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 assigned
- None in this 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. Look up the original decision on VA.gov (opens in a new tab) using citation 1519279.
What this means for you
A denial is a starting point, not the end of the road. You can see why this claim fell short — and, if you are still inside the one-year window, the appeal lanes that may remain open to you.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- 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.
- 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.
- 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.
- Partly granted
The Board denied an increased rating for PTSD, granted a TDIU from December 3, 2020, and denied service connection for various conditions.
Free starter guide for your own claim
Reading this because you were denied or under-rated? Get the plain-English next steps — your appeal options, the deadline that protects you, and how appeals like yours turn out. One email, no spam.
We will only use this to send the guide. No spam, unsubscribe any time. We never sell your information.
We are not the VA. Veterans’ Rights is an independent resource built for veterans. We are not the U.S. Department of Veterans Affairs, not part of the government, and not endorsed by any government agency.
This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.