The Veteran's unauthorized medical expenses incurred at the Dialysis Clinic, Incorporated in March, April and May of 2008 were not covered by VA because prior authorization was not obtained. The services provided were not rendered in a medical emergency of such nature that delay would have been hazardous to life or health.
The deciding factor: The Veteran's unauthorized treatment did not meet the criteria for reimbursement as it was not rendered in an emergent situation and no VA facility was feasibly available.
- Claimed conditions
- coronary artery disease, psychiatric disability including anxiety with features of post-traumatic stress disorder, bilateral lower extremity cold injury residuals, bilateral lower extremity peripheral neuropathy, noncompensable bilateral hearing loss, hypertension, renal involvement in diabetes
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- April 28, 2010
- Citation
- 1015596
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 1015596.
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.
- Partly granted
The Board granted service connection for headaches and increased ratings for left shoulder rotator cuff tear, right shoulder rotator cuff tear, hypertension, and left and right leg restless leg syndrome. The Board denied a compensable rating for bilateral hearing loss and an initial rating in excess of 70 percent for posttraumatic stress disorder.
- Granted
The Board granted an effective date of October 21, 2021, for the grant of service connection for hypertension.
- Partly granted
The Board granted service connection for asthma but denied it for hypertension.
- Dismissed
The appeal for a compensable rating for left ear hearing loss, service connection for right ear hearing loss, and bilateral vision condition was dismissed. Service connection for hypertension, congestive heart failure, and coronary artery disease was denied.
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