United States Department of Veterans Affairs
a nurse and a man in a wheelchair


The Affordable Care Act and Spina Bifida
The Affordable Care Act, also known as the health care law, was created to expand access to affordable health care coverage to all Americans, lower costs, and improve quality and care coordination. Under the health care law, people will have health coverage that meets a minimum standard (called "minimum essential coverage"). The health care law designates CHAMPVA as fulfilling "minimum essential coverage".

If you are enrolled in Spina Bifida, you don't need to take additional steps to meet the health care law coverage standards. The health care law does not change Spina Bifida benefits or out-of-pocket costs. For additional information, visit VA's website at http://www.va.gov/aca, or call 1-800-733-8387.

Spina Bifida

The Department of Veterans Affairs (VA) provides monetary allowances, vocational training and rehabilitation and VA-financed health care benefits to certain Korea and Vietnam Veterans' birth children who have been diagnosed with spina bifida. If you are the birth child of a Vietnam Veteran and you have been diagnosed with spina bifida, you may already be receiving monetary allowances, vocational training or rehabilitation due to your condition. For the purpose of the VA Spina Bifida Health Care Program, spina bifida is defined as all forms or manifestations of spina bifida (except spina bifida occulta).

The Chief Business Office Purchased Care in Denver, Colorado manages the VA Spina Bifida Health Care Program, including the authorization of benefits and the subsequent processing and payment of health care claims. Eligibility applications must first be made through the Denver VA Regional Office.

How to Apply

To be qualified you must be diagnosed with spina bifida as the VA defines it, basically, as all forms or manifestations of spina bifida (except spina bifida occulta), including complications or associated medical conditions related to spina bifida.

Once the Denver VA Regional Office determines eligibility, spina bifida awardees (or guardians) are automatically contacted by Purchased Care and registered for health care benefits. Spina Bifida Health Care Program beneficiaries will receive detailed information from Purchased Care specifically addressing covered and non-covered services and supplies, pre-authorization requirements, and claim filing instructions.

Contact the Denver VA Regional Office by calling 1-888-820-1756 (option 5) for application information.

Spina Bifida Healthcare Benefits Program Guide

If you are currently receiving Spina Bifida Health Care Program benefits, you may be eligible to use our free and convenient Meds by Mail program.

VA Spina Bifida Policy Manual

Answers to more complex or technical questions can be found in the Spina Bifida Policy Manual

Spina Bifida Health Care Program Overview

Contact Information

Contact Method Detail
IRIS: Inquiry Routing & Information System (IRIS)
Phone: 1-888-820-1756
Fax: 303-331-7807
Mailing Address: Spina Bifida Healthcare Benefits
PO Box 469065
Denver CO 80246-9065
Email spina.inq@med.va.gov  
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More Information

For additional information on the Web about spina bifida. We suggest these links: