Veterans with sleep apnea can receive VA disability benefits ranging from 0% to 100%, with most veterans qualifying for a 50% rating when using a CPAP machine. If you're a veteran anywhere in the United States struggling with sleep apnea, understanding your rights to VA disability benefits is crucial for securing the compensation and care you deserve.
ACT QUICKLY: Sleep apnea claims involving secondary conditions require comprehensive medical evidence and expert legal guidance. The stronger your documentation of service connection, the better your chances of achieving a favorable outcome. Complex relationships between sleep apnea and conditions like PTSD, depression, and toxic exposure continue to evolve—but veterans must file claims promptly to protect their rights. Before the VA makes decisions without your input, contact the veterans disability team at Sean Kendall Law. We're ready to fight for your benefits, your rating, and your future.
Quick Answer: Sleep Apnea VA Disability Ratings
The VA rates sleep apnea under 38 C.F.R. § 4.97, Diagnostic Code 6847 with the following disability ratings:
Rating | Criteria | Monthly Compensation* |
---|---|---|
0% | Documented sleep apnea with no symptoms | $0 (VA healthcare eligible) |
30% | Persistent daytime hypersomnolence | ~$524 |
50% | Requires CPAP machine | ~$1,075 |
100% | Chronic respiratory failure/tracheostomy | ~$3,737 |
*Rates for single veteran without dependents (2024)
Most veterans using a CPAP machine automatically qualify for a 50% disability rating, which provides significant monthly compensation and access to VA healthcare.
What is Sleep Apnea?

Sleep apnea is a serious sleep disorder where breathing repeatedly stops and starts during sleep. For veterans, this condition often develops due to:
- Service-related injuries affecting the airway
- Weight gain during or after military service
- Toxic exposure during deployment
- PTSD and mental health conditions that disrupt sleep patterns
- Medications prescribed for other service-connected conditions
Common Sleep Apnea Symptoms
Veterans should watch for these key symptoms:
- Loud snoring that disrupts sleep
- Gasping or choking during sleep
- Excessive daytime fatigue
- Morning headaches and dry mouth
- Difficulty concentrating at work
- Irritability and mood changes
- Restless or unrefreshing sleep
Service Connection for Sleep Apnea
To receive VA disability benefits for sleep apnea, veterans must establish service connection through one of two pathways:
1. Direct Service Connection
Proving sleep apnea began during active military service or was caused by service-related activities. This requires:
- Medical evidence of sleep apnea diagnosis
- Service medical records showing symptoms during active duty
- Nexus letter from a qualified medical professional
2. Secondary Service Connection
Many veterans develop sleep apnea as a secondary condition to another service-connected disability. Common secondary connections include:
PTSD and Sleep Apnea Connection
Research shows veterans with PTSD are at significantly higher risk for sleep disorders, including sleep apnea. The connection works both ways:
- PTSD can cause sleep disruption leading to sleep apnea
- Sleep apnea can worsen PTSD symptoms
- Both conditions often require treatment simultaneously
PTSD-Sleep Apnea Research Evidence
Research Finding | Percentage |
---|---|
PTSD sufferers with sleep apnea | 90% |
Iraq/Afghanistan vets screening high risk for sleep apnea | 69.2% |
Vietnam era Veterans with PTSD having insomnia | 90-100% |
Other Secondary Conditions Leading to Sleep Apnea:
- Type 2 Diabetes - Can cause airway inflammation
- Chronic rhinitis - Nasal congestion affecting breathing
- Asthma - Respiratory complications
- Depression and anxiety - Medication side effects and sleep disruption
- Traumatic brain injury (TBI) - Affecting sleep regulation
- Chronic pain conditions - Disrupting sleep quality
- Weight gain - Often serves as an "intermediate step" between primary conditions and sleep apnea
Weight Gain as a Secondary Connection to Sleep Apnea
Weight gain can serve as an "intermediate step" between a primary service-connected condition and sleep apnea, as established in the landmark case Walsh v. Wilkie. This is crucial for veterans because:
The Weight–Sleep Apnea Medical Connection
- A 10% increase in weight can dramatically increase OSA risk
- Fat deposits around the neck and throat contribute to airway obstructions
- 78% of veterans are classified as overweight or obese (compared to 35% of general population)
Common Scenarios Leading to Weight Gain
Mental Health Medications: Depression, PTSD, and anxiety medications often cause significant weight gain, including:
- Mood stabilizers and corticosteroids
- Anti-anxiety medications affecting metabolism
- Reduced physical activity due to mental health symptoms
- Changes in eating patterns and appetite
Toxic Exposure and Sleep Apnea
While sleep apnea is not currently listed as a presumptive condition for burn pit exposure, growing research demonstrates connections between toxic military exposures and sleep apnea development.
