Need Help! Medical Conditions and Losing HPSP Scholarship

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Hi, all!

Are they any medical conditions you can develop or acquire that could cause you to lose your HPSP scholarship after you sign your Oath of Office?

I am currently an MS4. I have been having some troubling symptoms that have me worried. I am absolutely terrified to go the doctors, because I am afraid they are going to find something that could make me lose my scholarship in my last year of medical school.

What should I do? I would be absolutely devastated to have gotten through 3 years of medical school and lose my scholarship the last year. However, I also do not want to neglect my own health. Thank you for any and all comments.
 
Hi, all!

Are they any medical conditions you can develop or acquire that could cause you to lose your HPSP scholarship after you sign your Oath of Office?

I am currently an MS4. I have been having some troubling symptoms that have me worried. I am absolutely terrified to go the doctors, because I am afraid they are going to find something that could make me lose my scholarship in my last year of medical school.

What should I do? I would be absolutely devastated to have gotten through 3 years of medical school and lose my scholarship the last year. However, I also do not want to neglect my own health. Thank you for any and all comments.

Not the right place for such advice. We have no idea what symptoms you have (if you're having respiratory distress from asthma+COVID, you should go to the ER right now). Best advice is to seek medical attention if you think you need it. Your health is more important than the scholarship.
 
My apologies. I forgot considering current times I needed to very clearly articulate this as apparently reading my post wasn't evident enough about my intentions:

My symptoms have nothing to do with COVID. I have no respiratory symptoms. I am not acutely ill. I am in well health. I can breathe well and without difficulty. This is not an emergency. I am just asking for GENERAL advice--not your diagnosis, management, etc.

All I am wanting to know is the following--Are there any medical conditions that you can acquire while with an HPSP scholarship that would cause you to lose it? (aka are they any medical conditions that if I acquired now would immediately disqualify me?) Is there a list or PDF somewhere?

Again to very clearly and specifically reiterate: I DO NOT HAVE RESPIRATORY SYMPTOMS. I AM NOT ACUTELY ILL. I AM NOT STRUGGLING TO BREATH. THIS IS NOT COVID RELATED. I AM NOT ASKING FOR A DIAGNOSIS, MANAGEMENT, ETC.
 
The answer is yes, there are medical conditions that can prevent one from coming on active duty. None of us can tell you that even if you did have one of those things that you would actually be prevented from coming on active duty. Many of them are waived for physicians.

If you have a medical issue please go to your doctor and be evaluated. Even worse than being diagnosed now would be getting partly through internship and then dying.

For Navy you can look for what is called the ManMed for disqualifying conditions. The Air Force and Army have similar. Try searching Medical qualifications for Commissioning in XYZ service and it will probably come up.


Sent from my iPhone using SDN
 
My apologies. I forgot considering current times I needed to very clearly articulate this as apparently reading my post wasn't evident enough about my intentions:

My symptoms have nothing to do with COVID. I have no respiratory symptoms. I am not acutely ill. I am in well health. I can breathe well and without difficulty. This is not an emergency. I am just asking for GENERAL advice--not your diagnosis, management, etc.

All I am wanting to know is the following--Are there any medical conditions that you can acquire while with an HPSP scholarship that would cause you to lose it? (aka are they any medical conditions that if I acquired now would immediately disqualify me?) Is there a list or PDF somewhere?

Again to very clearly and specifically reiterate: I DO NOT HAVE RESPIRATORY SYMPTOMS. I AM NOT ACUTELY ILL. I AM NOT STRUGGLING TO BREATH. THIS IS NOT COVID RELATED. I AM NOT ASKING FOR A DIAGNOSIS, MANAGEMENT, ETC.

thou doth protest too much . You should be swabbed.
 
You definitely take care of yourself first!! The military may have more of an interest in you than you think.
 
My apologies. I forgot considering current times I needed to very clearly articulate this as apparently reading my post wasn't evident enough about my intentions:

My symptoms have nothing to do with COVID. I have no respiratory symptoms. I am not acutely ill. I am in well health. I can breathe well and without difficulty. This is not an emergency. I am just asking for GENERAL advice--not your diagnosis, management, etc.

