The Veteran's claim for payment or reimbursement of unauthorized medical expenses at Bayfront Health Port Charlotte is denied because the treatment was not for a medical emergency and no VA facility was feasibly available.
The deciding factor: The Veteran did not meet the criteria for an emergency medical condition, as there were no indications of acute distress and he had already received prior treatment from VA. The Veteran chose to go to a private facility due to dissatisfaction with VA care.
- Claimed conditions
- back pain, broken ribs
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- October 30, 2018
- Citation
- 18145979
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 18145979.
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.
- Remanded (sent back)
The Board has granted service connection for cervical spine degenerative arthritis. The claims for back pain and right upper extremity radiculopathy are remanded due to the need for additional medical examinations.
- Remanded (sent back)
The Board has denied the Veteran's claims for service connection for back pain and neck pain, finding no current disability. The claim for Non-Hodgkin's lymphoma is remanded due to inadequate consideration of all potential exposures.,The claim for an acquired psychiatric disability (PTSD) is also remanded due to a lack of development of the Veteran's therapist's records.
- Partly granted
The claims for service connection for hypertension, back pain, right hip pain, left hip pain, right knee pain, and left knee pain have been readjudicated. The claim for sleep apnea has also been readjudicated.,Service connection has been granted for a neck condition, back pain, right hip pain, left hip pain, right knee pain, left knee pain, an acquired psychiatric disorder, bruxism, and vertigo.
- Granted
The Board has granted service connection for a back disability, including back pain and lumbosacral strain, finding that the evidence is at least in relative equipoise as to whether the Veteran's current back disability is related to his active-duty service.
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