The Veteran's private medical expenses for left hip bursitis treatment at Tallahassee Memorial Hospital on March 15 and 16, 2014 were not authorized by VA, as prior authorization was not provided. The services received did not meet the criteria for reimbursement under applicable statutes due to lack of service connection or emergency condition.
The deciding factor: The Veteran's hip pain was not related to a service-connected disability, and the treatment was not for an emergency medical condition requiring immediate attention.
- Claimed conditions
- left hip bursitis
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- April 12, 2018
- Citation
- 1822268
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 1822268.
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Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Veteran's tinnitus is granted as service-connected. The Board has remanded the claims for right knee condition, left hip bursitis, low back condition, and left ankle condition due to insufficient examination opinions addressing causation and aggravation.
- Granted
The Board has granted service connection for left hip bursitis and denied service connection for right shoulder pain and bilateral hearing loss. The Veteran's left hip bursitis is found to be related to her active military service, while the evidence does not support a finding of current right shoulder disability or bilateral hearing loss.
- Granted
The Board has granted service connection for obstructive sleep apnea (OSA) secondary to the Veteran's service-connected musculoskeletal disabilities on a causation basis, with obesity as an intermediate step.
- Granted
The Veteran's claim for service connection for left hip torn labrum and bursitis was granted due to the submission of new evidence that supports his contention that these conditions are related to his military service.
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