The Veteran's unauthorized medical expenses for follow-up care after his left ankle surgery were not authorized in advance by VA, and the Board finds that he did not meet the criteria for reimbursement under applicable laws.
The deciding factor: The Veteran was required to obtain prior authorization from VA for the private outpatient treatment with Dr. F, which he failed to do due to lack of awareness or investigation into whether the care would be covered by VA.
- Claimed conditions
- broken left ankle
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- April 22, 2015
- Citation
- 1517329
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 1517329.
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