The Veteran's unauthorized medical expenses for a private hospitalization from September 13, 2015 through September 14, 2015 are now covered by VA due to the reversal of an earlier denial. The appeal is granted.
The deciding factor: The Court in Staab v. McDonald found that partial coverage by Medicare does not bar a veteran from reimbursement under 38 U.S.C. § 1725, and the amended regulation allows for payment or reimbursement through VA when a third-party payer would extinguish only part of a veteran's liability.
- Claimed conditions
- diverticulitis, atrial fibrillation
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- November 9, 2018
- Citation
- 18149565
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 18149565.
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.
- Denied
The Veteran's claim of entitlement to service connection for a colon condition, including as caused by herbicide agent exposure or secondary to his service-connected disabilities, was denied. The Board found that the evidence did not support a finding of service connection on any basis.
- Dismissed
The Veteran's appeals for a compensable rating for chronic diarrhea, service connection for diverticulitis, and service connection for a respiratory system disability to include restrictive lung disease and sleep apnea syndrome have been dismissed due to the Veteran's death.
- Granted
The Board has granted service connection for atrial fibrillation and distressed heart (previously claimed as irregular heartbeat) based on evidence of a link to the Veteran's military service.
- Remanded (sent back)
The Board has determined that new and relevant evidence has been received for the claims of service connection for bilateral dry eye disorder, atrial fibrillation (including as secondary to hypertension), left eye disorder other than dry eye including amaurosis fugax, and right foot or ankle disorder (including as secondary to left foot and/or left ankle disability). The appeals are remanded due to insufficient evidence in the current record.
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