The Veteran's claim for payment or reimbursement of unauthorized private medical expenses incurred on February 13, 2009, is denied as the care was not rendered in a medical emergency that would have been hazardous to his life or health if delayed. The claim for April 9, 2010, is granted as VA facilities were feasibly available but prior authorization was not provided.
The deciding factor: The private treatment on February 13, 2009, did not meet the criteria of being rendered in a medical emergency that would have been hazardous to his life or health if delayed. The private treatment on April 9, 2010, met this criterion as it was for an emergent condition.
- Claimed conditions
- Spinal disc condition
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- 60%
- Decision date
- July 13, 2011
- Citation
- 1126360
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 1126360.
What this means for you
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