The Veteran is entitled to reimbursement or payment for the costs of unauthorized medical expenses incurred during a period of hospitalization from March 14 to March 20, 2012, at McLaren Lapeer Regional Medical Center due to a medical emergency involving a service-connected disability.
The deciding factor: VA facilities were not feasibly available and an attempt to use them beforehand or obtain prior VA authorization for the services required would not have been reasonable, sound, wise, or practicable.
- Claimed conditions
- Multiple disabilities including bipolar disorder with depression and an alcohol induced psychotic disorder with hallucinations and polysubstance abuse in full remission, Ischemic heart disease, Diabetes mellitus with erectile dysfunction and posterior subscapular cataracts, bilaterally, Peripheral neuropathy of each lower extremity
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- March 28, 2016
- Citation
- 1612386
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 1612386.
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.
- Remanded (sent back)
The Veteran's claim for an initial rating of 30 percent prior to July 18, 2014, and a higher than 60 percent rating thereafter for ischemic heart disease is being remanded due to incomplete evidence. The examiner needs to provide more detailed information about the severity of his service-connected condition.
- Remanded (sent back)
The Board has remanded the Veteran's claims for an earlier effective date and increased rating for ischemic heart disease due to a failure by the AOJ to request SSA records, which were not available.
- Granted
The Board has granted service connection for ischemic heart disease and myocardial infarction, status post stent placement, as well as obstructive sleep apnea, finding that the Veteran's current conditions are related to his military service.
- Denied
The Board denied service connection for ischemic heart disease as there was no evidence of herbicide exposure and the Veteran's condition is not related to his military service.
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