The Veteran's unauthorized medical expenses incurred on August 25, 2010 at John D. Archbold Memorial Hospital were approved due to the presence of a service-connected disability (ischemic heart disease) and the emergent nature of his abdominal pain.
The deciding factor: The Veteran was in receipt of a permanent and total disability rating for ischemic heart disease at the time of the non-VA emergency room treatment, which met one of the criteria outlined in 38 U.S.C.A. § 1728(a). The emergent nature of his condition (increased abdominal pain) and the unavailability of VA facilities made it reasonable to seek care at a private hospital.
- Claimed conditions
- ischemic heart disease
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- 100%
- Decision date
- April 15, 2015
- Citation
- 1516252
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 1516252.
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 service connection for a heart condition, including ischemic heart disease. The evidence did not support a finding of a current disability related to service.
- Granted
The Veteran's ischemic heart disease is granted as presumptively related to his service in the Gulf War, specifically aboard the USS Chanticleer and USS Mataco.
- Denied
The Board denied service connection for diabetes mellitus, prostate cancer, ischemic heart disease, right lower extremity peripheral artery disease, left lower extremity peripheral artery disease, and hypertension as the evidence did not establish an in-service event or exposure to herbicide agents.
- Granted
The Veteran's claim for a heart disability prior to his death is granted as he was entitled to accrued benefits due to the September 1994 claim, which included ischemic heart disease, a covered herbicide disease.
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