The Veteran's unauthorized medical expenses incurred on September 28, 2012 were denied as the treatment did not meet the criteria for emergency care and there was no evidence of a prudent layperson expecting delay in seeking immediate medical attention to be hazardous.
The deciding factor: The Veteran's right hip pain was not an emergency condition that required immediate medical attention. The Veteran had prior treatment at VA facilities and could have sought treatment from a local VA clinic, indicating he did not expect his life or health to be in jeopardy by delaying care.
- Claimed conditions
- Right Hip Pain
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- May 5, 2015
- Citation
- 1519279
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. Search VA.gov for the original decision (opens in a new tab) using citation 1519279.
What this means for you
A final Board denial may be appealed to the U.S. Court of Appeals for Veterans Claims, generally within 120 days of the Board mailing date. A Supplemental Claim with new and relevant evidence is a separate option. Another Higher-Level Review of the Board decision is not available. Check your own notice: this historical decision does not set your deadline.
What you can do next
Use your own notice and decision stage. A remanded issue is not a final court-appealable denial. VA review guidance and CAVC filing instructions (U.S. federal; reviewed October 7, 2026).
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Whole decision: Denied
The Board has denied the Veteran's claims for service connection for various conditions, including GAD, MDD, bruxism, migraines/headaches, tinnitus, hip pain, iliotibial band syndrome, and leg stress fractures. The evidence does not support current diagnoses of these conditions during the appeal period.
- Whole decision: Dismissed
The appeal seeking an effective date earlier than December 17, 2012 for the award of service connection for right hip pain is dismissed. The Veteran's initial disability rating for his service-connected right hip pain remains at 10 percent.
- Whole decision: Granted
The Board has granted service connection for low back, right shoulder, left shoulder, right hip, and left hip disorders based on the Veteran's active duty service. The conditions are considered to be directly related to his military duties.
- Whole decision: Partly granted
The Board denied an increased rating for PTSD, granted a TDIU from December 3, 2020, and denied service connection for various conditions.
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