The Veteran's unauthorized medical expenses incurred at Via Christi Hospital for a CABG procedure are granted as the evidence is in equipoise regarding whether he was transferred to a VA facility, and reasonable doubt must be resolved in his favor.
The deciding factor: The Veteran's assertion that he informed the hospital of his preference to be treated by VA if possible, coupled with the fact that his treatment providers consulted with his VA cardiologist, indicates that a federal or VA facility was not available for the procedure.
- Claimed conditions
- Posttraumatic Stress Disorder (PTSD), Acute coronary artery syndrome, CABG procedure
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- January 27, 2014
- Citation
- 1403374
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 1403374.
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 PTSD is granted as the evidence shows a current diagnosis of PTSD, an in-service stressor, and a medical link between the two.
- Denied
The Veteran's PTSD has been rated at 50% since March 23, 2004. The Board found that a higher rating is not warranted prior to February 15, 2005 due to the severity of his symptoms and their impact on his social and occupational functioning.
- Denied
The Board denied the Veteran's claims for service connection for PTSD and any acquired psychiatric disorder, finding that there was no evidence to support a link between his current mental health conditions and his military service.
- Granted
The Veteran's PTSD resulted in occupational and social impairment with reduced reliability and productivity, warranting a 70% disability rating. The Veteran also met the criteria for a TDIU due to his service-connected disabilities preventing him from securing or following a substantially gainful occupation.
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