World trade center program


















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As a Survivor, you must provide your primary health insurance information when receiving services from the WTC Health Program. The Zadroga Act requires that Program members have primary health insurance in order to coordinate benefits and to cover costs for conditions that are not certified by the Program. If you do not have health insurance, you might be eligible for public or private health insurance, such as Medicaid, Medicare, health insurance offered through the Marketplace or other options.

Same as with WTC-related medical care for Survivors, your primary health insurance will be billed first for WTC-related prescription medicines. Primary insurance may be a type of private insurance, group health, or government program such as Medicare or Medicaid. Any remaining costs will be covered by the Program. Covered prescriptions will have no copayments. How do I get my prescriptions filled?

If there is a problem billing your prescription to your primary insurance, you or the pharmacy will need to contact that insurance company to resolve the issue. Your pharmacy should notify you when there is a problem. If there is a problem billing the WTC Health Program, you or the pharmacy must contact Optum at to resolve the issue.

Note: If you pay for the prescription out-of-pocket before resolving the issue with Optum, the Program cannot guarantee you will be reimbursed. Find a retail pharmacy near you through Optum's Pharmacy Locator or by calling , option 2. Mail order offers convenience, privacy, and the security of never missing a refill.

Skip Navigation. Coordination of Benefits On this Page. What do I need to do?



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