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FREQUENTLY ASKED QUESTIONS



GENERAL QUESTIONS

How do I enroll in this benefit?

The deadline to enroll in the Emotional Support Program was May 31, 2008. If you called or opened a case online prior to the deadline, please call the benefit coordination staff at 1-866-762-0756 to find out the status of your enrollment.

For those who contacted us after to May 31, 2008, the deadline has passed. Please contact 211 for information on mental health and substance abuse services available in your community.

Please note that the information below applies only to current enrollees of the Emotional Support Program.

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What type of assistance can the American Red Cross Emotional Support Program for Survivors of the 2005 Hurricanes offer for mental health services?

The American Red Cross Emotional Support Program for Survivors of the 2005 Hurricanes helps you to cover the cost of mental health treatment, including; outpatient individual, family, couples and group counseling; auricular acupuncture, psychotropic medications and testing and evaluation for children through age 21. Assistance is available retroactively for services received since August 30, 2005. If you have insurance that covers mental health treatment costs, you can make the most of your benefit by using the Emotional Support Program as secondary coverage, to pay for your co-pays and deductible.

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What does the Emotional Support Program program cover?

The Emotional Support Program covers out-of-pocket costs for emotional support services such as medications, counseling (individual, group and family sessions), evaluation and testing for children under the age of 21, outpatient substance abuse treatment and ear acupuncture (for substance abuse treatment and relief of stress and anxiety). Covered services are retroactive to August 30, 2005. The program is a one-time benefit that covers a maximum amount per person and cannot be extended once the assistance has been fully utilized.

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What medications are covered under the program?

The program provides assistance with medications prescribed by a licensed professional for treatment of your Hurricane related mental health or substance abuse issues. We maintain a list of program-approved medications that includes virtually every FDA-approved psychiatric medication currently on the market. Medications imported from overseas can not be covered.

Please note that we need pharmacy receipts to process your claims for medications reimbursement. The benefit cannot pay pharmacies directly; eligible clients must pay for approved medications up front and submit claims with receipts to Qualcare, the third party claims administrator for the Emotional Support Program.

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From whom can I get treatment?

Services must be provided by a licensed private practitioner or by an employee of a licensed mental health or substance abuse facility. Please verify with your provider that his/her license is recognized in the state where you are receiving services.

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What if I have a complaint or a problem using the program?

We want your feedback so that we can make this program as easy and helpful as possible. Please contact us at 1-866-762-0756 or email: support@mhaofnyc.org and we will return your call or email within one business day.

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QUESTIONS ABOUT ELIGIBILITY

I moved after the Hurricane. Am I still eligible for the Emotional Support Program?

Yes. Your eligibility is based on how you were affected by the disaster, not where you live now.

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Does immigration status affect a person's eligibility for the Benefit?

No. Immigration status is not considered in determining eligibility.

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QUESTIONS ABOUT IMPORTANT DEADLINES

Is there a deadline for enrolling in the program?

Yes. The deadline to enroll was May 31, 2008 at 5pm (CT) and the program is now closed to new referrals. We are unable to grant any exceptions to this deadline.

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Is it possible for the program deadline dates to change?

Yes. Because this program is funded by charitable donations, it is possible that the available funds will be exhausted before the anticipated enrollment end date. In that event, individuals currently enrolled in the program will continue to have full use of their benefit coverage until stated deadlines.

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QUESTIONS ABOUT SUBMITTING CLAIMS

How do I submit claims?

Once you are enrolled in the program, you will receive a package providing you with detailed information about submitting claims.

Several factors will determine how your claims should be submitted:

  • Whether you are insured or uninsured;
  • If you are insured, the extent of your coverage for mental health and substance abuse; and,
  • Billing arrangements you have made with your provider.

Generally speaking, either you or your provider may submit claims to QualCare, our third-party claims processing agent. If you are insured, however, you may want to use insurance as secondary coverage, in which case you would submit claims to your primary insurer first and then to QualCare. Your benefit coordinator can answer any specific questions you have about claims submission. You can download a claim form from this site.

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I started seeing a therapist right after the Hurricane, but I just enrolled recently in the Emotional Support Program. May I submit claims for services I received prior to my enrollment?

Yes, the program covers services retroactive to August 30, 2005. Services must be provided by a licensed private practitioner or by an employee of a licensed mental health facility.

Please speak with your benefit coordinator about how to submit claims for services received prior to your enrollment in the program. If you do not remember the name of your benefit coordinator, please call (866) 762-0756.

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How Does Reimbursement Work?

Once you are enrolled in the program, you will receive detailed information on how to submit bills or receipts for reimbursement. Payments can be made either directly to you or to your mental health provider.

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OTHER QUESTIONS

When I reach my benefit limit, can I request an exception for additional coverage if I am still in treatment?

We do not grant extensions or exceptions to the program benefit limit. Please call your benefit coordinator, at 1-866-762-0756, who can help you identify other related programs that may be of assistance. Please call or visit our Resources page.

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What if I enroll and decide not to participate?

No problem. We encourage you to call and enroll soon, so that you can take full advantage of the assistance available to you prior to the deadline. Please remember, because this program is funded by charitable donations, it is possible that the available funds will be exhausted before the anticipated enrollment end date.

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What about my existing insurance coverage?

Again, if you have health insurance, and it covers mental health treatment costs, you can make the most out of your benefit by using the Emotional Support Program as secondary coverage to paying for your co-pays and your deductible. Keep in mind that the benefit is meant to reimburse you only for claims denied or partially covered by your insurance. You can not submit to the Emotional Support Program if you have already received reimbursement in full from your insurance.

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How many sessions will the program cover?

How the benefit is used will vary from person to person, depending on what type of treatment you use, how expensive your counseling sessions are etc. You should discuss with our benefit staff, the best way to utilize this program for your particular situation.

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