Your VA disability benefits, including your sleep apnea rating, continue regardless of where you live, as entitlement is based on your service-connected condition, not your location (38 CFR 3.303). The VA does not actively "track" CPAP usage domestically or abroad for rating maintenance; your 50% rating under Diagnostic Code 6847 (38 CFR 4.97) is based on the **prescription** of a CPAP machine, not ongoing compliance data (see *DeLuca v. Brown* regarding treatment requirements). However, you must proactively manage your benefits: 1) File a Change of Address with the VA through AccessVA or your local VA office to ensure correspondence reaches you; 2) Schedule required VA medical exams if requested—the VA will arrange exams at a U.S. Embassy or contract physician in your country, but failure to attend can risk reduction; and 3) Continue obtaining CPAP supplies through the VA's Foreign Medical Program or by shipping to an overseas address. Your rating is protected unless the VA proposes a reduction based on evidence of sustained improvement, which is unlikely solely due to a move. **This is educational information, not legal or medical advice; for your specific case, consult a VA-accredited attorney or agent.**
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