Other conditions decisions — 2024

The Board has decided to remand the case due to inadequate medical opinions regarding service connection for residuals of stroke and whether it was aggravated by PTSD. The Veteran's claim will be reconsidered with a new VA examination.

The Board dismissed the appeal as it does not have jurisdiction to review the VA decision regarding payment for non-VA medical services under the VCCP.

The Board has granted a greater than non-compensable rating for the Veteran's service-connected uterine fibroids, finding that her symptoms of pelvic pain are continuously present and warrant a 10 percent rating under DC 7613-7615.

The appeal for payment of non-VA medical services provided on November 10, 2020 has been dismissed as the claim was administratively approved by VA.

The Veteran's claim for an initial rating in excess of 30 percent for porphyria cutanea tarda and earlier effective date prior to September 2, 2020, was denied. The Board found that the criteria for a higher rating were not met as his condition did not affect more than 40 percent of his total body area or require constant systemic therapy over the past twelve months.

The Board has decided to remand the case due to a lack of TERA examination and other procedural issues. The Veteran's RLS is being considered for service connection as secondary to his left knee disability, with potential exposure to burn pits.

The Veteran's PCAFC application was denied due to a lack of evidence showing he needed continuous personal care services for six months. The Board is remanding the case to provide proper notice and consider private treatment records.

The Board has granted service connection for residuals of breast cancer but denied service connection for a breast disorder other than the residuals. The Veteran's breast cancer began during active duty, and she underwent a radical double mastectomy. There is no evidence of any other breast disorder over the appeal period.

The Board has denied the Veteran's claims for service connection for various joint disabilities, including arthritis and joint pain. The RO found no evidence of in-service incurrence or aggravation of these conditions.

The Board has determined that the decision regarding eligibility for PCAFC benefits is incomplete and legally inadequate, requiring further review to ensure proper notification and medical assessment.

The Veteran's claim for service connection for a dental condition, including periodontal disease, is denied as there is no current qualifying disability for VA compensation purposes.

The Board denied the overpayment of VA compensation benefits, finding that it was properly created due to the Veteran's failure to promptly notify VA of his marital status changes.

The Veteran's initial claim for a higher rating for his service-connected bilateral eye disability was granted, with an effective date of October 30, 2019. The current rating of 20 percent is maintained from June 24, 2020 onwards.

The Board denied payment of non-VA medical expenses incurred from September 30, 2023 to April 22, 2024 due to lack of VA authorization for the services.

The Board has dismissed the appeal because the contractual payment rate for dental services provided by a non-VA provider on July 29, 2020, is subject to a specific administrative dispute resolution process under Veterans Care Agreements (VCAs) that does not allow for appellate review.

The Board has dismissed the appeals for payment or reimbursement of medical services performed on November 9, December 3, and December 10, 2020 due to the Appellant's submission of evidence showing that coverage for medically necessary COVID-19 tests is mandated under the law.

The Board has denied the Veteran's claim for service connection for polycythemia vera, finding that there is no evidence of a nexus between his current disability and in-service herbicide exposure or any other service event. The preponderance of the evidence does not support a finding of a causal relationship.

The Board denied the Veteran's claim for an earlier effective date for service connection of right and left foot instability, finding that the earliest possible effective date is April 20, 2001.

The Veteran's application to add his spouse, H.J.Y., as a dependent was denied due to incomplete marital history. The Board finds that the AOJ committed pre-decisional duty to assist errors and requires remand for proper VCAA notification and development of the claim.

The Board has dismissed the appeal as the claim for payment or reimbursement of non-VA medical services provided by Chanjinel Home Care Service from June 25, 2019, to June 27, 2019, was administratively approved.