The Veteran's claim for payment or reimbursement of medical treatment rendered at non-VA facilities is denied as the care was not rendered in a medical emergency and VA facilities were feasibly available.
The deciding factor: The medical treatment provided to the Veteran on May 15 and 16, 2012 did not meet the criteria for payment under 38 U.S.C.A. § 1728 or 38 C.F.R. § 17.120 because it was not rendered in a medical emergency of such nature that delay would have been hazardous to life or health, and VA facilities were feasibly available.
- Claimed conditions
- Post-Traumatic Stress Disorder (PTSD), Lumbar Spine Disability, Right Knee Arthritis, Left Wrist Fracture Residuals, Tinnitus
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- May 26, 2015
- Citation
- 1522225
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 1522225.
What this means for you
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Related decisions
Other Board decisions on a similar condition or argued the same way.
- Denied
The Board denied service connection for bilateral hearing loss and tinnitus, finding that the Veteran's current conditions are not related to his military service.
- Denied
The Veteran's claim for a higher rating prior to August 12, 2013 was denied as his right knee disability did not meet the criteria for a higher rating under Diagnostic Code 5003.,The Veteran's claim for a higher rating from April 1, 2016 was denied as he is already receiving the maximum allowable disability rating of 60 percent for total right knee replacement.
- Denied
The Board denied the veteran's claims for a higher rating for PTSD and dismissed his appeals regarding increased ratings for tinnitus and a right hand disability due to lack of timely filing of Notice of Disagreement.
- 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.
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