The veteran's total disability due to service-connected disabilities allows him to be reimbursed for unauthorized medical expenses incurred at a private hospital on June 13, 2003. The emergency condition and lack of feasible VA availability support the reimbursement.
The deciding factor: The veteran has a total disability permanent in nature resulting from service-connected disabilities, which qualifies him for reimbursement under 38 C.F.R. § 17.52.
- Claimed conditions
- Right total hip replacements with failed hardware and periprosthetic fracture, Coronary artery disease
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- 90%
- Decision date
- April 26, 2005
- Citation
- 0511759
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 0511759.
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.
- 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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