The Veteran's unauthorized medical expenses incurred at a private facility on June 28 and June 29, 2012 are now covered by VA as the treatment was for an emergency condition that could have been hazardous to his health if delayed, and no feasible alternative care was available from VA or federal facilities.
The deciding factor: The Veteran's medical condition required immediate attention due to respiratory failure, heart failure, and myocardial infarction, which would have posed a risk of life or health if not treated promptly. No suitable VA facility could provide the necessary treatment within a feasible timeframe.
- Claimed conditions
- posttraumatic stress disorder (PTSD), coronary artery disease
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- July 25, 2014
- Citation
- 1433383
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 1433383.
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.
- Denied
The Board denied the Veteran's claim for an initial evaluation in excess of 10 percent for his service-connected coronary artery disease, finding that the evidence did not support a higher rating based on the severity of his condition.
- Remanded (sent back)
The Board has remanded the case due to insufficient evidence regarding the Veteran's acquired psychiatric disorders, including bipolar disorder and PTSD. The Veteran will be asked to provide additional medical records and undergo a VA examination.
- Remanded (sent back)
The Veteran's claim for service connection for an acquired psychiatric disorder, including PTSD and major depressive disorder, is being remanded due to the need for additional development regarding his alleged stressors.
- Remanded (sent back)
The Board has remanded the case for additional development regarding the Veteran's service connection claim for an acquired psychiatric disorder, including PTSD.
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