The Veteran's claim for payment of unauthorized medical expenses is denied because she had coverage under Medicare Parts A and B, which constitutes a legal bar to reimbursement.
The deciding factor: The Veteran had coverage under Medicare Parts A and B, which is considered a health-plan contract that provides coverage for the emergency treatment received at Memorial Hospital Flagler on March 10, 2012.
- Claimed conditions
- abdominal pain
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- January 26, 2015
- Citation
- 1503610
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 1503610.
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.
- Remanded (sent back)
The Board has found that the Veteran does not have a current respiratory disability other than sleep apnea. The claims for abdominal pain, type I diabetes, peripheral neuropathy of the upper and lower extremities, and an immune disorder are remanded due to a duty to assist error.
- Denied
The Board denied service connection for irritable bowel syndrome (IBS) and abdominal pain as there is no current diagnosed disability of IBS or functional impairment due to abdominal or constipation symptoms.
- Granted
The Board has granted service connection for right knee disorder, left knee disorder, right ankle disorder, left ankle disorder, right foot disorder, and left foot disorder as secondary to the Veteran's service-connected lumbar spine disorder. Service connection for abdominal pain is denied.
- Remanded (sent back)
The Board has decided to remand the case due to insufficient medical opinion regarding whether the Veteran's gastrointestinal disability, including gastroenteritis and abdominal pain, was incurred in service.
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