The Veteran's unauthorized medical expenses incurred on August 31, 2006 at St. Vincent Medical Center in Toledo were not reimbursable due to lack of prior authorization and the fact that VA facilities were feasibly available.
The deciding factor: VA facilities in Cleveland, Ann Arbor, or Toledo were feasible alternatives for the type of treatment received by the Veteran on August 31, 2006.
- Claimed conditions
- posttraumatic stress disorder, right L3-L4 and L4-L5 lumbar disc herniation with lateral recess stenosis, scar on the right shoulder (lipoma removal), right L-5 radiculopathy
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- 60%
- Decision date
- July 28, 2010
- Citation
- 1028128
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 1028128.
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.
- Dismissed
The appeal for a temporary total evaluation because of hospital treatment in excess of 21 days for service-connected posttraumatic stress disorder was withdrawn by the Veteran's representative and is therefore dismissed.
- Granted
The Board granted an increased (Level 2) stipend in the PCAFC for the Veteran's caregiver due to the need for continuous supervision and protection based on the Veteran's medical conditions.
- Denied
The Board denied the Veteran's claims for special monthly compensation based on aid and attendance or housebound status due to her service-connected disabilities not meeting the criteria.
- Dismissed
The appeal of the proposed effective date for service connection for posttraumatic stress disorder was dismissed as a matter of law.
We are not the VA. Veterans’ Rights is an independent resource built for veterans. We are not the U.S. Department of Veterans Affairs, not part of the government, and not endorsed by any government agency.
This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.