability Pay.)

This blog post closes the loop on over three decades of chronic health issues that have affected me (and hundreds of other vets) from the 1991 Mt Pinatubo volcano eruption.  Reading about this process can help you (and many more vets, and their families) file their own claims.  I’ve included links to the references.

We’ll explain why you need to file your VA disability claim (beyond simply helping your loved ones) and then why you need to get a copy of your claims file.

“Future You” will be greatly relieved that Today You has taken care of this.

(Side note:  my apologies for the details of the organ recitals. I’m focusing this post on the VA disability claim process– and the admin, and the potential mistakes– but it still requires more context from the symptoms.)

“Normal For Your Age…?!?”

I’m in my mid-60s, and I’m coping with my body’s emerging issues “as well as can be expected for a man of your age.” I had to learn a few lessons the hard way, and I hope sharing my personal experiences will help some of you solve your own medical mysteries.

First, when Congress passed the 2022 PACT Act, it greatly simplified the disability claims process for hundreds of thousands of vets. This is a Very Good Thing. I wasn’t in a hurry to join the crowd, but in 2023 (after some politely firm nagging from my adult daughter) I went back to the VA clinic for my PACT Act screening.

During that screening we verified that my left knee has run out of cartilage in one meniscus, and my tibia’s the bone-on-bone contact with my femur explains why it’s hurting a bit more.

Everyone feels the pain of bone-on-bone differently, and I’m apparently tolerating it well. (The pain is typically 2-3 out of 10, and I’m strengthening my quads & hamstrings to compensate.) I’ll never hike the Appalachian Trail (let alone return to Haleakala Crater) and my taekwondo sparring days are over, so that knee might give me a couple more decades.

Unfortunately my pain management is slightly more challenging because my kidneys recently announced that they’ve reached their lifetime quota of ibuprofen. (Note for Crew Dog at One Sick Vet: thanks for reminding me all those years ago to keep an eye on this.) These days I’m treating the pain with acetaminophen while we’re putting my knees through all of the physical therapy. While I’m waiting for medical science to regrow human cartilage, perhaps someday I’ll try orthopedic (unloading) braces and injections of various cartilage substitutes.

My knees have kept their same VA bilateral disability rating (20% total) and… this is fine. I don’t want to experience the problems that qualify for a 30% rating.

Second, the pandemic clearly demonstrated how quickly my hearing has declined, because it’s really hard to lipread a facemask. In 2023-24 I went through a couple rounds of audiograms and even a contrast MRI to sort out the medical questions before fitting me for hearing aids. The VA audiologists did a great job, and (for my fellow Oahu vets) I highly recommend the Akaka clinic in Kapolei.

Image of Phonak Audeo hearing aids | MilitaryFinancialIndependence.com

Seriously: a big help.

I’ve worn my hearing aids since July 2024, and boy did I need them. You don’t know what you’ve lost over the years until you get it all back in a few seconds.

I’m sporting Phonak Audéo L90-RLs with rechargeable Li-ion batteries– and Bluetooth connections to my iPhone and my PC. My left ear is once again carrying its share of the load, and my right ear needed some help too. Better yet, people have stopped sneaking up behind me.

I enjoy legitimately talking to myself in public when I’m on a call with hearing aids. Best of all, I can wear them when I’m guesting on podcasts or videos– no more headsets sliding around on my skull during recordings!

My entire family agrees that it was time for hearing aids, although my audiogram is still good enough that I’m not (yet) rated for hearing loss. I’m still rated by the VA at 10% for tinnitus, and it’s tolerable. I’m hoping (against hope?) that the hearing aids will slow my hearing loss and maybe even reduce the tinnitus a bit. More importantly, I’d much rather get used to wearing these in my 60s than trying to learn the gear in my 70s.

