About The Program
The NYC 9/11 Benefit Program for Mental Health and Substance Use Services is funded and overseen by the New York City Department of Health and Mental Hygiene, with benefit access coordinated by the Mental Health Association of New York City.
The program includes:
- Reimbursement for covered out-of-pocket costs for mental health and substance use services.
- Benefit coordinators to help with eligibility and enrollment.
- Trained agents to process claims and answer claims-related questions.
- New York State licensed professionals will deliver treatment.
- The program covers services received between January 2, 2007 and January 7, 2011.
- Enrollees must use private insurance first, if available. The program will reimburse out-of-pocket expenses remaining after the insurance plan pays, up to the amount covered in the program fee schedule.
- The program can be the primary payer for enrollees who do not have health insurance.
The NYC 9/11 Benefit Program is not an extension of the American Red Cross 9/11 Mental Health and Substance Abuse Program. If you were enrolled in the American Red Cross 9/11 Mental Health and Substance Abuse Program, you will likely be eligible for the NYC 9/11 Benefit Program and enrollment may be processed faster.
Two groups of NYC residents are eligible for the program:
People directly affected by the WTC disaster
NYC residents and their financially dependent immediate and extended family members or immediate and extended family members living in the same household.
Members of Group A can enroll online.
NYC residents who are not in Group A , but have psychological symptoms that are likely related to the attacks. Individuals in this category will be screened, and their treating providers will be asked to submit a letter affirming that their conditions are likely related to 9/11.
The NYC 9/11 Benefit Program helps cover out-of-pocket costs for outpatient mental health and substance use treatment. The coverage was designed to help you cope with mental health and substance use issues related to 9/11. If you have health insurance, the program can be used as secondary coverage to your insurance.
If you received mental health and substance use coverage from the American Red Cross 9/11 Mental Health and Substance Abuse Program, FDNY, the September 11 Fund or other agencies, you are still eligible for the program. The program can make mental health and substance use treatment accessible if you were not eligible for coverage before.
If you are eligible, you can submit claims for covered mental health and substance use treatment received between January 2, 2007 and January 7, 2011.
Covered services include:
- Outpatient mental health and substance use services: The program covers out-of-pocket costs associated with outpatient treatment. There is no dollar cap on reimbursement for members of Group A . For members of Group B , reimbursement is limited to $3,000 over the lifetime of the benefit.
- Medication and laboratory work related to mental health and substance use treatment: In addition, the benefit covers reimbursement for medication and/or laboratory work up to $1,500 over the lifetime of the benefit.
- Psychological evaluations and testing: The benefit covers up to eight hours of evaluation and testing for children age 21 and under.
Your benefit coordinator will help you find a licensed provider, and will work with you to determine which treatment option is right for you and your family. The following types of treatment are available:
Counseling and Psychotherapy - You will meet individually with a licensed professional to discuss problems and feelings and ways to cope.
Group Therapy - Allows you to talk with others with similar experiences in a group setting. The group will be led by a licensed professional.
Family Therapy - Gives you and your family a safe and structured place to talk with a licensed professional about problems and feelings and ways to cope.
Couples Counseling - Couples talk with a licensed professional about issues that are causing stress and anxiety, and identify strategies to improve communication.
Medication - Prescribed by a licensed professional to treat problems, such as depression or anxiety.
Outpatient Substance Use Treatment - Programs to help people address alcohol and substance use problems related to 9/11.
Psychological evaluation and testing - Services are available for children under the age of 21.
The program reserves the right to modify covered services at any time. Terms are subject to modification based on the program's success and resources.