The Board denied payment or reimbursement for unauthorized medical expenses incurred on June 23, 2013, at Orange Park Regional Medical Center due to the lack of prior VA authorization and because the treatment was not rendered in a medical emergency.
The deciding factor: The Veteran's condition did not meet the criteria for 'emergency treatment' as defined by VA regulations, given that he had multiple opportunities to seek treatment from VA facilities before seeking unauthorized care at an emergency room.
- Claimed conditions
- ulcerative colitis, myocardial infarction, osteoporosis of the left hip, degenerative arthritis of the lumbar spine
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- August 24, 2015
- Citation
- 1536090
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 1536090.
What this means for you
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What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Denied
The Veteran's claim of entitlement to service connection for a colon condition, including as caused by herbicide agent exposure or secondary to his service-connected disabilities, was denied. The Board found that the evidence did not support a finding of service connection on any basis.
- Granted
The Veteran's service connection claim for coronary artery disease with myocardial infarction is granted on a presumptive basis due to exposure to herbicide agents during his active duty in Korea.
- Remanded (sent back)
The Veteran's claims for an initial evaluation in excess of 30 percent for persistent depressive disorder with anxious distress and service connection for ulcerative colitis are being remanded due to the failure to obtain relevant medical records.
- Remanded (sent back)
The Board has decided to remand the Veteran's claims for an increased rating for coronary artery disease and entitlement to a total disability rating based on individual unemployability due to service-connected disabilities. The decision is pending further action as private treatment records are needed.
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