The Veteran's unauthorized medical expenses incurred from November 10, 2009 to November 12, 2009 were granted as the treatment was for an emergent condition that posed a serious threat to his health and no VA facility was feasibly available.
The deciding factor: The emergency nature of the Veteran's gallstone pancreatitis with cholecystitis and diverticulitis required immediate medical attention which could not be provided at VA facilities, necessitating reimbursement from unauthorized expenses.
- Claimed conditions
- Gallstone pancreatitis, Cholecystitis, Diverticulitis
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- 100%
- Decision date
- February 28, 2013
- Citation
- 1306885
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 1306885.
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 a separate grant of service connection for GERD, as a residual of her cholecystectomy, is granted effective May 19, 2024. The claims for increased ratings for cholecystectomy residuals and esophageal spasms are remanded.
- Remanded (sent back)
The Veteran's claim for service connection for GERD is being remanded due to the need for additional medical opinions and correction of duty to assist errors.
- Granted
The Veteran's alcohol induced chronic pancreatitis with pancreatic insufficiency and gastroesophageal reflux disease, including gallbladder issues, has been granted a 100% rating effective November 19, 2024.
- Granted
The Board has granted the Veteran's claim for service connection for a gastrointestinal condition, to include GERD as secondary to his service-connected PTSD with alcohol use disorder. The evidence is in approximate balance concerning whether the Veteran's gastrointestinal condition is caused or aggravated by his service-connected PTSD.
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