The Board finds that the veteran's emergency room treatment at a private hospital on April 11, 2002 was not an emergent condition requiring immediate medical attention. The VA facilities were feasibly available and the veteran could have sought care there instead.
The deciding factor: The veteran’s condition did not meet the criteria for an emergent situation as determined by the VAMC review in July and September 2002, making it feasible to seek treatment at a VA facility.
- Claimed conditions
- Non-service-connected condition
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- August 17, 2004
- Citation
- 0422547
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 0422547.
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.
- Remanded (sent back)
The Board has decided that the Veteran's claims for payment or reimbursement of unauthorized medical services are remanded due to insufficient information regarding Medicare coverage and remaining balance from the episode of care.
- Denied
The Veteran's treatment for a non-service-connected condition was not considered an emergency requiring immediate medical attention, and the VA Medical Center determined that the evidence did not meet the criteria for payment or reimbursement.
- Denied
The Board denied the veteran's claims for increased ratings for his service-connected lumbar myositis, psychoneurosis and conversion hysteria, residuals of shrapnel wounds of the left thigh and pelvis with retained foreign bodies and scars, and residuals of shell fragment wounds of the right thigh and left leg. The veteran was also denied entitlement to a total disability rating based on individual unemployability due to service-connected disabilities.
- Denied
The Board denied the Veteran's claim for an initial evaluation in excess of 10 percent for his service-connected coronary artery disease, finding that the evidence did not support a higher rating based on the severity of his condition.
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