The Veteran's claim for unauthorized medical expenses at Satilla Specialty Physicians on December 1, 2010 was denied as VA facilities were feasibly available and attempts to use them beforehand would not have been considered reasonable by a prudent layperson.,The Veteran's claims for unauthorized medical expenses at Mayo Clinic-Waycross on August 24, 2014 and April 29, 2015 were granted as the treatment was deemed necessary due to emergent health conditions.
The deciding factor: The Gainesville VAMC determined that VA facilities were feasibly available for the Veteran's December 1, 2010 visit but not for his August 24 and April 29, 2014/2015 visits.
- Claimed conditions
- Cardiac condition (stent placement), Heat stroke, Back pain
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- May 4, 2016
- Citation
- 1617918
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 1617918.
What this means for you
A partial grant means some issues were granted while others were denied or remanded — common in multi-issue claims. Look at which issues went which way, and how each was argued.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Granted
The Veteran's service-connected disabilities result in him needing regular aid and attendance, which has been granted for special monthly compensation at the aid and attendance rate.
- Remanded (sent back)
The Board has remanded the Veteran's claims for urinary incontinence, back pain, and bilateral foot pain due to potential service connection issues. The AOJ is required to provide a VA examination and obtain an opinion regarding whether these conditions are related to service.
- Granted
The Veteran's TDIU is granted effective December 30, 1995. Basic eligibility for Dependents' Educational Assistance (DEA) is also granted as of that date.
- Denied
The Board has determined that the Veteran is not in need of personal care services for a minimum of six continuous months due to her ability to perform ADLs independently and does not require supervision or protection based on symptoms or injuries. Therefore, eligibility to enroll in the PCAFC program is denied.
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