The VA has determined that the veteran's unauthorized medical expenses incurred on January 1, 2000 are eligible for reimbursement due to a medical emergency and because VA facilities were not feasibly available.
The deciding factor: The treatment provided was deemed necessary due to an increase in pain which indicated a worsening of his service-connected conditions. The delay would have been hazardous to the veteran's health.
- Claimed conditions
- osteomyelitis of the left shoulder, postoperative fusion with residual limitation of motion and pain, left kidney calculus, left rib pain, mood disorder with major depressive-like episodes
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- 70%
- Decision date
- November 6, 2001
- Citation
- 0125985
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. Look up the original decision on VA.gov (opens in a new tab) using citation 0125985.
What this means for you
A grant means the Board agreed the veteran was entitled to the benefit. Decisions like this show the kind of evidence and arguments that tend to succeed for claims like it.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Partly granted
The Board granted a higher initial rating of 20 percent for left rib pain but denied an earlier effective date for the award of service connection.
- Remanded (sent back)
The Board has remanded the Veteran's claims of service connection for various conditions due to new evidence submitted after the May 24, 2019 Statement of the Case.
- Granted
The Veteran's benign paroxysmal positional vertigo, tension headaches, and migraine headaches with aura are found to have begun during service.,The Veteran's depressive disorder and mood disorder with major depressive-like episodes are found to be caused by his now service-connected disabilities.
- Remanded (sent back)
The Veteran's appeal is being remanded for additional development, including a new VA examination to assess the severity of his mood disorder and whether he is unable to secure or follow a substantially gainful occupation due to service-connected disabilities. The claims for GERD and diabetes mellitus are also referred back to the RO/AMC.
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