The Veteran's unauthorized medical expenses incurred during his hospitalization at Jupiter Medical Center and Palm Beach Cardiovascular Panel Readers from November 25th to November 26th, 2013 are eligible for payment or reimbursement by VA due to the severity of his service-connected coronary artery disease.
The deciding factor: The Veteran's heart condition was severe enough that he required immediate treatment at a private facility. The claims were timely filed within two years after the date of discharge from the non-VA facilities.
- Claimed conditions
- Coronary artery disease
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- 100%
- Decision date
- June 25, 2019
- Citation
- 19149187
Veterans Law Judge
Decisions by this judge: 2,156 · Granted: 29% (granted or partly granted, in the vetted decisions on this site)
Judge attribution: 2025 complete; earlier years partial.
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 19149187.
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's claim for service connection for heart condition was granted with an effective date of August 1, 2019. The decision is based on evidence showing exposure to diesel and gas fuel during service.
- Granted
The Veteran's service-connected PTSD has prevented him from securing or following substantially gainful employment since September 27, 2010. Additionally, he is in receipt of a 60 percent disability rating for coronary artery disease, which meets the criteria for SMC at the housebound rate.
- Granted
The Veteran's claim for HISA benefits is granted as the modification requested (a barrier free, roll-in shower) falls within the scope of HISA and addresses his medical need due to his service-connected coronary artery disease.
- Remanded (sent back)
The Board has decided to remand the case due to a lack of an adequate VA examination, which is necessary for a fully informed decision on the Veteran's heart disability claim.
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