Finally, in late 2023 near the end of our slow travel in Japan, thirty years of sinus infections caught up with me. I made it back to the U.S. (with lots of headaches & heavy decongestants) and it took three separate courses of antibiotics over five weeks to kill the bacteria. I’m now doing daily sinus flushes (preferably while I’m surfing!) and using Flonase to keep the mucous moving. I’m sorry to report that this has become a new lifetime routine like flossing & brushing my teeth.

Ironically the PACT Act screening questionnaire is all about burn pits, chemical exposure, and even Gulf War Syndrome— yet none of those questions had made me think about chronic sinusitis. I wasn’t trying to be a tough guy… I’ve just never had such a nasty infection before.

During the sinus treatment with the ear, nose, & throat doctor, I went back over my medical records. My VA disability claim file (my C-file) from my 2016 claim is nearly a thousand pages, and this time I had a new perspective on the old evidence.

My dawning awareness began in 2013 when I profiled my genome (with 23andMe) and learned that I’m a carrier for cystic fibrosis.  While I was recovering from my 2023 sinusitis, a random comment on a medical website mentioned that CF carriers often have minor CF symptoms like thick, heavy mucous. The ENT doctor raised his eyebrows at my question and said that ENT docs know about it… but in the days before consumer genome analysis, very few humans even knew whether they were CF carriers.

Image of a human head showing the location of the ethmoid sinuses by the nose. | MilitaryFinancialIndependence.com

I never knew.

Reviewing only the existing evidence in my C file (no new info!) it became clear that my respiratory system (with its heavy mucous) was fine when I started my Navy career. That abruptly changed in June 1991 when our submarine crew inhaled volcanic ash from the Mt. Pinatubo eruption.

Over the next three decades I had over three dozen different incidents of respiratory infections, allergic rhinitis, sinusitis, ear infections, bronchitis, and even pneumonia. That included my final decade of active duty as well as 20 years of retirement. Each doctor’s summary listed symptoms of sinus pain while my heavy mucous was getting particularly stuck in my left sinus. Over those decades, the repeated cycle of infections caused scarring of the spongy bone in my left ethmoid sinus. Today that scarring impedes the flow out of the sinus.

When you’re on active duty, it’s all too easy to believe that your respiratory infections are caused by chronic fatigue. You’re also worried about being beached or grounded (or even separated), and you don’t want the medical professionals digging too deeply into your symptoms.

In retirement, I thought that I was simply vulnerable to respiratory infections. (Especially in the parenting years when your kids are bringing home viruses from school, and later in the empty-nester decades when you’re traveling the globe.) Eventually you decide that you’re getting older and your immune system must be getting weaker.

None of it seems like a big problem… until the day when your scarred sinus barely drains your thick mucous, and then it gets infected. While you’re visiting Japan.

The ENT doctor observed all of this with a nasal endoscope (on a 4K HD large-screen monitor, yay?) and later a radiologist confirmed it with a CT scan. I’m fine as long as I keep up with daily sinus flushes and Flonase, but if this chronic condition ever gets worse then the next-level treatment is a sinusotomy.

Don’t search on that keyword while you’re eating. Maybe not even while you’re drinking.

Updating Your VA Disability Claim

After I recognized the sinus story in my medical records, I summarized the documents for an updated VA disability claim.  Once again I returned to a Veteran Service Officer (at Oahu’s Disabled American Veterans office in Tripler Army Medical Center) and asked for their professional help at updating my claim.  They sent in the letter requesting a review of my rhinitis & sinusitis ratings. In retrospect I could have done that myself, but I wasn’t sure what had changed in the process since my 2016 claim.

My 2024 summary (based on my C file from 2016) listed the Mt. Pinatubo eruption as an example of the PACT Act’s service-connected exposure to toxic substances and fine particulates (breathing volcanic ash). I included a copy of a fitness report documenting my submarine’s presence in Subic Bay plus two pages with the dates of all the infections.

I added copies of my ENT doctor’s exams, and I described the sinusitis treatment with the terms used in the VA Schedule for Rating Disabilities, requiring “four to six weeks of antibiotics.”

