The Veteran's unauthorized medical expenses incurred on March 6, 2007 at Claremore Regional Hospital are not eligible for reimbursement due to his receipt of Medicare insurance.,For the unauthorized medical expenses incurred on March 10, 2007 at St. John's Medical Center, reimbursement is denied as the Veteran opted to use his Medicare insurance and remained stable by that date.
The deciding factor: The Veteran was in receipt of Medicare insurance when he received unauthorized treatment on March 6, 2007, which precludes reimbursement under VA regulations.,By March 9, 2007, the Veteran's condition had stabilized and he opted to continue his treatment at St. John's Medical Center using his Medicare insurance, making further authorized treatment unnecessary.
- Claimed conditions
- syncope, fall, large renal mass in left kidney causing retroperitoneal hemorrhage, malignant neoplasm of the kidney
- How they argued it
- Not specified
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- January 28, 2011
- Citation
- 1103630
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. Read the original VA decision (opens in a new tab) using citation 1103630.
What this means for you
A final Board denial may be appealed to the U.S. Court of Appeals for Veterans Claims, generally within 120 days of the Board mailing date. A Supplemental Claim with new and relevant evidence is a separate option. Another Higher-Level Review of the Board decision is not available. Check your own notice: this historical decision does not set your deadline.
What you can do next
Use your own notice and decision stage. A remanded issue is not a final court-appealable denial. VA review guidance and CAVC filing instructions (U.S. federal; reviewed October 7, 2026).
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Whole decision: Dismissed
The Veteran's appeals for service connection on the issues of chest pain, ear condition, vaginosis, syncope, thyroid condition, and jaw condition have been dismissed due to non-jurisdictional procedural defects. The Board has also remanded the claims for service connection on the issues of occipital neuralgia, chronic fatigue syndrome (CFS), and obstructive sleep apnea (OSA) for further development.
- Whole decision: Denied
The Board denied service connection for right finger amputations and denied increased ratings for a back disability and syncope, finding that the evidence does not support a conclusion that these conditions are secondary to the Veteran's service-connected syncope.
- Whole decision: Granted
The Veteran's service-connected disabilities, including epilepsy, prostate cancer, and lumbar DDD, necessitate the need for regular aid and attendance from his spouse. The Board has granted SMC based on this need.
- Whole decision: Granted
The Board has determined that the Veteran's heat exhaustion, including its residuals, is related to his active service and grants service connection for this condition.
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