The Veteran's claim for payment or reimbursement of unauthorized medical expenses incurred at a private hospital was denied due to the lack of VA care within the prior 24-month period. The Veteran is seeking reimbursement under 38 U.S.C.A. § 1728, but his eligibility remains unclear as he has not provided evidence that the treatment was for an adjudicated service-connected disability or a nonservice-connected disability associated with and aggravating an adjudicated service-connected disability.
The deciding factor: The Veteran's care was not rendered for an adjudicated service-connected disability or a nonservice-connected disability associated with and aggravating an adjudicated service-connected disability, as required by the provisions of 38 U.S.C.A. § 1728.
- Claimed conditions
- substanternal chest tightness and pressure, acute coronary syndrome, coronary artery disease, ischemic cardiomyopathy
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- December 13, 2010
- Citation
- 1046416
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 1046416.
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
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Denied
The Board denied the Veteran's claim for an initial evaluation in excess of 10 percent for his service-connected coronary artery disease, finding that the evidence did not support a higher rating based on the severity of his condition.
- Remanded (sent back)
The Veteran's claim for an increased rating for coronary artery disease is being remanded due to the inadequacy of a previous VA examination.
- Denied
The Board denied service connection for coronary artery disease, hypertension, and stroke as there was no evidence of herbicide agent exposure during service and the medical opinions were against a nexus to service.
- Granted
The Veteran's service connection claim for coronary artery disease with myocardial infarction is granted on a presumptive basis due to exposure to herbicide agents during his active duty in Korea.
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