The Veteran's unauthorized hospitalization and associated physician expenses for his bike accident injuries from January 19, 2013 through January 22, 2013 were deemed eligible for payment or reimbursement by VA due to the nature of the emergency treatment required.
The deciding factor: The private hospitalization was for a medical emergency that required immediate attention and no feasible VA facility was available at the time.
- Claimed conditions
- Right hip injury, Right elbow injury, Head injury (right side)
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- March 5, 2019
- Citation
- 19115938
Veterans Law Judge
Decisions by this judge: 2,156 · Granted: 29% (granted or partly granted, in the vetted decisions on this site)
Judge attribution: 2025 complete; earlier years partial.
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 19115938.
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.
- Partly granted
The Veteran's service-connected disabilities rendered him unable to secure and follow a substantially gainful occupation from March 30, 2011, warranting a TDIU.
- Denied
The Board denied the Veteran's appeal as his September 2017 VA Form 9 was not timely filed, making the June 2015 rating decision final.
- Remanded (sent back)
The Board has decided to remand the case due to the need for further examination and evaluation of the Veteran's right thigh, hip, or groin injuries. The Veteran is also requesting clarification on in-service notations that may be incorrect.
- Remanded (sent back)
The Board has dismissed the issue of service connection for a right forearm or elbow disability due to prior grant in May 1997. The rating for right hallux valgus is denied, and the issue of compensable rating for right elbow injury residuals since February 21, 2015 is remanded.
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