The Board has determined that the appellant's claim for payment of unauthorized medical expenses under 38 U.S.C.A. § 1725 must be remanded due to insufficient evidence regarding whether a VA facility was available, if the Veteran was enrolled in the VA system at the time of treatment, and if he received medical services within the 24-month period preceding such treatment.
The deciding factor: The Board found that there is insufficient evidence to determine if all conditions set out in 38 C.F.R. § 17.1002 are satisfied, including whether a VA facility was available and if the Veteran was enrolled in the VA system at the time of treatment.
- Claimed conditions
- Gastrointestinal bleed, Nose bleed
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- December 18, 2009
- Citation
- 0947997
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 0947997.
What this means for you
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Related decisions
Other Board decisions on a similar condition or argued the same way.
- Granted
The Board has granted payment or reimbursement of medical expenses incurred from January 13, 2017, to January 17, 2017, at Salinas Valley Memorial Hospital due to the Veteran's emergency treatment for a gastrointestinal bleed. The decision is based on the Veteran receiving VA care within the 24-month period preceding his non-VA emergency treatment.
- Granted
The Veteran's claim for payment of non-VA emergency medical services provided at Sarasota Memorial Hospital is granted as his condition required continued emergency treatment and no VA facility was feasibly available to receive a transfer.
- Remanded (sent back)
The Board has reopened the claim for service connection for cause of death due to new and material evidence submitted by the appellant. The Veteran's cause of death was caused by gastrointestinal bleed, esophageal varices, hepatocellular carcinoma, end stage liver disease, and liver cirrhosis.,The appellant contends that the Veteran's hepatitis C may be related to his service-connected diabetes mellitus or due to herbicide exposure during service in Vietnam. The Board finds a remand necessary for an addendum opinion on both issues.
- Remanded (sent back)
The Board has decided to remand the case due to incomplete medical records and the need for a VA opinion regarding the Veteran's cervical spine fracture and its potential contribution to his cause of death.
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