The Veteran's unauthorized medical expenses incurred for emergency care from December 27, 2010 through December 31, 2011 were not reimbursable due to lack of prior VA authorization and the Veteran's Medicare coverage.
The deciding factor: The Veteran did not receive prior VA authorization for the non-VA medical treatment and had health insurance (Medicare) that covered the expenses.
- Claimed conditions
- heart disease, stroke, non-service connected medical problems
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- December 6, 2013
- Citation
- 1340430
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 1340430.
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.
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- Denied
The Board denied service connection for coronary artery disease, hypertension, and stroke as there was no evidence of herbicide agent exposure during service and the medical opinions were against a nexus to service.
- Denied
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- Remanded (sent back)
The Veteran's claims for service connection for hypertension, diabetes, heart disease, and kidney disease are being remanded due to the need for VA examinations to determine if these conditions are related to his exposure to contaminants in the water supply at Camp Lejeune during service.
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