The Veteran's claim for payment or reimbursement of unauthorized medical expenses incurred at John Archbold Memorial Hospital on May 30, 2008 is denied because a VA facility was feasibly available to treat his right knee and ankle pain within five days.
The deciding factor: VA determined that the emergency treatment provided by the private hospital did not meet the criteria for 'emergency treatment' as defined in the regulations due to the Veteran's timely presentation of symptoms and availability of VA care.
- Claimed conditions
- right knee pain, pain of right ankle
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- September 21, 2011
- Citation
- 1135372
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 1135372.
What this means for you
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Related decisions
Other Board decisions on a similar condition or argued the same way.
- Partly granted
The claims for service connection for hypertension, back pain, right hip pain, left hip pain, right knee pain, and left knee pain have been readjudicated. The claim for sleep apnea has also been readjudicated.,Service connection has been granted for a neck condition, back pain, right hip pain, left hip pain, right knee pain, left knee pain, an acquired psychiatric disorder, bruxism, and vertigo.
- Denied
The Board has determined that the Veteran's claims for service connection have been readjudicated and are denied. The Veteran submitted new and relevant evidence in support of his claim for bilateral hearing loss, but the evidence does not establish a current disability.
- Granted
The Board has granted service connection for the Veteran's lumbar spine, cervical spine, left hip pain, and right knee pain disabilities as secondary to his service-connected left knee disability.
- Denied
The Board denied service connection for broken jaw/TMJ, motion sickness, right knee pain, right shin pain, left ankle pain, bilateral pes planus, and left buttock pain as there is no evidence of current disabilities.
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