Do Drug and Alcohol Rehab Centers Take World Trade Center Health Program?
The World Trade Center (WTC) Health Program was established to provide medical monitoring and treatment for individuals affected by the 9/11 terrorist attacks in New York City. But you may wonder, “Does the World Trade Center Health Program cover addiction recovery?” Read on for an overview of the WTC Health Program, including the services offered, eligibility requirements, and more.
What is the World Trade Center (WTC) Health Program?The World Trade Center (WTC) Health Program is a federally funded program providing healthcare services to those affected by the 9/11 terrorist attacks in New York City. The program provides medical care, mental health services, outreach, and education to eligible individuals, including first responders, survivors, and residents of lower Manhattan exposed to the toxins released during and after the attacks. The James Zadroga 9/11 Health and Compensation Act of 2010, which President Obama signed into law on January 2, 2011, established the WTC Health Program. The legislation bears James Zadroga's name, a member of the New York City Police Department who passed away from a respiratory condition brought on by exposure to toxic dust at Ground Zero during the 9/11 attacks.1 Authorized through 2090, the program is administered by the National Institute for Occupational Safety and Health, part of the Centers for Disease Control and Prevention in the U.S. Department of Health and Human Services. The program offers medical monitoring and treatment for various physical and mental health issues connected to exposure to the 9/11 attacks, such as cancer, post-traumatic stress disorder (PTSD), and respiratory diseases.2
What is WTC Rehab Insurance Coverage?The WTC Health Program offers monitoring and care deemed medically necessary for recognized WTC-related health issues. The program also includes medically related conditions or those that arise from managing or a developing recognized condition. This includes coverage for rehabilitation services.3 For a condition to be covered, the WTC Health Program must certify it, and it must be treated by a provider associated with the program. A formal determination by the program that your condition is linked to your exposure to 9/11 and satisfies program certification standards and criteria is known as certification.
Does the WTC Cover Drug and Alcohol Recovery?Yes, the WTC Health Program provides substance use disorder (SUD) treatment coverage, including drug and alcohol recovery services, for eligible individuals affected by 9/11. The program covers medically necessary outpatient care and inpatient SUD treatment services, such as detoxification, counseling, medication-assisted treatment (MAT), follow-up care, and support services. To be eligible for World Trade Center Health Program Addiction Recovery coverage, you must be enrolled and meet its eligibility criteria based on specific exposure and residency criteria related to the 9/11 attacks.
Check Your WTC Insurance for Addiction Treatment
Our admissions coordinators will interact directly with your insurance provider on your behalf, removing from your shoulders the burden of figuring out if your insurance will pay for your addiction treatment.
Does the WTC Cover Mental Health Rehab?
Yes, the WTC Health Program provides coverage for mental health services, including mental health rehabilitation, for eligible individuals affected by the 9/11 attacks. The program covers various mental and behavioral health services, including individual and group therapy, psychiatric medication management, prescription drug plans, wellness programs, support groups, and post-traumatic stress disorder (PTSD) treatment.
Additionally, the program offers outreach and education to support people in understanding the mental health resources that are accessible and how to use them. You must be registered in the program and satisfy the program's eligibility requirements, which are based on particular exposure and residence requirements connected to the 9/11 attacks, to be eligible for coverage under the WTC Health Program for mental health treatments.
Inpatient and Outpatient Addiction Recovery Centers That Take WTC Health Insurance
Virtue Recovery Center has assisted people on their road to sobriety for years, offering treatment facilities in multiple states. Our effective treatment programs for drug addiction, alcoholism, dual diagnosis, trauma treatment, and eating disorders have been developed by expertly trained addiction treatment specialists. These plans include inpatient care and residential treatment programs, sober living options, aftercare, and more.
The Joint Commission accredits all of our inpatient and outpatient treatment facilities, and we are members of the National Association of Addiction Treatment Providers (NAATP) while remaining HIPAA compliant. Below you'll find links to all of our centers that are part of the World Trade Center Health Program Addiction Recovery provider network:
How Much Does Addiction Recovery Cost with WTC Health Insurance?
