The Veteran's knee pain was considered an emergency condition, and the Board granted reimbursement for medical expenses incurred at a private hospital on January 4, 2016.
The deciding factor: The Veteran's symptoms were deemed to be such that delay in seeking immediate medical attention would have been hazardous to his health.
- Claimed conditions
- Knee pain
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- December 14, 2018
- Citation
- 18158207
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 18158207.
What this means for you
A grant means the Board agreed the veteran was entitled to the benefit. Decisions like this show the kind of evidence and arguments that tend to succeed for claims like it.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Denied
The Board has determined that the Veteran is not in need of personal care services for a minimum of six continuous months due to her ability to perform ADLs independently and does not require supervision or protection based on symptoms or injuries. Therefore, eligibility to enroll in the PCAFC program is denied.
- Remanded (sent back)
The Board has determined that the VA Centralized Eligibility and Appeals Team (CEAT) decision denying eligibility for PCAFC benefits was inadequate, as it did not address whether the Veteran requires personal care services each time he completes one or more activities of daily living (ADLs). The case is being remanded to conduct an updated medical review.
- Remanded (sent back)
The Board has determined that the Veteran's knee pain did not constitute an emergency medical condition at the time of her treatment on November 29, 2015 and December 2, 2015. As a result, she is not eligible for reimbursement under 38 U.S.C. § 1725 or 1728.,The Veteran's appeal to reimburse costs of non-VA medical care received on May 28, 2014 was timely filed.
- Granted
Service connection is granted for left ear hearing loss and right ear hearing loss based on in-service noise exposure.,Service connection is granted for chest pain, head injury, knee pain, acquired psychiatric disability (including PTSD), headaches (due to treatment for PFB), hypertension, and dizziness secondary to service-connected tinnitus.
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