The Veteran's claim for payment or reimbursement of medical services received at Good Samaritan Hospital is denied because a VA facility was available to provide the care, and an attempt to use them beforehand would have been reasonable, sound, wise, and practicable.
The deciding factor: VA facilities were available but the Veteran did not wait for triage assessment before seeking private care, making it unreasonable, sound, wise, and practicable to use VA services.
- Claimed conditions
- persistent sinusitis
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- April 5, 2019
- Citation
- 19125989
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.
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