The Veteran's condition was not of such a nature that a prudent layperson would have reasonably expected delay in seeking immediate medical attention to be hazardous to life or health. Therefore, the claim for payment or reimbursement for unauthorized medical expenses incurred at Mease Countryside Hospital on April 25, 2017 is denied.
The deciding factor: The Veteran's condition was not emergent and a prudent layperson would not have believed that delay in seeking immediate treatment would be hazardous to life or health.
- Claimed conditions
- leg injury, alcohol intoxication
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- August 12, 2019
- Citation
- 19162264
Veterans Law Judge
Decisions by this judge: 940 · 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 19162264.
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 Veteran's unauthorized medical expenses incurred at Lakewood Hospital from November 15, 2011 to November 17, 2011 are now covered by VA due to the emergency nature of his treatment and the unavailability of VA facilities.
- Denied
The Board denied the appellant's claim of being a helpless child due to permanent incapacity for self-support prior to attaining age 18, citing insufficient evidence that she was incapable of self-support at her 18th birthday.
- Denied
The Board denied the appellant's claim for recognition as a helpless child of her deceased father due to lack of evidence showing she was permanently incapable of self-support prior to age 18.
- Granted
The Veteran's unauthorized medical expenses incurred during a non-VA hospitalization at Lee Memorial Hospital from November 11th-12th of 2015 are granted due to the presence of a permanent and total (P&T) service-connected disability for PTSD, which made the private treatment necessary.
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