The Veteran's unauthorized medical expenses incurred at Ocala Regional Medical Center from August 7 to August 12, 2013 are denied as he does not have an adjudicated service-connected disability and was covered by a health-plan contract.
The deciding factor: The Veteran did not meet all the criteria for payment or reimbursement of non-VA medical expenses under 38 U.S.C.A. § 1725, specifically due to having received partial coverage from his health-plan contract and having had over two years without VA treatment prior to admission.
- Claimed conditions
- dyspnea, acute renal failure
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- March 19, 2014
- Citation
- 1411432
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 1411432.
What this means for you
A denial is a starting point, not the end of the road. You can see why this claim fell short — and, if you are still inside the one-year window, the appeal lanes that may remain open to you.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Dismissed
The appeal for service connection for dyspnea is dismissed. Service connection for OSA is granted, and increased ratings are denied for PTSD with MDD and GAD as well as left and right leg radiculopathy.
- Dismissed
Your claim for service connection for your AICD and associated dyspnea has been granted in full, but the appeal is dismissed as moot since a decision was already made.
- Granted
The Veteran's cause of death, including hypertension and diabetes mellitus type II, are presumed to be related to his service in the Republic of Vietnam. The Board has granted service connection for these conditions.
- Remanded (sent back)
The Veteran's left knee disability is granted as incurred in service. The right knee, kidney condition, anemia, and dyspnea claims are remanded for further development.
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