The Veteran's claim for payment or reimbursement of unauthorized medical expenses incurred at Rockingham Memorial Hospital on July 9, 2009 is granted as the treatment was for a condition that would have been considered an emergency by a prudent layperson.
The deciding factor: The Veteran experienced severe chest pain similar to his previous heart attack, accompanied by nausea and dizziness, which made driving to the VA Medical Center difficult. The Board found that this constituted a medical emergency of such nature that a prudent layperson would expect delay in seeking immediate medical attention to be hazardous to life or health.
- Claimed conditions
- Coronary artery disease, Temporomandibular joint syndrome, Degenerative joint and disc disease of the cervical spine
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- July 25, 2011
- Citation
- 1127662
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 1127662.
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.
- Granted
The Veteran's claim for service connection for heart condition was granted with an effective date of August 1, 2019. The decision is based on evidence showing exposure to diesel and gas fuel during service.
- Granted
The Veteran's service-connected PTSD has prevented him from securing or following substantially gainful employment since September 27, 2010. Additionally, he is in receipt of a 60 percent disability rating for coronary artery disease, which meets the criteria for SMC at the housebound rate.
- Granted
The Veteran's claim for HISA benefits is granted as the modification requested (a barrier free, roll-in shower) falls within the scope of HISA and addresses his medical need due to his service-connected coronary artery disease.
- Remanded (sent back)
The Board has decided to remand the case due to a lack of an adequate VA examination, which is necessary for a fully informed decision on the Veteran's heart disability claim.
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