The Board denied payment or reimbursement for unauthorized medical expenses incurred at a private hospital from April 6, 2016, to April 7, 2016, as the treatment was not rendered in a situation where delay would have been hazardous to life or health and it was reasonable to attempt to use the local VA clinic.
The deciding factor: The medical services provided at a private hospital were not authorized by VA and did not meet the criteria for payment under 38 U.S.C. § 1725 due to lack of emergency nature and delay in treatment would not have been hazardous to life or health.
- Claimed conditions
- Hematuria
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- June 3, 2019
- Citation
- 19142335
Veterans Law Judge
Decisions by this judge: 2,162 · Granted: 21% (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 19142335.
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Related decisions
Other Board decisions on a similar condition or argued the same way.
- Granted
The Board has granted service connection for respiratory impairment and hematuria, finding that these conditions are related to the Veteran's service in Southwest Asia.
- Partly granted
The Board granted service connection for monoclonal gammopathy of undetermined significance (MGUS) and anemia, but remanded claims for chronic kidney disease, hematuria, and multiple myeloma.
- Remanded (sent back)
The Veteran's service-connected TBI, bilateral knees, left metatarsal avulsion residuals, left wrist condition, and migraines are being remanded for further evaluation due to the potential worsening of these conditions.,The Veteran's rib/sternum condition, left ankle condition, bilateral shoulder conditions, insomnia, and kidney condition (claimed as rhabdomyolysis) are also being remanded for further evaluation.
- Partly granted
The request to reopen the issue of entitlement to service connection for hematuria was dismissed.,Service connection for hearing loss is granted and a rating will be assigned based on current evidence. The claim for Parkinson's disease (claimed as due to Camp Lejeune contaminated water) is also granted.,Remand is ordered for further action including TDIU determination.
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