The Veteran is entitled to reimbursement for the cost of unauthorized private medical expenses incurred on July 4, 2005 due to the emergency nature of the treatment and the unavailability of VA facilities.
The deciding factor: The condition was urgent in nature, a prudent layperson would have reasonably expected that delay in seeking immediate medical attention would have been hazardous to life or health, and no VA facility was feasibly available at the time.
- Claimed conditions
- left shoulder pain, calcific tendinitis
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- March 6, 2009
- Citation
- 0908375
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 50 percent rating for posttraumatic stress disorder (PTSD) and denied increased ratings for right shoulder impingement syndrome, hearing loss, painful scar, patellofemoral pain syndromes of the knees, and other conditions.
- Denied
The Board denied the veteran's claims for a rating in excess of 10 percent for painful right gluteal cleft scar, a compensable rating for allergic rhinitis, and service connection for left shoulder pain and an acquired psychiatric disorder.
- Partly granted
The Board granted service connection for exostosis right foot and bilateral plantar fasciitis, but denied service connection for hysterectomy, left shoulder pain, right shoulder pain, dysmenorrhea, chronic obstructive lung disease, female sexual arousal disorder, and a foot callus.
- Partly granted
The Board granted service connection for PTSD and an initial 20 percent rating for dry eye syndrome with pinguecula, while denying service connection for other psychiatric disorders, bilateral hearing loss, tinnitus, and multiple musculoskeletal conditions. Some claims were remanded for further development.
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