The Veteran's spouse is seeking reimbursement for medical expenses incurred at a private facility due to the Veteran's cancer treatment. The claim was denied because VA had no available beds and Medicare coverage was present, but further records are needed to determine if these criteria were met.
The deciding factor: VA did not have available beds for the Veteran during his emergency stay, which is a requirement for reimbursement of non-VA medical expenses.
- Claimed conditions
- cancer
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- June 11, 2012
- Citation
- 1220367
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 1220367.
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Board has remanded the case due to insufficient evidence regarding the Veteran's need for aid and attendance or housebound status, including conflicting information about his gait issues. The case will be returned for further examination and consideration.
- Remanded (sent back)
The Board remands the claims for service connection for an acquired psychiatric disability and cancer to obtain additional evidence.
- Remanded (sent back)
The Board remands the claims for a rating in excess of 50 percent for bilateral hearing loss, service connection for cancer, and special monthly compensation (SMC) based on aid and attendance or housebound status due to pre-decisional duty to assist errors.
- Remanded (sent back)
The Board has decided to remand the case due to a duty to assist error, requiring a VA examination to determine if the Veteran's pancreatic condition is related to his service.
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