Other conditions decisions — 2011

The Veteran's unauthorized medical expenses incurred at Satilla Regional Medical Center on June 16, 2009, and June 17, 2009, were not covered by VA due to lack of prior authorization. The Veteran had coverage under a health-plan contract (Medicare), which precludes reimbursement under the Veterans Millennium Health Care and Benefits Act.

The Veteran's claim for service connection for schizoaffective disorder is being remanded due to the need for a Compensation and Pension examination, as well as consideration of additional submitted evidence.

The Veteran's unauthorized medical expenses incurred for treatment of Crohn's disease at Sparks Regional Medical Center from November 20, 2006 to December 3, 2006 are denied as she is not service-connected for Crohn's disease and the condition was unrelated to her service.

The Veteran's daughter is seeking death pension benefits. The case is being remanded to determine if the appellant can be recognized as a 'helpless child' of the Veteran, which would affect her eligibility for these benefits.

The Veteran's appeal is remanded to obtain additional treatment records and to afford him VA examinations to determine the current severity of his service-connected disability. The case will be returned to the Board for further review.

The Veteran's claim for compensation under 38 U.S.C.A. § 1151 is being remanded due to the need for a medical opinion regarding whether his current bilateral leg disability was caused by carelessness, negligence, lack of proper skill, or error in judgment on the part of VA in furnishing medical treatment in June 2006.

The appellant is not eligible for death pension as she was not the surviving spouse of the Veteran.

The appellant's claimed service is not considered active military service, and thus does not meet the criteria for basic eligibility for nonservice-connected pension benefits.

The Veteran's annual income from Social Security Administration (SSA) benefits exceeds the maximum annual pension rate for nonservice-connected disability pension, thus denying his claim of entitlement to such benefits.

The Veteran's gross household income for the year preceding his application for treatment in the VA healthcare system without a copayment requirement exceeded the applicable income threshold, thus denying him eligibility for such treatment.

The Board has determined that there is no current evidence of a chronic residual disability of a pelvic fracture, and thus service connection for this condition cannot be granted.

The Veteran's application for Supplemental Service Disabled Veterans' (SRH) Insurance was denied because it was received after he turned 65 years old, which is the age requirement set by law.

The Board has remanded the case for a hearing before a Veterans Law Judge due to the appellant's request. The claim of entitlement to accrued benefits remains pending.

The Board denied the moving party's claim for service connection for atrial fibrillation, secondary to service-connected disabilities.,The Board also denied the moving party's request for an earlier effective date for special monthly compensation for loss of use of a creative organ.

The Board has remanded the case for additional development due to outstanding medical records from Columbus Air Force Base Medical Center.

The Veteran's unauthorized medical expenses incurred at Satilla Regional Medical Center on June 16, 2009, and June 17, 2009, were not covered by VA due to lack of prior authorization. The Veteran had coverage under a health-plan contract (Medicare), which precludes reimbursement under the Veterans Millennium Health Care and Benefits Act.

The Board has remanded the case for additional development, including obtaining service personnel records and addressing whether 38 C.F.R. § 21.7550(d) is applicable in the Veteran's claim.

The Board denied the Veteran's claim for service connection for peripheral neuropathies of the upper extremities, finding that there was no evidence to support a link between these conditions and his military service or any related condition.

The Board has granted service connection for bilateral chondromalacia and found that the Veteran's hearing loss in the right ear warrants a rating of 10 percent. The claimant is not entitled to an increased evaluation.

The Board has remanded the case due to new evidence submitted by the Veteran's spouse, and the claim is now pending for further development.