The Veteran's claim for payment or reimbursement of unauthorized medical expenses at Aurora Behavioral Healthcare in San Diego, California from August 18 to August 20, 2013 is granted. The claim for March 16, 2015, treatment at Sharp Memorial Hospital in San Diego, California is denied.
The deciding factor: The Veteran's psychiatric condition necessitated the emergency medical care provided at Aurora Behavioral Healthcare, which was not authorized by VA but met the criteria for reimbursement due to the nature of his disability and the urgency of the situation.
- Claimed conditions
- unspecified psychotic disorder, erectile dysfunction
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- January 8, 2019
- Citation
- 19101222
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.
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- Partly granted
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- Denied
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