Denied
The Board denied the Veteran's claims for payment or reimbursement of unauthorized medical expenses incurred as a result of treatment at or by certain providers due to the fact that he had private health insurance and was financially liable for deductibles.
The deciding factor: The claims were denied because the Veteran is financially liable for deductibles, which are considered similar payments under 38 U.S.C. § 1725(c)(4)(D).
- Claimed conditions
- Not specified in this decision
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- January 9, 2023
- Citation
- 23001298
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.