The Veteran's unauthorized medical expenses incurred on March 11, 2011 at Baptist Medical Center in Jacksonville were approved as the treatment was for a condition of such a nature that a prudent layperson would have reasonably expected delay in seeking immediate medical attention to be hazardous to life or health and no VA facility was feasibly available.
The deciding factor: The Veteran's symptoms on March 11, 2011 were not related to an accident or work injury. The treatment at issue was provided at a facility held out as providing emergency care to the public. The Veteran is financially liable for the medical expenses and has no coverage under a health-plan contract for payment or reimbursement.
- Claimed conditions
- abdominal/epigastric pain, chest pain
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- February 17, 2016
- Citation
- 1605887
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 1605887.
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 withdrew his appeals for all issues related to posttraumatic headache, insomnia, left ankle condition, lumbosacral strain (lower back), and chest pain. The appeal was dismissed as the Veteran requested withdrawal of these claims.
- Denied
The Board has denied service connection for TBI, back strain, chest pain, foot pain, and tendonitis as there is no evidence of disease or injury incurred during active duty or training.
- Dismissed
The Veteran's appeals for service connection on the issues of chest pain, ear condition, vaginosis, syncope, thyroid condition, and jaw condition have been dismissed due to non-jurisdictional procedural defects. The Board has also remanded the claims for service connection on the issues of occipital neuralgia, chronic fatigue syndrome (CFS), and obstructive sleep apnea (OSA) for further development.
- Remanded (sent back)
The Board has denied service connection for lymph node swelling and chest pain due to a lack of current disability evidence. The case is remanded to obtain private medical records related to the Veteran's claimed conditions.
Free starter guide for your own claim
Reading this because you were denied or under-rated? Get the plain-English next steps — your appeal options, the deadline that protects you, and how appeals like yours turn out. One email, no spam.
We will only use this to send the guide. No spam, unsubscribe any time. We never sell your information.
We are not the VA. Veterans’ Rights is an independent resource built for veterans. We are not the U.S. Department of Veterans Affairs, not part of the government, and not endorsed by any government agency.
This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.