The Board found that the Veteran did not meet the criteria for reimbursement of unauthorized, non-VA medical expenses incurred on November 1-2, 2005 at a private hospital due to lack of emergency circumstances and failure to obtain prior authorization.
The deciding factor: The treatment was scheduled in advance without any indication of an emergency situation, and VA was not notified until after the procedure was performed. The Veteran had time to notify VA about his need for the additional stenting but did not do so.
- Claimed conditions
- Peripheral vascular disease of the lower extremities, Tinea corporis, Type II diabetes mellitus, Arteriosclerotic heart disease, Hypertension, Peripheral neuropathy of the lower extremities, Impotency
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- July 26, 2010
- Citation
- 1027791
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 1027791.
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.
- Denied
The Board denied the claim of service connection for hypertension, finding that it did not manifest during service and is not causally related to the Veteran's exposure to herbicides or service.
- Denied
The Board denied the Veteran's claim for service connection for hypertension, finding that there was no evidence of a nexus between his current condition and active duty service or herbicide exposure.
- Denied
The Board has denied service connection for hypertension and has remanded the issue of an increased rating for skin condition.
- Granted
The Board has restored the Veteran's 10% rating for hypertension effective December 1, 2025 and denied a rating in excess of 10%. The reduction from 10% to noncompensable was not proper.
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