Eligible individuals do not have to pay out-of-pocket for WTC Health Program-covered services. The program pays for the total cost of medically necessary substance use disorder (SUD) treatment services without imposing copays, deductibles, or premiums. Additionally, there are no annual or lifetime limits on coverage for medically necessary treatment.
The program immediately covers all monitoring, treatment, and pharmaceutical expenditures associated with a certifiable WTC-related health condition for responders, survivors, and others affected by the 9/11 attacks.
Workers' compensation is the main payer for responders, and the program covers the remaining costs if a responder has a workers' compensation claim for the certified condition. However, to speed up processing in certain situations, the program will pay immediately and then, as necessary, seek reimbursement from the settlement or the workers' compensation insurer.
The WTC Health Program immediately covers the one-time first health assessment and screening tests for eligible survivors. Then, once your primary health insurer has paid its portion, the program compensates the balance of your treatment and pharmaceutical costs for recognized WTC-related health conditions.
Your private health insurance is billed first by the program. Next, any public health insurance you may have, such as Medicare or Medicaid, is then billed by the program. Finally, the program covers any outstanding balance once your other health insurance providers have made payments.1
How To Check My WTC Health Insurance Coverage Levels for Addiction Recovery Treatment
Completing our free online form is the quickest and best way to verify insurance coverage. After checking your coverage levels with your provider, a member of our expert staff will contact you as soon as possible to review your policy and guide you through the next steps. We will keep any information you provide or discuss entirely confidential.
How To Get WTC Insurance to Pay for Addiction Recovery
To get World Trade Center Health Program Addiction Recovery coverage, you must enroll and meet the eligibility criteria based on specific exposure and residency requirements related to 9/11. Once registered, you can receive medically necessary substance use disorder (SUD) treatment services without any out-of-pocket expenses, as the program pays for the total cost of services.
You can contact the WTC Health Program Clinical Center of Excellence (CCE) to access addiction recovery services. The CCE will work with you and a World Trade Center Health Program in-network inpatient addiction recovery provider to develop a treatment plan that meets your specific needs and is covered by the program. The CCE will also coordinate and monitor your care to ensure you receive comprehensive treatment.
Before receiving treatment, you may need prior authorization from the WTC Health Program for certain SUD treatment services, such as inpatient care, to ensure the services are medically necessary and covered by the program. We at Virtue Recovery Center can assist with this step. Call 866-461-3339 to get started today.
How Many Times Will WTC Insurance Pay for Addiction Recovery?
The WTC Health Program does not impose a limit on the number of times it will pay for substance use disorder (SUD) treatment, including addiction recovery services, for eligible individuals affected by the 9/11 attacks. The program covers the total cost of medically necessary services.
The World Trade Center Health Program alcohol addiction recovery and World Trade Center Health Program drug addiction recovery are intended to be comprehensive and ongoing to meet your evolving needs as you progress through recovery. You may receive SUD treatment services multiple times if medically necessary and appropriate for ongoing care.
The WTC Health Program encourages you to work with your healthcare providers and the program's Clinical Centers of Excellence (CCEs) to develop and coordinate a treatment plan that meets your needs.
Addiction Recovery and Insurance Statistics
- The top 3 certifiable conditions that the World Trade Center Health Program treats amongst its living and deceased members are as follows:1
- Aerodigestive: medical condition affecting both the respiratory and digestive systems
- Cancer: linked to exposure to toxins during or after the 9/11 attacks, including inhaled dust, fumes, and other hazardous substances
- Mental Health: range of conditions, such as post-traumatic stress disorder (PTSD), depression, anxiety, and substance abuse, linked to the psychological trauma of the 9/11 attacks and their aftermath
- Members may hold certifications in more than one of the below categories. However, the top 10 certifiable conditions among the WTC Health Program’s members are as follows:
- Chronic Rhinosinusitis
- Gastroesophageal Reflux Disease
- Sleep Apnea
- Post-Traumatic Stress Disorder (PTSD)
- Chronic Respiratory Disorder - Fumes / Vapors
- WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD
- Anxiety Disorder (Not otherwise specified)
- Major Depressive Disorder
- 20,808 members of the WTC Health Program possess at least one mental health certification. This figure doesn’t include the 843 deceased members with mental health certifications.
