The Board finds that the Veteran's condition on April 24, 2015 was such that a prudent layperson would have reasonably expected delay in seeking medical attention to be hazardous to life or health. The closest VA facility was over 98 miles away and an hour and a half drive from his home. Therefore, payment or reimbursement for unauthorized medical expenses incurred at FHS on April 24, 2015 is granted.
The deciding factor: The Veteran's condition on the day of treatment was deemed emergent by both VA personnel and the Veteran himself, who felt that he had internal bleeding and could not make a long drive to a VA facility.
- Claimed conditions
- unknown
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- April 24, 2019
- Citation
- 19131791
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 Board has determined that the procedural error in placing the Veteran's appeal on the AMA Hearing Docket is not jurisdictional and waives its use. The matter is now REMANDED for issuance of a Statement of the Case on the timeliness issue.
- Remanded (sent back)
The Board has decided to remand the case due to non-compliance with previous remands and insufficient consideration of new evidence. The claim for nonservice-connected pension will be reconsidered.
- Remanded (sent back)
The Veteran's appeal is being remanded to address his challenge to the validity of the overpayment amount and his claim for apportionment of benefits. The Board cannot proceed with these issues until they are resolved.
- Dismissed
The Veteran withdrew their appeal, and the Board dismissed it due to the withdrawal.
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