The veteran's claim for payment or reimbursement of private medical expenses on April 28, 2004, including air transport from St. Elizabeth's Health Service to St. Luke's, was denied as he had coverage under a health plan contract that provided partial reimbursement.
The deciding factor: The veteran did not meet the requirement for payment or reimbursement under 38 U.S.C.A. § 1725 because he had health care coverage which provided coverage in whole or part for the private medical care he received on April 28, 2004.
- Claimed conditions
- cardiovascular
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- January 20, 2006
- Citation
- 0601770
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
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