- 60% of the WTC Health Program’s members are male, while 9% are female.
- Over half of the WTC Health Program’s members are general first responders, 14% are FDNY responders, and 31% are survivors of the 9/11 terrorist attacks.
- Most WTC Health Program members with a certifiable mental health condition(s) are 55-64 first responders.
- Approximately 74% of responders in the WTC Health Program have been identified with at least one physical or mental health issue directly related to exposure to 9/11, including 28% with a mental health issue and 20% with cancer.2
- 9% of 9/11 FDNY veterans still struggle with PTSD, and 18% have been diagnosed with depression.
- More than 110,000 individuals have enrolled in the WTC Health Program since 2011.3
The WTC Health Registry of the Health Department's extensive epidemiological studies suggests that the most prevalent health impact of 9/11 is PTSD. Up to 20% of persons directly involved in the WTC attacks reported experiencing PTSD symptoms, nearly four times the proportion of PTSD symptoms in the general population.4
Check Your WTC Insurance Coverage With Virtue Recovery Center
If you’re committed to recovery, submit a request to one of our professional admission coordinators today using the form below. Before discussing the next steps, a coordinator will address any inquiries regarding our programs, including interacting directly with your Blue Cross Blue Shield Rehab on your behalf to check your insurance coverage levels for drug or alcohol addiction rehab.
Using your Health Insurance Card, fill out all of the fields on the confidential form.
A member of our staff will contact your insurer to verify if your policy will cover your treatment
We will contact you promptly with the results of the verification and discuss the next steps
*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note that this is only a quote of benefits and/or authorization. We cannot guarantee that payment or verification eligibility will be accurate and complete as conveyed by your health insurance provider. Payment of benefits is subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service. Your health insurance company will only pay for services it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. Suppose your health insurance company determines that a particular service is not reasonable and necessary or that a specific service is not covered under your plan. In that case, your insurer will deny payment for that service, and it will become your responsibility.
*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note, this is only a quote of benefits and/or authorization. We cannot guarantee payment or verification eligibility as conveyed by your health insurance provider will be accurate and complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service. Your health insurance company will only pay for services that it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under your plan, your insurer will deny payment for that service and it will become your responsibility.
- “World Trade Center Health Program.” Centers for Disease Control and Prevention (CDC), 26 Apr. 2001, www.cdc.gov/wtc/index.html.
- “About the WTC Health Program.” Centers for Disease Control and Prevention (CDC), www.cdc.gov/wtc/about.html. Accessed 11 May 2023.
- “Covered Conditions - WTC Health Program.” Centers for Disease Control and Prevention (CDC), www.cdc.gov/wtc/conditions.html. Accessed 11 May 2023.
- “Member Handbook - WTC Health Program.” Centers for Disease Control and Prevention (CDC), www.cdc.gov/wtc/handbook.html. Accessed 11 May 2023.
- “Program Statistics - World Trade Center Health Program.” Centers for Disease Control and Prevention (CDC), 2022, www.cdc.gov/wtc/ataglance.html#treatmentAndCertifiedConditions.
- Haelle, Tara. “Health Effects of 9/11 Still Plague Responders and Survivors.” Scientific American, 10 Sept. 2021, www.scientificamerican.com/article/health-effects-of-9-11-still-plague-responders-and-survivors.
- Calvert, Geoffrey M., et al. “World Trade Center Health Program: 20 Years After 9/11.” Occupational and Environmental Medicine, BMJ, Aug. 2021, p. oemed-107770. https://doi.org/10.1136/oemed-2021-107770.
- Weiss, LK. “Statistics — the Never Forget Project.” The Never Forget Project, neverforgetproject.com/statistics. Accessed 11 May 2023.
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