The Veteran's unauthorized medical expenses incurred during a non-VA hospitalization at West Marion Community Hospital from November 7, 2014 through November 10, 2014 are now covered by VA due to the reversal of previous decisions based on his health insurance coverage.
The deciding factor: The amended regulation allows for reimbursement when a veteran has partial coverage under a health-plan contract and does not wholly extinguish their liability for emergency treatment.
- Claimed conditions
- respiratory, cardiac
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- June 25, 2019
- Citation
- 19149462
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
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Other Board decisions on a similar condition or argued the same way.
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- Remanded (sent back)
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