The Veteran received emergency medical treatment for a non-service connected heart condition on November 5, 2012. The claim is granted to the extent that VA may provide reimbursement under applicable regulations due to the Veteran's pre-existing Medicare coverage.
The deciding factor: VA found that the Veteran had pre-existing Medicare coverage and thus did not meet all criteria for payment or reimbursement of medical expenses incurred at a non-VA facility, but allowed consideration of the claim as per amended regulations allowing secondary payer status under certain conditions.
- Claimed conditions
- Heart condition
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- June 29, 2015
- Citation
- 1527793
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 1527793.
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.
- Dismissed
The Veteran's claim for service connection of a heart condition is dismissed as the Board has already granted it. The appeal for increased rating of PTSD is also dismissed due to the grant of service connection.
- Remanded (sent back)
The Board has remanded the claims of service connection for an acquired psychiatric disorder, basal cell carcinoma, bilateral pseudophakia, dry eye syndrome and blepharitis (bilateral eye conditions), diabetes mellitus type II, hypertension, and heart condition due to inadequate opinions regarding their etiology. The Veteran's exposure to asbestos is conceded.
- Remanded (sent back)
The Board has remanded the claims of service connection for an acquired psychiatric disorder, basal cell carcinoma, bilateral pseudophakia, dry eye syndrome and blepharitis (bilateral eye conditions), diabetes mellitus type II, hypertension, and heart condition due to inadequate opinions regarding their etiology. The Veteran's exposure to asbestos is conceded.
- Granted
The Board has granted the Veteran's claim for service connection of a heart condition as secondary to his service-connected unspecified depressive disorder with anxiety, alcohol use disorder, and stimulant use disorder. The decision is based on evidence showing that the Veteran's heart condition is related to his long-term alcohol use disorder.
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