WTC Health Program | Survivors | FAQs
The WTC Health Program and How it Works
The WTC Health Program provides medical monitoring and treatment for emergency responders, recovery, and cleanup workers, and volunteers who helped after the terrorist attacks on September 11, 2001, at the World Trade Center, the Pentagon, and the crash site near Shanksville, Pennsylvania.
The WTC Health Program also provides health evaluations and treatment for eligible people who were present in the dust or dust cloud on 9/11 or who worked, resided, or attended school, childcare, or adult daycare in the New York City disaster area for a period of time on 9/11 and/or during the following months.
In addition to providing medical monitoring and treatment the WTC Health Program also provides:
• | Education and outreach to people who may be eligible; |
• | Collection and analysis of physical and mental health data with members' permission; and |
• | Research to better understand health conditions related to the attacks. |
There are no out-of-pocket costs for members who:
• | Use healthcare providers approved by the WTC Health Program for eligible medical evaluation, monitoring, and treatment; and |
• | Use pharmacies that participate in the WTC Health Program to fill any prescriptions you are given for a WTC-related health condition by an approved WTC Health Program healthcare provider. |
Yes, you are already enrolled in the WTC Health Program if:
• | You are a New York City responder or volunteer and were enrolled in the WTC Medical Monitoring and Treatment Program (MMTP). (The MMTP was replaced by the WTC Health Program in July 2011.); |
• | You are a member of the Fire Department of New York (active or retired) and were enrolled in the MMTP. (The MMTP was replaced by the WTC Health Program in July 2011.); |
• | You are a community member and were enrolled in the WTC Environmental Health Center Community Program on or before December 31, 2010. (The WTC Environmental Health Center Community Program was replaced by the WTC Health Program in July 2011.) Your category in the new Program is called "Survivor." |
The WTC Health Program worked with the previous programs (MMTP and WTC Environmental Health Center Community Program) to enroll you into the new WTC Health Program. - You do not need to do anything unless you were notified that you need to re-enroll (see FAQs "I am a survivor who enrolled in the earlier WTC Environmental Health Center Community Program on or after January 1, 2011. What do I do?" and "I enrolled in the WTC Health Program after January 1, 2011. Why do I need to re-enroll?"). You will continue to receive quality medical benefits for WTC-related health conditions, including inpatient and outpatient treatment and medications, under the new WTC Health Program.
If you are not sure you are enrolled, call the WTC Health Program at 203-966-3911 or 855-709-0100.
Responders who enroll in the WTC Health Program receive annual medical monitoring. If you have a health condition(s) that is certified as a WTC-related health condition (i.e., an illness or health condition for which exposure to airborne toxins, other hazards, or other adverse conditions resulting from the September 11, 2001, terrorist attacks that was substantially likely to be a significant factor in aggravating, contributing to, or causing the illness or health condition), the WTC Health Program's healthcare providers will provide quality medical treatment for the WTC-related health condition.
Survivors who enroll will receive an initial health evaluation. The evaluation is to find out if you have a health condition eligible for coverage by the WTC Health Program. If you have a health condition that is considered WTC-related, the doctor will request that the WTC Health Program certify your condition(s) as eligible for treatment under the Program. If you have a health condition(s) that is certified as a WTC-related health condition as defined by the Zadroga Act (i.e., an illness or health condition for which exposure to airborne toxins, other hazards, or other adverse conditions resulting from the September 11, 2001, terrorist attacks was substantially likely to be a significant factor in aggravating, contributing to, or causing the illness or health condition), the WTC Health Program's healthcare providers will provide quality medical treatment for the WTC-related health condition. For more information, see FAQ "What happens if I get sick after my initial health evaluation?"
The main goal of this Program is to provide healthcare for eligible individuals with WTC-related health conditions. When you come in for an exam, you will be asked if the clinic can add your health information to the data which researchers are using to better understand health effects as a result of the 9/11 attacks.
However, you are not required to disclose your health information. If you choose not to sign the consent form, you will still be able to receive your monitoring exam, as well as treatment for certified WTC-related health conditions. If you do consent to let researchers see your health information, your name and contact information will not be given to them. Only your health information will be a part of the research record—not your identity.
