The Board denied payment or reimbursement for medical expenses incurred in connection with the Veteran's non-VA care at Orthopedic Associates of Osceola on December 16, 2013 because the treatment was not pre-authorized by VA and did not constitute a medical emergency.
The deciding factor: The Board found that outpatient medical care at OAO on December 16, 2013 was not authorized by VA and there is no indication that services provided were rendered for a medical emergency. The nearest VAMC was less than 12 miles away, indicating feasible availability of VA medical facilities.
- Claimed conditions
- Left Knee Osteoarthritis, Left Knee Instability
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- June 21, 2018
- Citation
- 18112703
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 18112703.
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- Granted
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