The Veteran's unauthorized medical expenses incurred at Legacy Meridian Park Hospital were denied as he had not received VA care under Chapter 17 within the 24-month period preceding the treatment.
The deciding factor: The Veteran did not receive VA care within the required timeframe before receiving non-VA emergency treatment, which is a requirement for reimbursement under VA regulations.
- Claimed conditions
- Arterial fibrillation, Non-ST segment elevation myocardial infarction
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- March 23, 2016
- Citation
- 1611745
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 1611745.
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 Veteran's heart disability, which includes coronary artery disease, arterial fibrillation, supraventricular arrhythmia, acute myocardial infarction, and valvular heart disease, has not been found to meet the criteria for a higher initial rating than 30 percent.
- Remanded (sent back)
The Board has remanded the case due to insufficient medical opinions regarding whether the Veteran's cardiac disability and cause of death are related to his service. The VA must obtain additional medical opinions on these issues.
- Denied
The Board has determined that the Veteran's claim for a total disability rating based on individual unemployability due to service-connected disorders prior to March 12, 2013 is denied as the Under Secretary for Benefits and the Director of Compensation Service have no authority to assign such an evaluation.
- Granted
The Board has determined that the Veteran's condition required inpatient treatment at a private facility due to his unstable state and lack of available VA facilities. The claim is granted as all conditions for payment under the Veterans Millennium Health Care and Benefits Act have been met.
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