The Board denied payment or reimbursement of unauthorized medical expenses incurred from March 23, 2016, to March 24, 2016, as the care was not provided in a medical emergency and no VA facilities were feasibly available.
The deciding factor: The care received on March 23-24, 2016, was scheduled almost a week prior and did not meet the criteria for emergency treatment as there was sufficient time to seek pre-authorization from VA.
- Claimed conditions
- Pain in right leg, Left gluteal region pain, Groin pain, Testicular pain
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- July 8, 2019
- Citation
- 19152621
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 19152621.
What this means for you
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Related decisions
Other Board decisions on a similar condition or argued the same way.
- Granted
The Board has granted the Veteran's claim for service connection for groin pain as proximately due to his service-connected left hip replacement and right hip replacement, finding that the evidence is in at least approximate balance regarding this issue.
- Partly granted
The Board granted service connection for right wrist strain, testicular pain, TMJ with bruxism, and erectile dysfunction (secondary to PTSD), while denying increased ratings for PTSD, left wrist strain, abdominal scarring status post appendectomy, chronic sinusitis, IBS, and bilateral hearing loss. The Board also granted special monthly compensation based on the loss of use of a creative organ.
- 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.
- Granted
The Veteran's service-connected disabilities have rendered him unable to secure or follow a substantially gainful occupation, and the Board has granted a total disability rating based on individual unemployability (TDIU).
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