The Veteran's unauthorized medical expenses incurred at Baptist Medical Center Hospital from September 25-29, 2009 were denied as the emergency treatment was not provided in a hospital emergency department or similar facility providing emergency care.
The deciding factor: The emergency services were not provided in a VA or Federal facility and an attempt to use them beforehand would have been reasonable given the Veteran's known medical history of coronary artery disease, hypertension, and diabetes mellitus type II.
- Claimed conditions
- Posttraumatic stress disorder, diabetes mellitus type II, diabetic neuropathy of all four extremities, erectile dysfunction, hypertension, coronary artery disease
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- January 15, 2016
- Citation
- 1601916
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 1601916.
What this means for you
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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 claims for service connection for hypertension and peripheral neuropathy of the bilateral upper and lower extremities due to insufficient medical opinions regarding their etiology.
- Dismissed
The Veteran's claim for an earlier effective date for diabetes mellitus type II with erectile dysfunction was denied as the evidence did not show that he had been diagnosed and manifested to at least a 10 percent disability rating on or prior to May 8, 2001.
- Remanded (sent back)
The Veteran's claims for increased ratings and service connection are being remanded due to the need for additional development, including VA examinations.
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