The Veteran's claim for payment or reimbursement of unauthorized non-VA medical treatment and services is remanded due to the need for additional information regarding insurance coverage. The earlier effective date claim for service connection for coronary heart disease will be addressed in a separate Board decision.
The deciding factor: Additional information is needed to determine whether the claimed expenses were incurred as part of a deductible or coinsurance payment, which would affect reimbursement under 38 U.S.C. § 1725(c)(4)(D).
- Claimed conditions
- coronary heart disease
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- December 23, 2019
- Citation
- 19195905
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 19195905.
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Partly granted
The Board granted service connection for basal cell carcinoma and a higher initial disability rating of 70 percent for other specified trauma-and-stressor-related disorder, while denying increased ratings for lumbosacral strain, right lower radiculopathy, bilateral hearing loss, chronic rhinitis, tension headaches, and mitral valve prolapse.
- Partly granted
The Board granted service connection for bilateral shin splints but denied service connection for chronic fatigue syndrome, fibromyalgia, chronic sinusitis, coronary heart disease, tremors of the hands, restless legs syndrome, obesity-hypoventilation syndrome, and hypertension.
- Denied
The Board denied the veteran's claims for increased ratings and service connection, as well as remanded one issue.
- Granted
The Board granted service connection for coronary heart disease and diabetes type II under the PACT Act due to presumed in-service exposure to herbicide agents.
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