Frequently Asked Questions (FAQs)
This FAQ page briefly answers some of the most common questions about the World Trade Center (WTC) Health Program. It’s not a complete explanation of the Program and its services. For more information about the Program and more details about these topics, see the Member Handbook and other links within the FAQ.
Please note: This information is written to make the information easier to understand. For legal or administrative purposes, please refer to the official sources that state policy and procedure in formal language.
The WTC Health Program and How it Works
- What is the WTC Health Program?
- What is the James Zadroga 9/11 Health and Compensation Act of 2010?
- Are the WTC Health Program and the Victim Compensation Fund the same thing?
- Does the WTC Health Program cost me anything?
- How does the WTC Health Program work?
- Who is a Responder?
- Who is a Survivor?
- Why should I enroll now since 9/11 was a long time ago?
- Can someone help me understand my eligibility and benefits?
- Can I choose somebody to represent me when applying to the WTC Health Program?
- What is a designated representative in the WTC Health Program?
- Does the WTC Health Program accept Powers of Attorney for enrollment, designated representative, or other administrative matters?
- Is this a research program?
Enrollment in the WTC Health Program
- How do I know if I am enrolled in the WTC Health Program?
- How do I apply to the WTC Health Program?
- What supporting documentation do I need when applying?
What if I can’t get copies of my supporting documentation?
- What if my name has changed from what is on my documentation?
- How long will it take to process my application?
- How do I check the status of my application?
- What if my enrollment is denied?
- What if my enrollment classification is wrong and needs to be changed?
- How do I update my member contact information?
Initial Health Evaluation, Certification, and Treatment Coverage
- Where can I go for evaluations and for treatment in the WTC Health Program?
- Will I get a coverage card (aka member ID card) from the WTC Health Program?
- Who do I call to schedule, reschedule, or confirm an appointment?
- What will happen at my initial health evaluation?
- How can I prepare for my initial health evaluation?
- How do I request copies of my medical records from my WTC Health Program clinic?
- Can I change clinics?
- Can I be seen at more than one WTC Health Program clinic at a time?
- If I have a health condition and I am already seeing a doctor for my care, can I keep seeing the same doctor?
- What health conditions does the WTC Health Program cover?
- What does it mean for my condition to be covered by the WTC Health Program?
- What if my evaluation finds a health condition that is not covered by the WTC Health Program?
- What is certification?
- How will I find out if my condition has been certified?
- How soon after certification can I get treatment?
- If my condition is denied certification, what can I do?
- What options do I have if my condition is not submitted to the WTC Health Program for certification?
- What if my condition is not on the List of WTC-Related Health Conditions, but my provider thinks it is WTC-related?
What treatment services are available in the WTC Health Program?
- Should I schedule a monitoring exam even if I am feeling well?
Cancer in the WTC Health Program
- What cancers are covered by the WTC Health Program?
- If I have one of the cancers on the list, am I automatically eligible for treatment coverage in the WTC Health Program?
- If I have cancer and I am already seeing a doctor for my cancer care, can I still keep seeing my current doctor?
- Will the WTC Health Program provide reimbursements to individuals for cancer treatment costs incurred before coverage began in the Program (October 2012) or before certification?
- I have cancer now. What should I do?
- I don’t have cancer now, but I have had cancer since September 11, 2001. What should I do?
- I don’t have cancer now, but what if I get it in the future? What should I do then?
- What if I want to be screened for cancer?
- How do I get any medications I need for my certified WTC-related health condition?
- Do I have to pay anything for prescriptions or home delivery?
- If I pay out-of-pocket for my prescription, can the WTC Health Program reimburse me?
- How do I know which medications are covered by the Program?
- Will I get a pharmacy card from the Program?
Workers' Compensation Lump-Sum Settlements
- How do workers’ compensation lump-sum settlements work with the WTC Health Program?
- Does the WTC Health Program have to approve my lump-sum settlement agreement from workers’ compensation?
- How much of my settlement do I have to set aside for future medical expenses?
- How do I get approval from the WTC Health Program for a set-aside arrangement?
- How will I know whether the WTC Health Program has approved the set-aside?
- What happens if the WTC Health Program doesn’t approve my proposed set-aside?
- What happens if the money I set aside is not enough to cover all future medical expenses?