The Board denied the Veteran's claims for payment or reimbursement of unauthorized medical expenses incurred at St. Joseph's Hospital on May 16 through May 17, 2013 and at Dignity Health on June 3, 2013 due to lack of authorization from VA and failure to meet the criteria for emergency treatment.
The deciding factor: The Board found that the Veteran did not have prior authorization for the non-VA medical care received and that the episodes of care did not constitute emergency medical treatment as defined by VA regulations.
- Claimed conditions
- Type II diabetes mellitus, Cellulitis
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- July 28, 2023
- Citation
- 23041604
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 23041604.
What this means for you
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What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Granted
The Board has granted service connection for Type II diabetes mellitus and diabetic retinopathy, finding that these conditions are related to the Veteran's service-connected PTSD.
- Granted
The Board has granted service connection for type II diabetes mellitus, finding that the Veteran was exposed to herbicide agents during his service at Udorn RTAFB and thus meets the criteria for presumptive service connection.
- Granted
The Board has granted the Veteran's claim for service connection for type II diabetes mellitus, finding that his service-connected left ankle disability, lumbar spine disability, cervical spine disability, left knee pain, left hip pain, and loss of use of the left big toe disabilities have caused him to become obese, which in turn led to his development of type II diabetes mellitus.
- Granted
The Board has granted a 10 percent disability rating for cellulitis, which covers at least 5 percent but less than 20 percent of the Veteran's total body area and at least 5 percent but less than 20 percent of exposed areas affected. The decision satisfies the Veteran's appeal as he testified that this rating would be satisfactory.
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