The Board denied the veteran's claims for payment or reimbursement of unauthorized medical expenses incurred on September 2 and 3, 2006 at a non-VA medical facility due to lack of eligibility under VA regulations.
The deciding factor: The veteran did not meet the criteria for payment or reimbursement as he was not enrolled in the VA health care system within the 24-month period preceding the treatment and his condition did not qualify as an emergency requiring immediate medical attention.
- Claimed conditions
- Back pain, Disk herniation
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- July 29, 2009
- Citation
- 0928317
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 0928317.
What this means for you
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What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Granted
The Veteran's service-connected disabilities result in him needing regular aid and attendance, which has been granted for special monthly compensation at the aid and attendance rate.
- Remanded (sent back)
The Board has remanded the Veteran's claims for urinary incontinence, back pain, and bilateral foot pain due to potential service connection issues. The AOJ is required to provide a VA examination and obtain an opinion regarding whether these conditions are related to service.
- Granted
The Veteran's TDIU is granted effective December 30, 1995. Basic eligibility for Dependents' Educational Assistance (DEA) is also granted as of that date.
- Denied
The Board has determined that the Veteran is not in need of personal care services for a minimum of six continuous months due to her ability to perform ADLs independently and does not require supervision or protection based on symptoms or injuries. Therefore, eligibility to enroll in the PCAFC program is denied.
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