Finally, I filled out a draft copy of the VA’s Disability Benefits Questionnaire for my sinusitis symptoms.

DBQs are completed by the doctor during the Compensation & Pension exam, using their medical keywords and ICD-10 codes. I give them my draft if they feel it would help them write up their reports.

When I showed up at the C&P exam, it turned out that the VA’s doctor could already access my Tricare Select electronic health record with the ENT doctor’s diagnosis & treatment. (This is a big improvement over the last decade.) He was happy with everything in my memo and the records. He even canceled his CT scan because he could see the other radiology results.

The C&P doctor sent in his recommendations for a sinusitis rating.

Image of the Mt. Pinatubo volcanic eruption with a mushroom cloud of ash to demonstrate how it feels when a VA disability claim is denied. | MilitaryFinancialIndependence.com

How a claim denial really feels.

A few weeks later the VA mostly denied the claim:
“Service connection for sinusitis is granted with an evaluation of zero percent.”

I have to admit that I was a little sad & frustrated, because everything in the claim appeared to meet the rating criteria for 10%. Yet for the long term, I was happy that I’d documented the problems today so that my family wouldn’t have to do it for me years later.

That week I was also busy with physical therapy, audiology, grandparenting, and everything else in my life. I set aside the VA’s letter until I could make the time to start the appeals process.

Surprisingly, the system eventually worked— I didn’t have to file an appeal after all. A month later I got a new letter from the VA:
“A clear and unmistakable error is found in the evaluation of sinusitis and a retroactive increased evaluation to 10 percent disabling is established.”
I can’t tell whether a senior rater checked another rater’s work, or whether the DAV VSO flagged the error and told the VA to do better.

The additional 10% disability rating for sinusitis pushed me up to a 40% rating. Instead of waiving $586.31/month of my $4581/month (taxable) pension for tax-free disability compensation, I’m now waiving $838.28.

Call to action

Over the last 20 years I’ve heard from a few Pinatubo veterans. If you’re one of the vets who’s contacted me in the past, check your e-mail or please reach out.  I’ve already sent an update to those who’ve contacted me.  Hopefully they’ll be able to pursue treatment (and VA disability compensation) for the damage caused by the ash.

If you’re a veteran, go get your PACT Act screening. It’d be great if you could backdate your claim, but it’s more important to do the screening now so that (someday) your loved ones won’t have to do it for you.

If you’ve already finished a VA disability claim (whether it’s been approved or denied), then follow up by requesting your C file.

That claims file is the VA’s legal archive of your service and your symptoms. If it’s not correct (or if it’s missing some details) then update it before your memories get any older. Nobody else can do it as well as you can, and your loved ones will appreciate that you’re easing their potential caregiver stress.

Finally, if you’ve never had your genome analyzed, I think it’s worth the price.  This is controversial with some cultures and religions (and families) but it could be the important first step in taking care of your health.  I’m not particularly happy with the zingers in my DNA, but my awareness is the first step in doing the best I can with what I have. Genetics may have loaded the gun on my longevity, but a healthy lifestyle can help me keep the safety on.

Check the related links at the bottom of this post for far more background info.

When’s the last time you checked your VA disability claim?

There are no affiliate links or paid ads in this post.  Try your military base library or local public library before you pay money for these books– in any format.

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Related articles:
Will Your Retirement Plan Handle Long-Term Care Needs? How Your Genome Impacts Disability, Caregiving, And Estate Planning
I’m going to retire. Now what? (part 2 of 2)
The VA’s Public Disability Benefits Questionnaires (DBQs)
The VA Schedule for Rating Disabilities (Title 38 of federal law)
A four-part series:
Why You File Your Veterans Disability Claim (Not Just How)
(It’s for your spouse, family, & caregivers.)
What Happens When (Not Just How) You File Your VA Disability Claim
(This will be done in parallel with your retirement physical)
What The VA Really Does With Your Disability Claim
What Happens After Your VA Disability Claim Has Been Approved

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