Combat Zone Exposures
- Burn pit exposure - Airway inflammation from toxic smoke
- Chemical exposure - Pesticides and industrial chemicals affecting respiratory function
- Dust and particulates - Desert environments causing chronic respiratory issues
- Agent Orange - Long-term respiratory effects in Vietnam veterans
CPAP Machines and VA Benefits
If you require a CPAP machine for sleep apnea treatment, you automatically qualify for at least a 50% VA disability rating. This is significant because:
VA-Provided CPAP Benefits
- Free CPAP machine and supplies through VA healthcare
- Regular replacement supplies (masks, filters, tubing)
- Sleep study coverage for diagnosis and monitoring
- Ongoing medical care from VA sleep specialists
50% Disability Rating Benefits
- Monthly compensation (~$1,075 for single veteran)
- VA healthcare eligibility for all conditions
- Vocational rehabilitation if sleep apnea affects employment
- Access to additional VA benefits and programs
If sleep apnea prevents steady employment, you may qualify for TDIU benefits providing 100% compensation.
Medical Evidence Required
Strong medical evidence is crucial for successful sleep apnea claims, especially for secondary connections:
Essential Medical Documentation
- Sleep study results (polysomnography) with detailed findings
- Diagnosis from qualified physician or sleep specialist
- CPAP compliance records showing regular use patterns
- Treatment history and effectiveness documentation
- Nexus letter connecting sleep apnea to military service or secondary conditions
- Progressive medical records showing condition development over time
Working with VA Examiners
During Compensation and Pension (C&P) examinations:
- Be completely honest about all symptoms and their daily impact
- Bring private sleep study records and complete medical documentation
- Provide complete medical history including all medications and treatments
- Document ongoing symptoms despite treatment compliance
VA Rating Appeals and Increases
Many veterans receive lower ratings than deserved for sleep apnea. Common scenarios for appeals include:
Grounds for Rating Increases
- Worsening symptoms requiring additional treatment
- Development of secondary conditions (diabetes, heart disease)
- CPAP intolerance requiring alternative treatments
- Sleep apnea complications affecting daily life
- Employment impact justifying TDIU consideration
When to File an Appeal
Contact an experienced veterans disability attorney if:
- Your initial claim was denied
- You received a 0% or 30% rating despite using CPAP
- Secondary conditions weren't considered
- New medical evidence supports a higher rating
Frequently Asked Questions About Sleep Apnea VA Benefits
Can I Get VA Benefits for Sleep Apnea Without a CPAP?
Yes, veterans can receive disability ratings for sleep apnea even without CPAP use. The VA rates based on symptoms and severity, not just treatment methods. Veterans with persistent daytime sleepiness may qualify for 30% ratings.
How Long Does a Sleep Apnea VA Claim Take?
Sleep apnea claims typically take 4-8 months, though complex cases involving secondary conditions may take longer. Having complete medical evidence speeds the process.
Can Sleep Apnea Be Secondary to Other Conditions?
Absolutely. Sleep apnea commonly develops secondary to multiple conditions, including PTSD affecting up to 90% of individuals, diabetes, chronic rhinitis, weight gain from medications, and other service-connected conditions.
What if My Sleep Apnea Developed After Service?
You can still qualify for VA benefits if sleep apnea resulted from service-connected conditions, toxic exposure during military service, or developed secondary to conditions like PTSD, depression, or physical limitations that prevent exercise.
Can Weight Gain From Medications Lead to Sleep Apnea Benefits?
Yes, if weight gain results from medications for service-connected conditions. Mental health medications, mood stabilizers, and other treatments often cause significant weight gain, which can lead to sleep apnea development through the "intermediate step" legal theory.
Can I Work While Receiving Sleep Apnea Benefits?
Yes, most veterans with sleep apnea continue working. However, if sleep apnea prevents steady employment, you may qualify for TDIU benefits providing 100% compensation.
Do I Need a Lawyer for My Sleep Apnea Claim?
While not required, experienced veterans disability attorneys significantly improve success rates, especially for complex cases involving secondary conditions or appeals.
Why Choose Sean Kendall Law for Your Sleep Apnea VA Claim
Sleep apnea VA disability claims involving secondary conditions require expert legal guidance and comprehensive medical evidence. Whether it's establishing service connection through PTSD, weight gain, or toxic exposure, you need experienced veterans disability attorney Sean Kendall. With over 35 years of experience helping veterans nationwide, Sean Kendall and his team have the expertise to fight for your maximum rating.

- Phone: (303) 848-3911
- Available nationwide for veterans
- Free case evaluation
- No fee unless we win
- Over 35 years veterans law experience
Proven Experience
- Over 35 years of veterans disability law experience
- Thousands of successful VA disability cases
- Extensive experience with sleep apnea secondary conditions
- Deep understanding of PTSD-sleep apnea connections
- Expert knowledge of toxic exposure claims
Comprehensive Case Strategy
- Thorough medical record review and analysis
- Expert nexus letters connecting conditions
- Strategic secondary condition development
- Aggressive appeals representation
- Maximizing disability ratings and compensation
Nationwide Service Areas
Serving veterans throughout the United States with offices in:
- Colorado: Boulder, Denver, Colorado Springs
- Nationwide: All states via phone and video consultations
- Military Bases: Worldwide representation for active duty and veterans
Contact Us Today
Don't delay filing claims - complex relationships between sleep apnea and other conditions continue to be better understood through ongoing research and evolving VA policies.
If you have experienced any of the symptoms mentioned above and think it might be linked to your time in service, or if you've been previously denied benefits and want to begin the appeals process, we can help. Contact us now online or call us at (303) 848-3911
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