The veteran's unauthorized hospitalization for coronary artery disease was not covered because no medical emergency existed, and VA facilities were available.
The deciding factor: No emergent situation necessitated the use of a private facility, as evidenced by prior evaluations that showed the veteran could be safely transferred to a VA facility.
- Claimed conditions
- Coronary artery disease
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- August 22, 2001
- Citation
- 0121332
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Search VA.gov for the original decision (opens in a new tab) using citation 0121332.
What this means for you
A denial is a starting point, not the end of the road. You can see why this claim fell short — and, if you are still inside the one-year window, the appeal lanes that may remain open to you.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Granted
The Veteran's claim for service connection for heart condition was granted with an effective date of August 1, 2019. The decision is based on evidence showing exposure to diesel and gas fuel during service.
- Granted
The Veteran's service-connected PTSD has prevented him from securing or following substantially gainful employment since September 27, 2010. Additionally, he is in receipt of a 60 percent disability rating for coronary artery disease, which meets the criteria for SMC at the housebound rate.
- Granted
The Veteran's claim for HISA benefits is granted as the modification requested (a barrier free, roll-in shower) falls within the scope of HISA and addresses his medical need due to his service-connected coronary artery disease.
- Remanded (sent back)
The Board has decided to remand the case due to a lack of an adequate VA examination, which is necessary for a fully informed decision on the Veteran's heart disability claim.
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