The veteran's claim for payment or reimbursement of unauthorized private medical expenses incurred in April 2004 at St. Petersburg General Hospital is granted as VA facilities were not feasibly available to provide the care.
The deciding factor: VA facilities were not feasibly available and an attempt to use them beforehand would not have been considered reasonable by a prudent layperson.
- Claimed conditions
- syncopal episode
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- May 3, 2007
- Citation
- 0713158
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 0713158.
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.
- Dismissed
The Veteran withdrew his appeal for service connection and increased rating in excess of 30 percent for various conditions, including tinnitus, left knee condition, left hip condition, right shoulder condition, syncopal episode, and right knee condition.
- Denied
The Veteran's unauthorized private hospitalization for nonservice-connected conditions was not eligible for payment or reimbursement due to the lack of prior VA medical services within 24 months preceding the treatment.
- Denied
The Veteran's claim for payment of unauthorized medical expenses incurred on May 28, 2010 at Baptist Hospital in Pensacola, Florida is denied as he has other health insurance coverage (Tricare) that precludes VA from reimbursement.
- Denied
The Veteran's unauthorized medical expenses incurred from October 24 to 25, 2011 at the Munroe Regional Medical Center in Ocala, Florida are denied as he is personally liable for the treatment due to a non-service-connected syncopal episode and has health insurance coverage under Medicare Parts A and B.
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