What to Expect at Your Annual Monitoring Examination

The Annual monitoring exam (AME) is available to Responders and Survivors with a certified WTC-related health condition. The AME looks for World Trade Center (WTC)-related physical and mental health conditions. Findings help determine whether a member has a condition that can be certified (approved) for treatment in the WTC Health Program. Like other WTC-related health care from in-network Program providers, the AME is provided at no cost to you.


A Nationwide Provider Network (NPN) Member Services representative will call you to schedule your next annual exam. It is important that the NPN schedule this appointment to be sure it is completed per Program guidelines and at no cost to you. Do not attempt to make this appointment yourself even with your previous AME examiner. The NPN is available to help.

As with your prior monitoring exam, you will need to complete required forms before the NPN can schedule your exam.
For the AME, this typically includes only the Medical Health Questionnaire. An NPN representative will contact you if additional forms need to be completed.

You can complete these forms online through the member portal, or you can schedule a time to complete the forms over the phone with a representative. Once you complete any forms required, a representative will prepare a summary for your AME provider. This will help guide your provider in the examination.

A representative will call you to schedule your appointment with an in-network provider near you. If possible, the NPN will schedule you with your previous monitoring provider.


You should prepare for your AME appointment in the following ways:

    1. Confirm appointment details (date, time, location of your provider, directions, and travel time).
    2. Follow any instructions from the provider before your appointment, such as fasting or changing your medication schedule.
    3. Complete any paperwork provided by the NPN prior to your first visit.
    4. Write down a list of any medications you are currently taking and take the list with you to your appointment.
    5. Write down a list of symptoms you are experiencing, even those that you think might not be related to your 9/11 exposures. Symptoms may include trouble sleeping, persistent cough, runny nose, etc.

* Keep in mind that an AME usually takes longer than a routine check-up, so please plan your time accordingly.


Your AME will be like other Program monitoring exams. The exam may include:

• Physical assessment

• Laboratory test and/or bloodwork (Note: The blood tests performed at your exam are limited to those allowed under WTC Health Program policy)

• Pulmonary function testing

• Chest X-ray


During the exam, be sure to share any concerns you have with the provider including any recent symptoms you have experienced or changes in your health.


The NPN will send you a letter that summarizes your results and what, if any, conditions may be eligible to be certified, what conditions require further testing or medical documentation as recommended by your provider, and what conditions are not WTC-related, but should be discussed with your personal provider.


An NPN Member Services representative will contact you to schedule your AME. If you have any questions in the meantime, contact us at 1-800-416-2898 or through the NPN Member Portal chat feature, 8 a.m.-8 p.m. EST Monday through Friday.