The Veteran's claim for payment or reimbursement of unauthorized medical expenses incurred at Capital Regional Medical Center on September 6, 2012 is denied as the condition was not an emergency and no VA facility was feasibly available.
The deciding factor: The treatment received by the Veteran did not meet the criteria for being rendered in a medical emergency, thus failing one of the key requirements for reimbursement under VA regulations.
- Claimed conditions
- medial meniscus tear of the left knee, traumatic degenerative changes of the right knee, traumatic arthritis of the lumbar spine, degenerative disc disease of the cervical spine, left Achilles tendonitis, history of tendonitis and right Achilles tendon rupture with repair, bilateral tinnitus, hypertension
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- June 9, 2015
- Citation
- 1524593
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 1524593.
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
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Other Board decisions on a similar condition or argued the same way.
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- Remanded (sent back)
The Veteran's claims for increased ratings and service connection are being remanded due to the need for additional development, including VA examinations.
- Remanded (sent back)
The Board has remanded the claims for additional development due to conflicting opinions regarding service connection for peripheral neuropathy, hypertension, and skin disabilities related to herbicide exposure.
- Denied
The Veteran's claim for service connection for hypertension and increased rating for anxiety disorder have been denied. The Board found that there is no evidence of a current disability meeting the criteria for hypertension, and the Veteran's anxiety disorder does not meet the criteria for a higher rating.
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