Chapter 15 (12 Aug 2005)
15-32 Introduction to the Physical Standards
(1) The following list of disqualifying physical and medical conditions is organized generally by organ system and from the head down. If an applicant currently or by history (as appropriate) has none of these conditions then he or she will be found "physically qualified." ...
15-36 Vision-Commission and Programs Leading to a Commission
15-39 Nose, Sinuses, Mouth, and Larynx
15-42 Lungs, Chest Wall, Pleura, and Mediastinum
15-44 Abdominal Organs and Gastrointestinal System
15-45 Female Genitalia
15-46 Male Genitalia
15-47 Urinary System
15-48 Spine and Sacroiliac Joints
15-49 Upper Extremities
15-50 Lower Extermities
15-51 Miscellaneous Conditions of the Extremities
15-52 Vascular Diseases
15-53 Skin and Cellular Tissues
15-54 Blood and Blood-Forming Tissues
15-55 Systemic Diseases
15-56 Endocrine and Metabolic Disorders
15-57 Neurological Disorders
15-58 Psychiatric and Behavioral Disorders
15-59 General and Miscellaneous Conditions and Defects
15-60 Tumors and Malignant Diseases
3. Policy. Per references (a) through (f), Navy and Marine Corps Reservists who incur or aggravate injuries, illnesses, or diseases during periods of active duty, inactive duty training, funeral honors duty, while traveling directly to or from such duty or training or while remaining overnight immediately before the commencement of or between successive periods of such duty are eligible for incapacitation benefits. Incapacitation benefits available to eligible members may include inpatient or outpatient medical and dental treatment, and/or incapacitation pay, separation pay or disability retirement. Per reference (e) members, with their consent, may also be ordered to, or continued on, active duty to complete authorized medical care, be medically evaluated for disability or to complete a required Department of Defense healthcare study, which may include an associated medical evaluation. All concerned should give priority to careful management of this program to ensure the protection of both the Reservists rights and benefits and the Services interest in prompt resolution of cases. For disability retirement and/or separation purposes only, a Reservist who incurs or aggravates an injury, illness, or disease in the Line of Duty (LOD) shall be evaluated per reference (g).
b. These conditions include but are not limited to those listed in paragraph 3 below.
c. Such conditions should be referred for appropriate administrative action under other laws and regulations.
3. Developmental Defects And Other Specific Conditions
b. Sleepwalking and/or Somnambulism.
c. Dyslexia and Other Learning Disorders.
d. Attention Deficit Hyperactivity Disorder.
e. Stammering or Stuttering.
f. Incapacitating fear of flying confirmed by a psychiatric evaluation.
g. Airsickness, Motion, and/or Travel Sickness.
h. Phobic fear of Air, Sea and Submarine Modes of Transportation.
i. Certain Mental Disorders including:
(1) Uncomplicated Alcoholism or other Substance Use Disorder.
(2) Personality Disorders
(3) Mental Retardation
(4) Adjustment Disorders
(5) Impulse Control Disorders
(7) Sexual Gender and Identity Disorders and Paraphilias
(8) Sexual Dysfunction
(9) Factitious Disorder
l. Psuedofolliculitis barbae of the face and/or neck.
m. Medical Contraindication to the Administration of Required Immunizations.
n. Significant allergic reaction to stinging insect venom.
o. Unsanitary habits.
p. Certain Anemias (in the absence of Unfitting sequelae) including G6PD Deficiency, other inherited Anemia Trait, and Von Willebrand's Disease.
q. Allergy to uniformed clothing or wool.
r. Long sleeper syndrome.
3301 Standard Used for Disability Determination
The sole standard to be used in making determinations of physical disability as a basis for retirement or separation is unfitness to perform the duties of office, grade, rank or rating because of disease or injury incurred or aggravated while entitled to basic pay. Each case is considered by relating the nature and degree of physical disability of the member to the requirements and duties that member may reasonably be expected to perform in his or her office, grade, rank or rating.
3302 General Criteria For Making Unfitness Determinations
a. A service member shall be considered Unfit when the evidence establishes that the member, due to physical disability, is unable to reasonably perform the duties of his/her office, grade, rank, or rating (hereafter called duties) to include duties during a remaining period of Reserve obligation.
b. In making a determination of a member's ability to perform his/her duties, the following criteria may be included in the assessment:
(1) Medical condition represents a decided medical risk to the health of the member or to the welfare of other members were the member to continue on active duty or in an Active Reserve status.
