The veteran's claim for reimbursement of unauthorized medical expenses incurred at Highlands Regional Medical Center in Sebring, Florida on December 30, 2004 was denied because the evidence did not show that his condition required emergent care and VA facilities were feasibly available.
The deciding factor: The veteran's anxiety attack did not meet the criteria for an emergency medical condition such that delay would have been hazardous to life or health. Additionally, VA facilities were feasible and could have provided the necessary care.
- 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 13, 2009
- Citation
- 0901275
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
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This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.