All I am wanting to know is the following--Are there any medical conditions that you can acquire while with an HPSP scholarship that would cause you to lose it? (aka are they any medical conditions that if I acquired now would immediately disqualify me?) Is there a list or PDF somewhere?

Again to very clearly and specifically reiterate: I DO NOT HAVE RESPIRATORY SYMPTOMS. I AM NOT ACUTELY ILL. I AM NOT STRUGGLING TO BREATH. THIS IS NOT COVID RELATED. I AM NOT ASKING FOR A DIAGNOSIS, MANAGEMENT, ETC.
It’s a ucmj violation to lie on your physicals.

go see a doctor and get yourself taken care of
 
All I am wanting to know is the following--Are there any medical conditions that you can acquire while with an HPSP scholarship that would cause you to lose it? (aka are they any medical conditions that if I acquired now would immediately disqualify me?) Is there a list or PDF somewhere?


LT,
Not sure if it your intention to come across as insolent, but typing in underlined red letters certainly comes across that way to me, at least. You probably need to calm the F$#k down when asking folks, all of whom both outrank you and are far more experienced than you, for advice.

You mention 'troubling symptoms' and yet claim to be in good health. The best advice you have been given thus far is to seek care for yourself. You seem resistant to that advice. Oh well. You are an adult, so good luck with that.

Yes, there are medical conditions that could terminate your HPSP scholarship and prevent your accession to active duty. But the condition itself is not disqualifying, rather it is the medical board that determines your fitness to continue on in military service.


"The Disability Evaluation System (DES) comprises of two boards, the Medical Evaluation Board (MEB) and the Physical Evaluation Board (PEB). The MEB is only authorized for duty related medical conditions that have been found to not meet medical retention standards per AR 40-501. The PEB is the only authority that can find a Soldier unfit for military service."



From AR 40-501

3–2. Application
These retention standards are for continued military service and apply to the following individuals (see chapters 4 and 5 for additional medical standards that are required for continued service in designated specialties):
a. All commissioned and warrant officers of the RA, ARNG/ARNGUS, and USAR. b. All enlisted Soldiers of the RA, ARNG/ARNGUS, and USAR.
Note. For medical conditions or physical defects predating original enlistment, the accession standards apply for enlistees’ first 6 months of AD. The member may only be separated following an evaluation by an EPSBD in accordance with AR 40–400 and AR 635–200. After 6 months, if the physical defect that predates enlistment meets retention standards, the Soldier is retained. If the pre-existing condition is disqualifying under chapter 3, then the member is to be referred to the DES (see AR 635–40, AR 635–200, and DA Pam 635–40).
c. Students already enrolled in the HPSP and USUHS programs.
d. Enlisted Soldiers of the ARNG/ARNGUS or USAR who apply for enlistment in the RA.
e. Commissioned and warrant officers of the ARNG/ARNGUS or USAR who apply for appointment in the RA. f. Retired Soldiers recalled to AD.
g. USAR retirees who have not reached age 60 and apply for transfer to the Ready Reserves.
AR 40–501 • 27 June 2019 7
3–3. Disposition
Soldiers with disqualifying conditions listed in this chapter who do not meet the required medical standards will be referred to the DES in accordance with AR 635–40 with the following caveats:
a. USAR or ARNG/ARNGUS Soldiers not on AD, whose medical condition was not incurred or aggravated during a period of AD, inactive duty training, or while otherwise in a duty status, will be processed in accordance with AR 635–40 and pertinent command-specific guidance.
b. Soldiers pending separation in accordance with the provisions of AR 635–200, AR 600–8–24, AR 135–178, or AR 135–175 authorizing separation under other than honorable conditions who do not meet medical retention standards will be referred to a DES. In the case of enlisted Soldiers, the physical disability processing and the administrative separation processing will be conducted in accordance with the provisions of AR 635–200 or AR 135–178 and AR 635–40. In the case of commissioned or warrant officers, the physical disability processing and the administrative separation processing will be conducted in accordance with the provisions of AR 600–8–24, AR 135–175, and AR 635–40.
c. A Soldier will not be referred to the DES because of impairments that were known to exist at the time of acceptance into the Army, after appropriate waiver was obtained, that have remained essentially the same in degree of severity, and do not meet the definition of a disqualifying medical condition or physical defect as in paragraph 3–1.
d. Profiling healthcare providers who identify a Soldier with a medical condition(s) listed in this chapter should initiate a permanent profile at the time of identification, which will prompt a DES referral. Profiling healthcare providers should not defer initiating a DES referral until the Soldier is being processed for non-disability retirement. Many of the conditions listed in this chapter (for example, arthritis in para 3–23) fall below retention standards only if the condition has precluded or prevented successful performance of duty as described in paragraph 3–1.
e. The requirements for referral to the DES in accordance with AR 635–40 are incorporated in the definition of a disqualifying medical condition or physical defect as in paragraph 3–1.
(1) Stinging insect allergy of Soldiers who receive elective immunotherapy treatment have special instructions on pro- filing in DA Pam 40–502.
(2) Cancer in remission without residuals may meet retention standards while in surveillance. Oncology should make a recommendation regarding suitability for deployment for consideration in profiling. See DA Pam 40–502 for instructions on profiling.
f. For Soldiers who have previously been found unfit for duty by a Physical Evaluation Board (PEB) but continued on AD or continued on active Reserve service under the provisions of AR 635–40, refer to AR 635–40 for disposition guid- ance.
g. Soldiers previously found fit for duty but who have a deployment-limiting condition may be referred to the Military Occupational Specialty Administrative Retention Review (MAR2) for a second review. (See AR 635–40.)
3–4. General policy
Possession of one or more of the disqualifying conditions listed in this chapter does not mean automatic retirement or separation from the Service. Soldiers with any medical condition, injury, or defect (individually or in combination) that meets the definition of a disqualifying medical condition or physical defect as stated in paragraph 3–1 will be referred to DES. The profiling officer and approval authority are responsible for referring Soldiers with conditions listed in this chap- ter to the DES by submitting a permanent profile with a 3 or 4 designation for conditions that have met an MRDP, annotated in e-Profile (the electronic profiling system of record). The limitations must be assessed and described by the profiling provider as prescribed in AR 40–502 and DA Pam 40–502.
 
