The Veteran's claim for reimbursement of unauthorized medical expenses incurred at Erlanger Health System and Medical Center of Manchester from July 4, 2007 to July 6, 2007 is denied as the criteria for reimbursement under VA regulations were not met.
The deciding factor: The Veteran had coverage through a health-plan contract (motorcycle insurance) that covered part of his medical expenses, thus preventing him from being reimbursed by VA.
- Claimed conditions
- nonservice-connected disorder
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- July 1, 2011
- Citation
- 1125058
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 1125058.
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.
- Granted
The Veteran's non-VA emergency medical services provided on March 18, 2020 are eligible for payment/reimbursement under the Veterans Millennium Health Care and Benefits Act due to timely filing of the claim within 90 days after exhausting third-party action.
- Granted
The Veteran's medical expenses for anesthesiological and radiological services provided at The Bowling Green Medical Center from December 17, 2006 to January 4, 2007 are now covered by VA.
- Granted
The Veteran's medical expenses for treatment on February 1-3, 2005 at Valley View Hospital are approved as the nearest VA facility was not feasibly available and an attempt to use them before hand would not have been considered reasonable by a prudent layperson.
- Denied
The veteran's medical expenses for a nonservice-connected disorder from September 13, 2004 to September 21, 2004 at St. Cloud Hospital were denied as the claim did not meet the requirements for reimbursement under VA regulations.
Free starter guide for your own claim
Reading this because you were denied or under-rated? Get the plain-English next steps — your appeal options, the deadline that protects you, and how appeals like yours turn out. One email, no spam.
We will only use this to send the guide. No spam, unsubscribe any time. We never sell your information.
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.