The Veteran's medical expenses for treatment of lymphoma at a private hospital were reimbursed by VA as the services met all three criteria under 38 U.S.C. § 1728: the care was related to an adjudicated service-connected disability, it occurred in a medical emergency, and no feasible VA facility was available.
The deciding factor: The Veteran's lymphoma condition met the direct service connection theory as it was found to be associated with his service-connected disability (lymphoma). The services were provided during a medical emergency where delay would have been hazardous. No feasible VA facilities were available for immediate treatment.
- Claimed conditions
- Lymphoma
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- 100%
- Decision date
- February 22, 2018
- Citation
- 1811293
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 1811293.
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.
- Granted
The Veteran has been evaluated at a 100% disability rating since April 14, 2024. The Board finds the criteria for eligibility to enroll in PCAFC have been met due to his need for personal care services for six continuous months based on his lymphoma and related conditions.
- Remanded (sent back)
The Veteran's eligibility for the VA Program of Comprehensive Assistance for Family Caregivers (PCAFC) was remanded due to inadequate medical opinion and insufficient notice. The Board found that the Veteran required personal care services due to his chronic conditions, including lymphoma, congestive heart failure, lung cancer, and decreased mobility.
- Denied
The Veteran's cause of death was listed as emphysema, but the Board found no causal connection to service or a service-connected disability. The Veteran did not meet the criteria for DIC benefits under 38 U.S.C. § 1318.
- Remanded (sent back)
The Board has determined that the initial decision denying eligibility for PCAFC benefits was not properly notified and requires a new medical opinion to determine if the Veteran needs personal care services based on his conditions.
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