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Take care of yourself. Have concerns? Get yourself checked out. Let the retention folks and mil med determine if you are fit for service.

BLUF: Do your job and let them do theirs. Get yourself checked out. If it's a PDQ condition then they will go from there, but from what I've seen you have to have some serious problems in order for mil med not to cultivate their pound of flesh from you after they invest this much time and cash into you.
 
Search up "Military Health disqualifications" and look at the PDF. It should have a section for accessions as well as retention, listing all med conditions that would be disqualifying, and probably require review from MEB.
And btw, I don't know how you've gotten away with not being honest on your PHA that you have to do annually.
I also dealt with a tough situation first year where I had to get evaluated and was worried I would be disqualified if they found something. I went through all the appointments (luckily nothing was wrong with me and I'm fine now). But I submitted all the documentation and imaging studies anyway. It's all good. It did cross my mind to just not get it checked out, due to my fear of losing the scholarship. But at the end of the day, my health is more important than this scholarship.
Keep in mind the military needs HEALTHY people for a reason. You will most likely be deployed. You will most likely be in tough physical situations. Do you feel comfortable getting into that with your current state of health? If the symptoms are so "worrying" as you say, then get it checked out. You don't want to regret not nipping something in the bud now and having it come back and bite you. Good luck.
 
Get your stuff taken care of now. If you lose your scholarship, then you lose it. It is a huge pain in the a$$ for guys like me to have to do multiple deployments/cover down/or go on unexpected taskers for the umpteenth time because the doc that was supposed to go suddenly can't due to medical issues.
 
The OP is an MS4 and has had a medical issue for two+ years - if they have not yet reported it on annual health assessments/updates (or whatever the Navy uses for HPSP recipients to track health status) it will likely be an issue. At this point they aren't worried about losing their scholarship but paying it back with time or $.

MS and HPSP

My take on this post was the OP looking for a way out of serving their commitment or paying back the scholarship - but I've been known to be wrong. In any case they've been told to take care of their health as the priority and report it to the HPSP administration.

OP - Report the condition and let the process work.
 
