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.
- Remanded (sent back)
The Board remands the claims for service connection for diabetes mellitus type II and hypertension, to include as secondary to left orchiectomy, for further development in accordance with the PACT Act.
- Granted
The Board granted service connection for Type II diabetes mellitus, finding that it is secondary to the Veteran's service-connected unspecified depressive disorder.
- Partly granted
The Board granted readjudication of previously denied claims for service connection for PTSD and COPD, while remanding other issues including entitlement to service connection for an eye disorder, hypertension, tinnitus, a compensable rating for bilateral hearing loss, TDIU, and an initial rating for PTSD.
- Denied
The Board denied service connection for various conditions, including diabetes mellitus, type II, coronary artery disease, congestive heart failure, hypertension, asthma/lung disease, vision disability, bilateral plantar fasciitis, leukocytosis, kidney disease/kidney stones, enlarged prostate, sleep apnea, rheumatoid arthritis, lumbar spine disability, right ankle disability, and left ankle disability.
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