The veteran's unauthorized medical expenses incurred from December 30, 2000 to January 1, 2001 were not authorized in advance and are not covered by his service-connected disability. The Board denied the claim as there was no authorization for the treatment.
The deciding factor: The care provided did not meet the criteria for reimbursement under VA regulations due to lack of prior authorization and because it was not related to a service-connected condition.
- Claimed conditions
- upper gastrointestinal bleeding, active duodenal ulcer with upper GI bleed
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- May 1, 2006
- Citation
- 0612560
What this means for you
A denial is a starting point, not the end of the road. You can see why this claim fell short — and, if you are still inside the one-year window, the appeal lanes that may remain open to you.
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 remanded the case due to insufficient medical opinions regarding whether the Veteran's cause of death was related to service, specifically a cyst on his left arm. The appellant must provide any outstanding private medical records from the Veteran’s Memorial Medical Center and VA will obtain them.
- Denied
The January 2000 rating decision did not contain clear and unmistakable error (CUE) in failing to grant the appellant's claim for service connection for cause of the Veteran's death.
- Granted
The Board granted service connection for obstructive sleep apnea, effective from the date of the February 2025 rating decision.
- Remanded (sent back)
The Board remands the claim for a medical examination to determine if the Veteran's current neck strain is related to his in-service activities.
We are not the VA. Veterans’ Rights is an independent resource built for veterans. We are not the U.S. Department of Veterans Affairs, not part of the government, and not endorsed by any government agency.
This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.