The Veteran's claims for payment or reimbursement of non-VA medical care provided on March 23, 2018, by Good Samaritan Medical Center and Steward Emergency Physicians are being remanded due to insufficient information regarding the remaining balance from his insurance coverage. The VA needs to ascertain what portion of the remaining balance exists and whether it is a copayment.
The deciding factor: The decision was based on the Veteran's partial coverage under Medicare, which invalidated previous regulations preventing reimbursement in such cases.
- Claimed conditions
- Not specified in this decision
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- January 26, 2023
- Citation
- 23005005
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 23005005.
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
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