The Board denied the Veteran's appeal for payment or reimbursement of unauthorized medical expenses incurred at Ocala Regional Medical Center from December 16, 2007, to December 23, 2007, as the Veteran does not meet the criteria for such reimbursement under VA regulations.
The deciding factor: The claim was denied because the Veteran is covered by a health-plan contract (Medicare) and VA regulations do not allow payment or reimbursement of private medical expenses when a Veteran has other health coverage that can provide at least partial payment or reimbursement.
- Claimed conditions
- Not specified in this decision
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- February 27, 2009
- Citation
- 0907466
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
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.