The Board found that the appellant's emergency treatment for a kidney stone was considered emergent by a prudent layperson, and thus met the criteria for reimbursement under the Veterans Millennium Health Care and Benefits Act.
The deciding factor: The appellant's condition of a kidney stone was judged to be an emergency by a prudent layperson given his severe symptoms and fear of potential complications.
- Claimed conditions
- Kidney Stone
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- March 16, 2010
- Citation
- 1010002
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 1010002.
What this means for you
A grant means the Board agreed the veteran was entitled to the benefit. Decisions like this show the kind of evidence and arguments that tend to succeed for claims like it.
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 incomplete development and transfer considerations. The Veteran's claim will be reconsidered after obtaining additional information.
- Denied
The Veteran's unauthorized medical treatment for a kidney stone at Providence Holy Family Health Services on December 9, 2015 was denied as there was no prior authorization from VA and the Board found that the emergency treatment criteria were not met.
- Remanded (sent back)
The Veteran's unauthorized medical expenses for a kidney stone treatment on December 9, 2015 are remanded due to the need to associate relevant treatment records with the claims file.
- Denied
The Veteran's claim for reimbursement of medical expenses incurred at a private hospital due to a kidney stone is denied because he did not receive VA treatment within the 24 months prior to his emergency treatment.
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