The Veteran's unauthorized medical expenses for treatment at Houlton Regional Hospital and Eastern Maine Medical Center are now eligible for payment or reimbursement due to the nature of his injuries and lack of other coverage.
The deciding factor: The Veteran received emergency treatment following a severe ATV accident, which was not related to any service-connected conditions. The VAMC found that he is financially liable and has no insurance/health care plan coverage, meeting all criteria for payment under 38 U.S.C.A. § 1725.
- Claimed conditions
- skull fracture, facial fractures, facial lacerations, mandible fracture, chest wall abrasions, right-sided pneumothorax
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- June 15, 2011
- Citation
- 1122918
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 1122918.
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 appeal for service connection of a skull fracture is dismissed. The appeal for service connection of bilateral hearing loss is remanded.
- Remanded (sent back)
The Board has determined that the character of the Appellant's discharge is a bar to VA benefits, and thus did not address his service connection claims. The case is being remanded for the AOJ to obtain missing records related to the special court-martial and complete a new determination on the character of the discharge.
- Remanded (sent back)
The Board remands the issues of entitlement to increased ratings for a right shoulder disability, TBI, and skull fracture for further development.
- Remanded (sent back)
The Board remands the claims for service connection for various fractures and a hematologic disability to correct duty to assist errors.
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