The Board denied payment or reimbursement of medical expenses incurred at Bronson Battle Creek on January 9, 2013 due to lack of prior authorization and the fact that a VA facility was feasibly available for treatment.
The deciding factor: The Veteran's condition did not meet the criteria under 38 U.S.C. § 1725 for reimbursement as there was no emergency medical condition manifesting itself by acute symptoms sufficient to place his health in serious jeopardy, and a VA facility was feasibly available for treatment.
- Claimed conditions
- Groin pain
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- June 6, 2019
- Citation
- 19144077
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.
- Partly granted
The Board denied the claims for service connection for an acquired psychiatric disorder, myofascial pain syndrome, a back disability, and a neck disability as new and relevant evidence had not been submitted. The claims were remanded for further action regarding groin pain, fibromyalgia, and TDIU.
- Denied
The Board denied the appellant's claims of service connection for groin pain, bilateral hearing loss, and tinnitus. The evidence did not establish a current disability or link these conditions to his military service.
- Granted
The Veteran's claim for service connection for a groin injury is granted. The Board found that the Veteran had a current disability, experienced an in-service event or incurrence of his groin injury, and linked the injury to service.
- Granted
The Board granted service connection for obstructive sleep apnea, effective from the date of the February 2025 rating decision.
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