The Veteran's unauthorized medical expenses incurred for emergency treatment of a pulmonary embolism from February 2, 2009 through February 16, 2009 are denied as he does not meet the criteria for reimbursement under VA regulations.
The deciding factor: The Veteran did not receive prior authorization from VA and is not entitled to reimbursement under 38 U.S.C.A. § 1725 due to his Medicare coverage which precludes payment or reimbursement of unauthorized medical expenses.
- Claimed conditions
- Pulmonary Embolism
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- August 2, 2013
- Citation
- 1324694
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 1324694.
What this means for you
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What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Veteran's claim for an earlier effective date for the grant of service connection for Persistent Depressive Disorder is denied. The Board has also remanded the issue of service connection for Pulmonary Embolism due to predecisional duty to assist errors.
- Granted
The Board has granted the Veteran's claim for service connection for residuals of pulmonary embolism, finding that it is secondary to her service-connected PCOS.
- Granted
The Board has determined that the Veteran's pulmonary embolism is secondary to his service-connected heart disability and grants service connection for this condition.
- Remanded (sent back)
The Board dismissed the Veteran's claim for a compensable rating for pulmonary embolism, but the Veteran has since expressed that she did not intend to withdraw her claim. The case is now remanded for further review.
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