How Long Does an EPTS Discharge Take?

Military service members facing medical conditions that prevent them from performing their duties may undergo a discharge process. One such basis for separation is an “Existing Prior To Service” (EPTS) condition. Navigating an EPTS discharge involves a series of medical and administrative evaluations, and the timeline for completion can vary considerably due to the intricate nature of these procedures.

Establishing an EPTS Condition

An EPTS condition refers to any medical issue, whether physical or mental, that existed before an individual entered military service. This holds true regardless of whether the condition was documented at the time of enlistment. Certain genetic or hereditary conditions, even if asymptomatic initially, can be classified as EPTS if triggered by service-related stressors. The process to establish an EPTS condition begins when a military physician determines a service member’s medical state might prevent them from meeting military retention standards.

This initial phase involves reviewing pre-service medical history, current service medical records, and post-service evaluations. Commander statements also contribute. The military operates under a “presumption of sound condition” upon entry, assuming conditions are service-connected unless proven otherwise. To classify a condition as EPTS, the military must present “clear and unmistakable evidence” that it existed prior to service and was not aggravated by military duty.

Navigating the Discharge Process

Once an EPTS condition is identified, the formal discharge process often proceeds through the Integrated Disability Evaluation System (IDES). The first step is the Medical Evaluation Board (MEB), which assesses if the service member’s medical condition meets military retention standards.

During the MEB process, a Narrative Summary (NARSUM) is compiled, detailing the medical condition and its impact on military duties. This process typically takes approximately 100 days, though scheduling backlogs or incomplete documentation can cause delays. If the MEB concludes the service member does not meet medical acceptability standards, the case is referred to the Physical Evaluation Board (PEB). The PEB determines if the service member is fit for duty and whether the condition was caused by or permanently aggravated by military service; an informal PEB reviews the case file, and service members can request a formal PEB for legal representation and evidence presentation. If found unfit for duty due to an EPTS condition not aggravated by service, they are typically separated without disability benefits.

Beyond medical boards, administrative separation boards may be involved. These boards are convened if a service member has six or more years of service or if an “Other Than Honorable” discharge is considered. For administrative separations without a board, the process completes within 15 working days, or up to 30 working days if the command and separation authority are in different geographical regions. When a board action is required, the process is expected to complete within approximately 50 working days after notification of separation.

Factors Influencing the Duration

Several variables can influence the EPTS discharge timeline. The medical condition’s complexity can extend the process, especially if it requires extensive evaluation or multiple specialist opinions. Complete and accessible medical records are also important, as missing or disorganized documentation can lead to delays in board reviews.

Appeals or requests for reconsideration by the service member can prolong the discharge timeline. The workload of military medical boards and administrative agencies also plays a role, with higher volumes leading to longer wait times. Procedural differences between service branches can affect processing speed. Consistent communication and cooperation from the service member, particularly with their Physical Evaluation Board Liaison Officer (PEBLO), can help streamline the process. Delays in scheduling necessary medical examinations can also prolong the discharge.