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Denied

The Veteran's unauthorized medical expenses incurred on September 7, 2009 at Tallahassee Memorial Hospital are not eligible for reimbursement under VA regulations because the emergency treatment was not rendered in response to a medical emergency of such nature that delay would have been hazardous to his life or health.

The deciding factor: The symptoms described by the Veteran were persistent and had been present for 8-10 days before seeking treatment, which did not meet the criteria for an emergent situation as defined by VA regulations.

Claimed conditions
depressive disorder with anxiety disorder, neck strain, herniated nucleus pulposus L5-S1, residuals of right knee injury, residuals of right ankle strain, left L5/S1 radiculopathy, residuals of right clavicle fracture, left ankle strain, bilateral pes planus, left inguinal herniorrhaphy, left breast biopsy scar
How they argued it
Not specified
Exposure basis
None
Rating assigned
90%
Decision date
August 29, 2014
Citation
1438660

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 1438660.

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