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Comprehensive Overview of the Medical Evaluation Board (MEB)

Theย Medical Evaluation Board (MEB)ย is an integral component of theย Integrated Disability Evaluation System (IDES), tasked with determining whether a service member’s medical conditions impact their ability to perform their military duties. When a service member’s health condition raises concerns about their fitness for duty, they are referred to the MEB for evaluation. This process is a crucial step in the broader military medical discharge and disability system.

What is the Medical Evaluation Board?

The MEB is a panel of medical professionals assigned to review and evaluate a service member’s medical conditions. Each military installation with a medical facility has its own MEB, which typically includes:

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  • At least two medical professionals, one of whom must be a physician.
  • For cases involving psychiatric conditions, evaluations are conducted by licensed psychiatrists or psychologists.

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The MEB’s primary function is to assess medical evidence and determine which conditions meet theย Standards of Medical Fitness. This evaluation informs the next phase of the process, handled by theย Physical Evaluation Board (PEB), which determines whether these conditions render the service memberย Unfit for Duty.

Key Steps in the MEB Process
01
Referral to the MEB

A military physician refers the service member to the MEB if they believe the condition will not improve sufficiently for the member to return to full duty within one year. This referral initiates the MEB process under the IDES framework.

02
Submission of Evidence

The service member and their chain of command submit comprehensive documentation, including:

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  • Medical Records:ย These detail the history, diagnosis, and treatment of the condition.
  • Commanderโ€™s Statement:ย A letter from the Commander outlining how the condition impacts the service memberโ€™s ability to perform their duties effectively.
  • Optional Personal Statement:ย The service member can provide a written account of how the condition affects their daily life and job performance.
03
MEB Review and Narrative Summary

The MEB reviews the evidence and prepares aย Narrative Summary (NARSUM), a detailed report that:

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  • Summarizes the medical history and current state of the condition.
  • Outlines the medical acceptability of the condition based on military standards.
04
Service Member Review

The service member is given the opportunity to review the NARSUM and other findings before they are submitted to the PEB. At this stage, the service member can:

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  • Request an Impartial Review:ย An independent physician evaluates the findings to ensure accuracy and fairness.
  • Submit a Rebuttal: The service member may provide additional evidence or dispute aspects of the findings if they disagree with the MEB's conclusions.
05
Forwarding to the PEB

The finalized MEB report is sent to the PEB, which uses it to assess whether the conditions render the service member unfit for military duties. If the PEB finds the evidence insufficient, it can return the case to the MEB for further review or additional documentation.

Medical Acceptability vs. Fitness for Duty

The MEB evaluates conditions strictly based on their medical acceptability according to theย Standards of Medical Fitness. However, the final determination of whether a condition makes a service memberย Unfit for Dutyย is made by the PEB.

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Example:

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  • A medically unacceptable condition, such as the amputation of two fingers, might still be deemed fitting if the service memberโ€™s role does not require extensive use of their hands, such as a linguist.
  • Conversely, the same condition would likely be ruled as unfitting for a gunman, as it directly impacts their ability to perform essential duties.
After the MEB Process
How to Prepare for the MEB

Proper preparation is essential to ensure a smooth and efficient MEB process. Service members should:

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  • Gather Comprehensive Medical Documentation:ย Include all records from military, VA, and civilian healthcare providers.
  • Collaborate on Commanderโ€™s Statement:ย Ensure the Commanderโ€™s letter provides a clear and detailed account of how the condition affects military duties.
  • Understand Rating Criteria:ย Research the conditions using available resources to ensure the required evidence is provided to support accurate disability ratings.
FAQs About Frequently Asked Questions (FAQs)
What is the purpose of the MEB?

The MEB evaluates medical conditions to determine whether they meet military fitness standards. It forwards findings to the PEB, which decides if the conditions render the service member unfit for duty.

On average, the MEB process takes about two months from referral to completion.

No, service members cannot self-apply. Referrals are made by military physicians based on medical necessity.

Service members can request an impartial review or submit a rebuttal to dispute the MEB's findings.

  • Medically Separated (Disability Rating Below 30%): A one-time severance payment.
  • Medically Retired (Disability Rating 30% or Higher): Monthly retirement benefits and access to additional benefits, such as healthcare and VA disability compensation.

Yes, the MEB is an integral component of the IDES, ensuring streamlined evaluation and benefits delivery for service members.

The exact amount depends on factors such as base pay and either the combined disability rating or retirement percentage, whichever yields a higher payment.

Conclusion

The Medical Evaluation Board is a critical step in determining a service member’s future within the military and their entitlement to disability benefits. Through careful evaluation of evidence and collaboration between the service member, their Commander, and medical professionals, the MEB ensures that conditions are accurately assessed, paving the way for fair decisions on fitness for duty and disability compensation.

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