(2) Medical condition imposes unreasonable requirements on the military to maintain or protect the member.
(3) Nature of service member's established duties during any remaining period of reserve obligation.
3201 Criteria For Referral To The Physical Evaluation Board
a. Active Duty Members. As a general rule, an active duty member or a reservist on extended active duty will be referred for disability evaluation only by a medical board that has found the member's fitness for continued naval service questionable by reason of physical or mental impairment. A determination of questionable fitness must be supported by objective medical data displaying the nature and degree of the impairment. In those cases where it is not practicable to have a medical board consider the case; e.g., the member being hospitalized in a non-military hospital, the case may be referred by cognizant authority to the PEB when available medical records show that the member's fitness for continued naval service is questionable. In all cases, Navy and Marine Corps members MEBs must be processed through a Navy MTF with Convening Authority for further referral to the PEB.
b. Inactive-Duty Reservists
(1) Refer per reference (g) for disability evaluation those inactive-duty reservists issued an NOE for disability benefits due to a disability that occurred while serving on active duty or performing inactive duty training.
(2) An inactive duty reservist who has not been given an NOE and who has been determined by the CHBUMED to be "Not Physically Qualified" (NPQ) for active duty or retention will be referred, at the member's request, to the Informal PEB for final determination of physical condition. If the member is then found Unfit by the Informal PEB and assigned the PEB finding of NPQ, the member has the right to demand a Formal PEB. The member will bear all associated travel, lodging, meal, and incidental costs to the Formal PEB site.
(3) Cases of inactive duty reservists without an NOE may be processed into the DES for a FIT/ UNFIT determination by the PEB under the following circumstances:
(a) While serving as an inactive duty reservists, the member is ordered to active duty and serves a period of active duty greater than 30 days; and
(b) The member incurs or aggravates a condition during this period of active duty and his/her medical records contain documentation as to the nature of member's conditions including the approximate date of incurrence/aggravation. A FIT/UNFIT determination will not be made if the PEB cannot determine from the member's records that his/her condition(s) was incurred/aggravated during a period of active duty. In such cases, a Physically Qualified/Not Physically Qualified determination will be made. Recourse for former inactive duty reservists who incurred or aggravated a condition during a previous period of active-duty, but do not meet the above requirements, is a petition to the Board for Correction of Naval Records.
c. Specified Physical Impairments. A list of physical impairments that are normally cause for referral to the PEB is contained in enclosure (8) to this instruction.
3202 Circumstances Not Justifying Referral To The Physical Evaluation Board
a. Lack Of Motivation. Lack of motivation alone for performance of duty does not justify referral to the PEB.
b. Request for referral to the PEB by the service member.
c. Mere Presence Of Physical Defect. The mere presence of disease or injury alone does not justify referral. Referral should take place only when, in the opinion of a medical board, the defect may materially interfere with the member's ability to perform reasonably the duties of his or her office, grade, rank, or rating/MOS on active duty. Also see enclosure (3), part 3.
d. Inability To Meet Initial Enlistment/Appointment Standards. Once enlisted or commissioned, the fact that a member may fall below initial entry or appointment standards, specified in the reference (f) (MANMED), does not require that the case be referred for disability evaluation.
e. Physical Disqualification For Special Duties. Physical disqualification from special duties, such as flying, serving on submarines or in a medical specialty, does not necessarily imply physical unfitness. Referral is appropriate only in cases where the member's ability to reasonably perform active military service is in doubt.
f. Inability to Meet Physical Standards for Specific Assignment or Administrative Requirement. The inability to meet screening criteria for a specific assignment or administrative requirement; i.e., deployment, overseas or sea duty assignment, or participation in PRT/PFT cycle, does not justify referral. Referral is appropriate only in cases where the condition appears to be permanent in nature or of such a degree as to render the member unable to return to naval service within a reasonable period.
g. Members Being Processed For Separation Or Retirement For Reasons Other Than Physical Disability. Do not refer a member for disability evaluation who is being processed for separation or retirement for reasons other than physical disability, unless the member previously was found Unfit but retained on active duty in a Permanent Limited Duty (PLD) status, or the member's physical condition reasonably prompts doubt that he or she is Fit to continue to perform the duties of office, grade, rank or rating/MOS.