Denied
The Veteran's claim for payment of unauthorized medical expenses incurred at a private hospital in Arlington, Texas on December 17, 2016 was denied because he did not meet the criteria for payment under 38 U.S.C. § 1725 and his enrollment in VA health care system within 24 months prior to the treatment.
The deciding factor: The Veteran did not receive medical care at a VA facility within the 24 months preceding the emergency treatment, which is required for coverage under 38 U.S.C. § 1725.
- Claimed conditions
- Not specified in this decision
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- October 30, 2019
- Citation
- 19182140
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
We are not the VA. Veterans’ Rights is an independent resource built for veterans. We are not the U.S. Department of Veterans Affairs, not part of the government, and not endorsed by any government agency.
This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.