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The short answer to whether you'll lose VA benefits if you don't use your CPAP machine is no. The VA will not track your compliance, and they will not revoke your disability benefits if you don't use your machine. However, it is important to use your CPAP machine as prescribed so you can get the best results possible.
The Department denies these claims because they do not have sufficient evidence to conclusively say that a Veteran is suffering from sleep apnea without a diagnosis, even if the Veteran exhibits the symptoms of the disorder.
To obtain a medical nexus letter, you need to request one from a qualified physician. Ideally, the physician you choose is a specialist in the field that encompasses your health condition.
In cases like these, where additional evidence is required, buddy statements prove to be a powerful asset for the Veteran. The VA is required to consider all evidence including buddy statements. The VA will use this information when they make a service connection and determine what rating they will give the Veteran.
A sleep apnea diagnosis alone will not qualify for VA benefits unless you can prove that it was connected in some way to your service. This almost always requires a strong medical opinion. Providing copies of research alone will not give VA decision-makers what they need.

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Tests to detect sleep apnea include: Nocturnal polysomnography. During this test, you're hooked up to equipment that monitors your heart, lung and brain activity, breathing patterns, arm and leg movements, and blood oxygen levels while you sleep.
A veteran may be eligible for disability benefits if they can demonstrate that their sleep apnea is connected to their service. Under the VA Ratings Schedule, a veteran with sleep apnea may be entitled to between 0% and 100% benefits based on their condition.
Veterans can also prove service connection for sleep apnea by showing that their sleep apnea began in service using service medical records, or by providing a nexus opinion from a medical professional that links their current diagnosis of sleep apnea to signs or symptoms they experienced in service.
On average, because I am actively practicing in my local clinic, it takes me about one full day to complete one letter. We have received many Nexus Letter orders since launching our website. To check our current wait time, visit our Ordering Process page for details.
How Does VA Rate Sleep Apnea Now? Right now, service-connected sleep apnea is assigned a 50 percent rating if you are prescribed a CPAP machine.

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