I've never lied on any of my physicals. I would 100% never lie and never will lie to the Navy as I know that doesn't do any good for anyone. My symptoms were completely new and unusual, causing me to panic. I was wanting to know what DQable conditions were so I could know if this was something I needed to aggressively pursue to ensure I would not create any future issues with watchful waiting (ie if this is seemed like something I knew was disqualifying I would want to aggressively seek advice even if symptoms brand new vs waiting to see if I am just being a silly and panicking). They resolved on their own and I never experienced them again....talk about egg on your face silly. I must also add that the anxiety behind this was a terrible ED visit I had during medical school that cost me +10,000 due to issues with insurance (love that affordable healthcare), so this episode created this fear of actually having something serious and permanent and incurring even more debt. I put the COVID stuff in red because this was during the thick of quarantine where the majority of people's anxieties were running high (as clearly were mine). Did not mean to come across as insulting, condescending or anything negative; I was clearly just in panic mode. I probably should have not panicked like I did nor allowed my panic to drive me to post on the Internet (I'm literally physically wincing at this post right now); live and learn! It's crazy how a few extra months or years can enlighten your perception, judgement, and maturity. Thanks for tolerating the panic with some helpful advice for anything I may encounter in the future (life is unpredictable) and not judging me for prior lapse in judgement/panicking. Quarantine did crazy things to all of us...I was not immune. This was after rotations were cancelled and I had been in quarantine for over 1mo; not an excuse for being immature and having poor judgement but nobody is perfect and I sure did learn from this (and other experiences I have since had). Thanks again to all who gave patient advice and no disrespect intended in the slightest. I appreciate your time and patience, and I hope you all and your families have managed to make it through this past year. What a year it has been...--Best
 
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The OP is an MS4 and has had a medical issue for two+ years - if they have not yet reported it on annual health assessments/updates (or whatever the Navy uses for HPSP recipients to track health status) it will likely be an issue. At this point they aren't worried about losing their scholarship but paying it back with time or $.

MS and HPSP

My take on this post was the OP looking for a way out of serving their commitment or paying back the scholarship - but I've been known to be wrong. In any case they've been told to take care of their health as the priority and report it to the HPSP administration.

OP - Report the condition and let the process work.
As mentioned, did not have issue for 2+ years. I'm a silly goose and let quarantine get the best of me. These were new symptoms I experienced once and never again and I quarantine panicked over them...egg on face.
 
It’s a ucmj violation to lie on your physicals.

go see a doctor and get yourself taken care of
As mentioned, I have and never will lie on my physicals. These were new symptoms that I had once and never experienced again. I honestly quarantine panicked over them....after over 1mo in quarantine and having rotations cancelled my anxiety was heightened. Thank you for bearing with temporary lapse in judgement/maturity. I am thankful the past year has educated both.
 
My apologies. I forgot considering current times I needed to very clearly articulate this as apparently reading my post wasn't evident enough about my intentions:

My symptoms have nothing to do with COVID. I have no respiratory symptoms. I am not acutely ill. I am in well health. I can breathe well and without difficulty. This is not an emergency. I am just asking for GENERAL advice--not your diagnosis, management, etc.

All I am wanting to know is the following--Are there any medical conditions that you can acquire while with an HPSP scholarship that would cause you to lose it? (aka are they any medical conditions that if I acquired now would immediately disqualify me?) Is there a list or PDF somewhere?

Again to very clearly and specifically reiterate: I DO NOT HAVE RESPIRATORY SYMPTOMS. I AM NOT ACUTELY ILL. I AM NOT STRUGGLING TO BREATH. THIS IS NOT COVID RELATED. I AM NOT ASKING FOR A DIAGNOSIS, MANAGEMENT, ETC.
The short answer is "yes." There are some things you can have that would be incompatible with military service: severe uncorrectable vision loss, seizure disorders, schizophrenia, bipolar disorder and diabetes are examples. In reality, there would be a board reviewing your medical records and making recommendations to retain or not. The decision would likely be that of BUPERS, based on BUMED advice. What happens vis a vis your scholarship and repayment versus forgiveness would depend on the facts and circumstances.
 
I would 100% never lie and never will lie to the Navy as I know that doesn't do any good for anyone.

Ahh to be young. When I was your age, I felt the same way about lying to the Navy, and to my wife. Now I lie to both regularly. Just keep 'em sweet and little (a la Fleetwood Mac), and don't get caught.

And hit the 'Enter' button occasionally. Paragraphs are a wonderful thing.
 
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