The Veteran's unauthorized medical expenses for treatment at Flagler Hospital from June 21, 2011 to July 1, 2011 are denied as he did not meet the criteria for payment under the Veterans Millennium Health Care and Benefits Act.
The deciding factor: The Veteran's unauthorized medical expenses were incurred for a nonservice-connected condition (cerebral artery occlusion, cerebral edema, hypertension, atrial fibrillation) at a non-VA facility without prior authorization. The claim was denied because he did not meet all the criteria under 38 C.F.R. § 17.1002 of the Veterans Millennium Health Care and Benefits Act.
- Claimed conditions
- residual of shell fragment wound, left shoulder, left elbow
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- September 30, 2014
- Citation
- 1443593
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 1443593.
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.
- Granted
The Veteran's service-connected disabilities result in regular need for aid and attendance, which qualifies him for special monthly compensation (SMC) based on aid and attendance.
- Remanded (sent back)
The Board has found that new and relevant evidence was submitted to reopen the claims for service connection for various disabilities, including left knee, right knee, bilateral foot, bilateral hearing loss, left elbow, right elbow, and sleep apnea. The claims are now remanded for further adjudication.
- Granted
The Veteran is granted a total rating based on individual employability due to service-connected disabilities from December 18, 2024. Her service-connected bilateral knee, left shoulder, and left elbow disabilities preclude her from securing or following substantially gainful employment.
- Dismissed
The veteran has withdrawn the appeals for service connection for plantar fasciitis, left elbow, and respiratory condition.
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