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Medical

It is the AGR Soldier's individual responsibility to notify their immediate supervisor and Medical Command (MEDCOM) of medical issues or concerns that will interrupt any daily duties. Line of Duty (LOD) Investigations are conducted at a unit level and are required for all accidents, injuries and diseases contracted while on active duty. Physical Performance Evaluation System program includes Fitness For Duty (FFD), MOS Administrative Retention Review (MAR2), Medical Evaluation Board (MEB) and Physical Evaluation Board (PEB). This is designed to evaluate military personnel with permanent medical conditions to determine if they can perform satisfactorily in their primary MOS in a worldwide field environment.

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Overview of the  Army's Physical Disability Evaluation System (PDES)

The Secretary of the Army is charged with assuring the fitness of Soldiers, and separating or retiring those who become unfit to continue military service because of physical disability.

The Army's first priority for Soldiers suffering from an illness or injury is to ensure delivery of the highest quality and proper medical attention. If the medical conditions improve to the point that Soldiers are able to return to full military duty, they are returned to their units.

However, if the treating physician believes that a Soldier is unable to perform full military duty or is unlikely to be able to do so within a reasonable period of time (normally 12 months), the Soldier is referred to a MEB at the Medical Treatment Facility (MTF) where treatment is being provided.

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Medical Evaluation Board (MEB)

The MEB is an informal process comprised of at least two physicians who compile, assess, and evaluate the medical history of a Soldier and determine if the Soldier meets, or will meet, retention standards.

If the Soldier meets retention standards, the Soldier is returned to duty in their respective or current Military Occupational Specialty (MOS).

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Physical Evaluation Board (PEB)

If the Soldier does not meet retention standards, the case will be referred to a PEB for further disposition and determination of fitness. (The MEB determines whether or not a Soldier meets retention standards; it does not determine fitness.)

The PEB makes the decision of fitness by balancing the extent of a Soldier's condition, as shown through objective medical and performance evidence, against the requirements and duties that the Soldier may reasonably be expected to perform in their current job skill.

The mere fact that one or more medical conditions exist does not constitute an unfit determination.

***** Soldiers are responsible for notifying the AGR Branch Office when they have signed their DA Form 199.*******

 

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Disability Ratings

If the Soldier does not meet retention standards, the case will be referred to a PEB for further disposition and determination of fitness. (The MEB determines whether or not a Soldier meets retention standards; it does not determine fitness.)

The Army only rates those medical conditions that result in the Soldier being determined unfit for continued military service.
The Department of Veterans Affairs (VA) rates a Soldier for all conditions incurred in or aggravated by military service.
Therefore, it is not uncommon for a former Soldier to receive a higher combined disability rating from the VA than the PEB combined disability rating.

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PDES is a Performance-Based System

It is important to understand that the PDES is a performance-based system.

Simply because a Soldier has a medical condition does not mean that the Soldier cannot continue to serve on active duty or in the Reserve components. It is the impact of the medical condition(s) upon the Soldier's ability to perform duties appropriate to their rank and job skill that is important.

A Soldier with a serious medical condition can be found fit when the evidence establishes that the Soldier can perform his or her duties.

The PEB makes determinations of:

Soldiers are referred into the PDES five ways:

(1) Medical Evaluation Board (MEB):

The MTF initiates a MEB when it is determined that a Soldier's treatment or hospitalization for a medical impairment has reached a point of stabilization and the course of recovery is relatively predictable, and further treatment will not cause a Soldier to meet medical retention standards in accordance with (IAW) Chapter 3, AR 40-501.

This determination is referred to as a Medical Retention Determination Point (MRDP). The MEB validates whether the Soldier meets medical retention standards. If the Soldier does not meet medical retention standards, the MTF refers the case to the applicable PEB.

(2) MOS/Medical Retention Board (MMRB):

The MMRB is an administrative screening board. It determines whether Soldiers who meet medical retention standards but have a permanent physical impairment can satisfactorily perform their primary MOS (branch/specialty code for officers) in a worldwide field environment.

The result of this board action may result in retention in current MOS, a change in the Soldier's MOS, or referral into the PDES.

(3) Fitness for duty medical examination:

Commanders may refer Soldiers to the MTF for a medical examination when they believe the Soldier has a medical impairment that impacts duty performance.
If the examination indicates the Soldier does not meet medical retention standards, the Soldier will be referred into the PDES.

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Medical Readiness Codes

MRC - Medical Readiness Status (AR 40-501 Chapter 11-5 specific subparagraphs shown at right of definition).

·  MR1: Soldier is fully medically ready for all MR indicators (11-5a) Green

·  MR2: Soldier is MR2 when their ONLY IMR deficiencies can be resolved within 72 hours (as in during the SRP Process). Those IMR deficiencies considered correctable in 72 hours include one or more of the following IMR requirements. (DNA, HIV, Immunizations, Individual Medical Equipment) (11-5b) Amber

·  MR3A: Soldier is classified as a DRC3 for dental and/or has a Deployment Limiting rating of DL6 for an active Temp (T3/T4) Profile with original duration of less than 31 days (11-5c(1) and (2)) Red

·  MR3B: Soldier is classified with one or more Deployment Limiting (DL) medical condition ratings of DL1, DL2, DL3, DL4, DL5 or DL7 (see those codes below for their definitions) Red

·  MR4: Soldier is overdue for their next Dental Exam or Periodic Health Assessment (PHA) (and has no active MR3A or 3B factors) Red

 

Deployment Limiting Condition Definitions

DL Code

Short Definition

Values/interpretation Green indicates no DL rating, Red indicates that DL rating applies to Soldier

DL1

Non Deployable Profile Code

Applicable Profile Code F, V, or X will appear in this column

DL2

MAR2 initiated

Number of daysin MAR2 board process, but board not completed; blank if not applicable

DL3

MEB initiated

Number of days in MEB board process, but board not completed; blank if not applicable

DL4

T3/4 ›30 days

Expiration date of Temp Profile if applicable; blank if not applicable

DL5

Pregnancy

Estimated Date of Confinement shown if applicable; blank if not applicable

DL6

T3/4 ‹31 days

Expiration date of Temp Profile if applicable; blank if not applicable

DL7

ND-PEB

Y indicates ARNG and USAR Soldiers undergoing Non-Duty Physical Evaluation Board

 

 

MEB / PEB Regulation/ Policy/ Information

Medically Optional Surgeries for Service Members Undergoing Disability Evaluation Policy

Army Regulation 40-501, Standards if Medical Fitness, 23 Aug 2010

Army Regulation 635-40, Physical Evaluation for Retention, Retirement, or Separation, 08 Feb 2006

Integrated Disability Evaluation System Guidebook

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Fort Drum Fit For Duty Packet Requirement

Copy of Fit for Duty Memorandum Example

Fort Drum Medical Evaluation Board Requirements

Commanders Performance and Functional Statement

DES Checklist for Case Submission to Physical Evaluation Board

Internal Tracking Tool

Medical History Sheet

Medical Record Consent Form- By Electronic

Updated Request for Medical Evaluation Board Memorandum

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West Point Fit For Duty and Medical Evaluation Board Requirements

MFSE Request Form

New Commanders Letter 27 March 2009

 

 

 

 

 

 

 

© NYS DMNA: NYARNG Human Resources - Medical
URL: http://dmna.ny.gov/hro/agr/army/?p=1416861368
Page Last Modified: 08 Mar 15