Survivor Thinking About Enrolling in the WTC Health Program
The application contains:
• | applicant information (name, mailing address, phone number, and similar information), |
• | a series of questions for you to answer about your 9/11 terrorist site experience, |
• | an explanation of the required documentation of your work experience and what to do if you cannot provide the documentation, |
• | an attestation and acknowledgment that you have completed the application truthfully and that you understand the notices provided in the application that must be signed to complete the application. |
All application forms and their instructions can be found at How to Apply. You can download the form and complete it electronically or you can print it and complete it manually. If you complete the form electronically, you will need to print the form and sign and date it before sending your application.
If you have questions about the application process or about your individual application, please contact us at 203-966-3911 or 855-709-0100 or by email at wtchp [at] voicesofsept11.org (wtchp[at]voicesofsept11[dot]org).
The New York State Occupational Health Clinic Network can provide diagnosis and treatment of work-related health conditions.
By law, the WTC Health Program is limited to the coverage of specified health conditions (WTC-related health conditions). If you are enrolled in the program and have received your initial health evaluation, or if you are enrolled and will receive your first examination, make sure to talk with the WTC Health Program provider about your health condition. It is important that you work with them to make a determination whether it is related to your 9/11 terrorist site exposures. Your WTC Health Program provider will make this determination based on a clinical evaluation of your specific exposure situation and the type of health condition you develop (the diagnosis). Then the WTC Health Program must approve (certify) the evaluation and diagnosis to allow you to receive treatment for the WTC-related health condition through your Clinical Center of Excellence or the Nationwide Provider Network.
The New York State Occupational Health Clinic Network can provide diagnosis and treatment of work-related health conditions.
By law, the WTC Health Program is limited to the coverage of specified health conditions (WTC-related health conditions). If you are enrolled in the program and have received your initial health evaluation, or if you are enrolled and will receive your first examination, make sure to talk with the WTC Health Program provider about your health condition. It is important that you work with them to make a determination whether it is related to your 9/11 terrorist site exposures. Your WTC Health Program provider will make this determination based on a clinical evaluation of your specific exposure situation and the type of health condition you develop (the diagnosis). Then the WTC Health Program must approve (certify) the evaluation and diagnosis to allow you to receive treatment for the WTC-related health condition through your Clinical Center of Excellence or the Nationwide Provider Network.
Health Conditions Covered by the WTC Health Program
and How to Receive Benefits
and How to Receive Benefits
The first step for receiving care is to apply to the program. Once you apply and have been determined to be eligible, and you have enrolled in the WTC Health Program, you will choose a clinic for responders and survivors for your initial appointment. At that appointment, and any subsequent appointments, a physician approved by the WTC Health Program will determine if you have any WTC-health related conditions.
Your WTC Health Program provider will make a determination based on a clinical evaluation of your specific exposure situation and the type of health condition you develop (the diagnosis). Then the WTC Health Program must approve (certify) the evaluation and diagnosis to permit you to receive treatment for the specific health condition through your Clinical Center of Excellence or the Nationwide Provider Network at no cost to you. The WTC Health Program's decision will be shared with you by the Clinical Center of Excellence or Nationwide Provider Network via a letter from the program.
Although you may continue to see your personal physician, if he or she is not affiliated with the WTC Health Program, any treatment or services you receive from him or her will not be reimbursed by the WTC Health Program.
In order for a WTC Health Program member to obtain coverage for treatment of any health condition on the List of WTC-Related Health Conditions, including any type of cancer on the List, the condition must first be certified by the WTC Health Program. All care for the WTC Health Program must be provided by a healthcare provider affiliated with the WTC Health Program. If your current provider is affiliated with the WTC Health Program, then you will be able to continue seeing your doctor. If your current provider is not affiliated, ask the provider to contact your Clinical Center of Excellence or the Nationwide Provider Network to see if it is possible to become a WTC Health Program provider.
