WTC Health Program: Frequently Asked Questions

The FAQs located on this page cover several areas of the WTC Health Program. The areas covered by the FAQs are listed in the box on the right entitled "On this page." If you have additional questions that are not covered in the FAQs below, please email your question to WTC@cdc.gov or contact us toll-free at 1-888-982-4748.

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The WTC Health Program and How it Works

  • What is the James Zadroga 9/11 Health and Compensation Act of 2010?
  • What does the WTC Health Program provide?
  • Does the Program cost me anything?
  • Aren't I already enrolled in this Program?
  • I am a responder or survivor who isn't enrolled yet. What will the Program provide for me?
  • Will the WTC Health Program pay for inpatient care?
  • Will current members be issued new health cards from the WTC Health Program?
  • Is this a research program?

New York City, Pentagon, or Shanksville Responder Thinking About Enrolling in the WTC Health Program

  • How do I find out if I am eligible for the WTC Health Program?
  • How do I apply to the WTC Health Program?
  • What type of information is in the application?
  • What will I need for supporting documentation?
  • It's been over 11 years, why should I see a doctor now?
  • How would I know if my health problems are related to 9/11?
  • If my health conditions are found to be related to my WTC work and exposures, what can I do?
  • What if during my exam a health condition is found that is not covered by the WTC Health Program?
  • If I have work-related health issues that are not related to my WTC work and exposures, what can I do?

Survivor Thinking About Enrolling in the WTC Health Program

  • How do I find out if I am eligible for the WTC Health Program?
  • How do I apply to the WTC Health Program?
  • Does my family member need to enroll in the program to receive benefits?
  • What type of information is in the application?
  • What will I need for supporting documentation?
  • It's been over 11 years, why should I see a doctor now?
  • What benefits do I have under the WTC Health Program?
  • What happens if I get sick after my initial health evaluation?
  • I was in the New York City Disaster Area on 9/11 but I don't feel sick. Can I make an appointment and be monitored?
  • If I have a work-related health condition that is not related to my WTC exposures, what can I do?
  • If I am found to have a health condition(s) related to my WTC exposures, what can I do?
  • What if my WTC Health Program physician finds a health condition not covered by the WTC Health Program?

Health Conditions Covered by the WTC Health Program and How to Receive Benefits

  • Does the WTC Health Program provide treatment for all health problems?
  • Which conditions are covered by the WTC Health Program?
  • Does the program also cover treatment for mental health problems?
  • Which diagnostic and treatment services are available?
  • How do I get approved to receive healthcare?
  • How long does certification of a WTC-related health condition take?
  • If my condition is not certified as a WTC-related health condition, do I have a right to appeal the decision?
  • How soon after my condition is certified as a WTC-related health condition can I actually expect to begin treatment?
  • If I have a health condition and I am already seeing a doctor for my care, can I still keep seeing my doctor?
  • Will the WTC Health Program provide reimbursements to individuals for cancer treatment costs incurred before October 12, 2012?
  • I have cancer now. What should I do?
  • What do I do if I am worried about cancer?
  • Should I schedule a monitoring exam even if I am feeling fine now?
  • What if I want to be screened for cancer?
  • What should I do if I am not a member of the WTC Health Program?
  • What if my health condition is not on the List of WTC-Related Health Conditions?
  • Who decided which conditions are considered WTC-related health conditions?
  • I believe another medical condition should be covered by the WTC Health Program. What can I do?

Where to Receive WTC Health Program Monitoring and Treatment Services

    General Information

  • What are the locations of the medical providers?
  • How do I make an appointment?
  • Clinical Centers of Excellence

  • What are the Clinical Centers of Excellence?
  • Can I be seen at more than one Clinical Center of Excellence?
  • Can I switch to a different Clinical Centers of Excellence?
  • Nationwide Provider Network

  • What is the Nationwide Provider Network?
  • How is the Nationwide Provider Network different than the New York City and New Jersey clinics?
  • I am a survivor and I was told that I could not join the Nationwide Provider Network and had to go to a clinic in the New York metropolitan area. Is this still true?
  • Do I have to enroll in the Nationwide Provider Network if I am a survivor who lives outside the New York metropolitan area?
  • Do I have to reapply to the program if I want to receive services from the Nationwide Provider Network?

You Disagree with a Decision Made by the WTC Health Program

    Appeal Request

  • Who may request an appeal?
  • When can I request an appeal?
  • How do I request an appeal?
  • What is required to be included in my appeal request letter?
  • What else can I include in my appeal request letter?
  • Are there any limitations on what I can include in my appeal request letter?
  • What happens when my appeal request is received?
  • If my appeal request is accepted for review, what happens next?
  • What happens if my appeal request is not accepted for review?
  • Appeal Review

  • How will the Federal official review my appeal?
  • How long will it take for my appeal to be reviewed?
  • How will I be informed of the final decision on my appeal?
  • What happens if my appeal is denied by the Federal official?

  • Using a Representative

  • Can I designate someone to represent me during the appeal process?
  • When can I designate a representative for my appeal?
  • How do I designate a representative for my appeal?
  • How will my representative be recognized by the WTC Health Program?
  • Can I have more than one designated representative at a time?
  • Who is my representative if I am less than 18 years old?

  • Making an Oral Statement

  • Can I make an oral statement during my appeal?
  • When and how can I request to make an oral statement during my appeal?
  • How will my oral statement be scheduled?
  • What can I say to the Federal official during my oral statement?
  • How do I make my oral statement?
  • Can I make an oral statement in a language other than English?
  • Will the Federal official decide my appeal when I finish my oral statement?
  • What happens if I am unable to make my oral statement at the scheduled date and time?
  • Will there be a transcript of my oral statement to the Federal official for me to review?
  • Can I correct any errors I find in the transcript?

  • Getting Help

  • Where can I get help if I have questions about the appeal process?

Recoupment & Coordination of Benefits regarding Workers' Compensation Payment

  • Am I required to get World Trade Center (WTC) Health Program approval of a lump sum settlement agreement?
  • How much money must be allocated to future medical expenses in a lump sum settlement?
  • What expenses must be considered when deciding how much money to set aside for future medical expenses?
  • How do I get approval from the WTC Health Program for a set aside arrangement from a lump sum settlement?
  • How do I know whether the WTC Health Program has approved the set-aside?
  • What happens if the money set aside is not adequate to cover all future medical expenses through 2016?
  • What happens if the WTC Health Program does not approve my proposed set aside?
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