• | Your WTC Health Program healthcare provider must confirm that the type of cancer you have is one of the cancers on the List of WTC-Related Health Conditions and that the date of diagnosis meets minimum latency requirements. This means that the doctor will have to review your biopsy report and/or other medical records. |
• | The healthcare provider must then determine that your exposure to airborne toxins, other hazards, or adverse conditions resulting from the September 11, 2001, terrorist attacks is substantially likely to be a significant factor in aggravating, contributing to, or causing your cancer. To do this the doctor must have the details of your exposure at the terrorist attack site in either New York City, Shanksville, or at the Pentagon, and your subsequent medical history. |
• | If your doctor confirms that you do have one of the cancers on the List of WTC-Related Health Conditions and determines that your exposure resulting from the September 11, 2001, terrorist attacks is substantially likely to be a significant factor in aggravating, contributing to, or causing your cancer, she or he will request certification of your cancer from the WTC Health Program. The WTC Health Program will then review your doctor's request for cancer certification. Your cancer will be certified for treatment coverage unless the WTC Health Program finds that your cancer is not a cancer on the List of WTC-Related Health Conditions, or your cancer diagnosis does not meet the minimum latency requirements, or that your exposure resulting from the September 11, 2001, terrorist attacks is not substantially likely to be a significant factor in aggravating, contributing to, or causing your cancer. |
If you are a member of the World Trade Center Health Program:
Contact your Clinical Center of Excellence or your Nationwide Provider Network physician to schedule an appointment so that you can begin the cancer certification process as soon as possible. If you do not know which Clinical Center of Excellence you are with, please contact the CDC call center at 1-888-982-4748.
If you are not a member of the World Trade Center Health Program:
Please visit our How to Apply pages for responders and survivors for information about the application process. You can also contact our helpline at 203-966-3911 or 855-709-0100 for information on how to apply.
Only those health conditions on the List of WTC-Related Health Conditions will be covered by the program. Even if you think your health condition is not on the List, you should contact your Clinical Center of Excellence or your Nationwide Provider Network to inform your doctor about your health condition and find out if it is covered by the WTC Health Program.
If you find out that your health condition is not on the List, the WTC Health Program will not cover the costs of your treatment, drugs, or services. However, if needed, your doctor may work with you to help you identify a place to get your care.
In addition, the Administrator may propose the addition of other types of health conditions to the List of WTC-Related Health Conditions if he determines that there is new scientific evidence of a relationship between WTC exposures and a specific type of health condition. If your health condition is added to the List of WTC-Related Health Conditions in the future, the WTC Health Program will make every effort to inform you of this change. Any interested party may petition the Administrator to add health conditions to the List of WTC-Related Health Conditions.
Where to Receive WTC Health Program Monitoring and Treatment Services
General Information
There are several Clinical Centers of Excellence in the New York metropolitan area. Many of these clinics have multiple locations throughout New York and New Jersey (see clinics for responders and survivors). For responders living outside this NYC/NJ area, the Nationwide Provider Network has physicians across the country that are able to provide care.
For newly enrolled survivors in the New York metropolitan area, you will go to the Bellevue Hospital Center for your initial health evaluation. For follow-up treatment, you may go to Bellevue Hospital, Elmhurst Hospital, or Gouverneur Hospital. For survivors living outside this NYC/NJ area, the Nationwide Provider Network has physicians across the country that are able to provide care.
Clinical Centers of Excellence
If you would like to switch your Clinical Center of Excellence, you may elect another participating Clinical Center of Excellence to provide your benefits. If you move out of the New York metropolitan area, you may transfer into the Nationwide Provider Network.
Before making any change, you must first notify your current Clinical Center of Excellence or the Nationwide Provider Network and have your medical records transferred to the new location to arrange an appointment. Only one transfer per year will be allowed, except in special situations.
Nationwide Provider Network
The Nationwide Provider Network is able to find the providers you need close to where you live so that you do not have to pay the expense to travel to the New York metropolitan area. If you are currently a patient at one of the Clinical Centers of Excellence in the New York metropolitan area, you can continue to be a patient there if you choose. However, if you live outside the New York metropolitan area and choose to continue your care at one of the Clinical Centers of Excellence locations in the New York metropolitan area, you will be responsible for your travel expenses.
The Nationwide Provider Network conducts the initial health evaluation and monitoring exams differently than is done at the Clinical Centers of Excellence. The exam is conducted in a three-part process: a medical history questionnaire, testing, and a clinical evaluation. The medical history questionnaire will be conducted over the phone by a member of the Nationwide Provider Network's Case Management team. During the call you will be scheduled for an appointment with a provider for the appropriate testing services. Upon completion of these two parts of the process, you will be scheduled for a clinical evaluation in order to complete your exam.
For additional information not covered above,
click here to visit the CDC website for more information.
click here to visit the CDC website for more information.
Contact Stephanie Landau
Project Director
slandau [at] voicesofsept11.org (slandau[at]voicesofsept11[dot]org)
203-966-3911
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We Can Answer Questions
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