Paying for Your Health Care

Financial concerns should not keep you from seeking the health care you and your family need. At NYC Health + Hospitals/Queens, we are committed to helping patients who are not insured get affordable healthcare, whether through a low- or no-cost insurance program or through a reduced fee arrangement.

Health Insurance Search

To find out if your health insurance is accepted at NYC Health + Hospitals, click here

If you have health insurance, not all of our hospitals or health centers may participate in your plan. You can find specific details about:

  • how to reach our financial counselors,
  • what health plans our hospitals and health centers participate in, and
  • what the cost is for many of our services.

Avoid Surprises – Reduce your chances of receiving an unexpected invoice for non-emergency healthcare. Get information about how to reach our financial counselors, what health plans we participate in and the costs for many of our services.

Click here for a list of the insurance plans we participate with currently at NYC Health + Hospitals/Queens.

NYC Health + Hospitals Options

If you do not qualify or cannot afford health insurance, you may qualify for NYC Health + Hospitals Options – a free or discount payment plan to make our health care services affordable for you and your family.

MetroPlus

MetroPlus is an NYC Health + Hospitals subsidiary that provides low- or no-cost health insurance to eligible people living in Manhattan, Brooklyn, the Bronx and Queens through the following plans:

  • Medicaid Managed Care
  • Child Health Plus
  • Family Health Plus
  • Medicaid H.I.V. Special Needs Plan, Partnership in Care
  • MetroPlus Medicare

For more information on MetroPlus, call 1-800-475-6387 (1-800-475-METRO) or visit www.metroplus.org.

Cost of Services

NYC Health + Hospitals/Queens is committed to providing you with as much information as possible about our charges. The information on the link below contains the charges for all services and items provided by the hospital.

The charges are uniform for all patients served by the hospital. However, the hospital charges rarely reflect the expected out-of-pocket expense for a specific hospital service, nor do they reflect the actual payment that the hospital will receive for those services. Your own charges and out-of-pocket expenses will depend on one or more of the following:

  • the actual patient care services received
  • the terms of your insurance coverage, including your specific co-insurance, co-payment and deductible, and/or
  • your eligibility for financial assistance

If you don’t have insurance, we can help explain the choices available to you and assist you enrolling in the plan that is best for you and your family. If you do not qualify or cannot afford any of the free or low-cost health insurance plans available, you may qualify for NYC Health + Hospitals Options – a free or discount payment plan to make our health care services affordable for you and your family. For a fuller understanding of your estimated out-of-pocket expenses, you should contact your insurer or the hospital’s patient financial counseling department at 718-883-2545.

The charges provided are for hospital services only and do not reflect any charges you may receive from the physicians caring for you.

Average Cost of Hospital Stay by Condition – Diagnosis Related Group (DRG)

Hospital Charge Detail List

Other Public Financial Assistance

Child Health Plus (CHP)

Child Health Plus is a comprehensive health insurance plan available to most uninsured children under the age of 19. Income requirements make it possible for working families to get free or low-cost health insurance for their children. All children are eligible regardless of their immigration status – even undocumented children are eligible.

Medicaid

Medicaid is a program which provides medical assistance for certain individuals and families with low incomes and resources. You may eligible if you have high medical bills; receive Supplementary Security Income (SSI); or meet certain income, resource, age, or disability requirements.

Medicare

Medicare is a federal health insurance program for people age 65 or older or people under age 65 with certain disabilities including End-State Renal Disease. Some people qualify for both Medicare and Medicaid. Medicare now offers prescription benefits as well.

Prenatal Care Assistance Program (PCAP)

PCAP provides expanded Medicaid coverage for pregnant women and for children under the age of 19 regardless of their citizenship status, as follows:

  • Full Medicaid services for pregnant women with incomes at or below 100% of the Federal Poverty Level (FPL), and
  • Comprehensive perinatal services for women with incomes between 100% and 200% of the Federal Poverty Level (FPL).

Woman, Infants and Children (WIC)

WIC is not an insurance plan, but provides free, healthy foods for pregnant or breast-feeding women and children under the age of 5. You receive checks every month to buy the food you and your children need, ideas on how to prepare healthy and tasty meals for your family, and help in getting other healthcare services you need.

Prescription Assistance

Prescription Assistance Program at NYC Health + Hospitals/Queens

Patients without prescription coverage are asked to pay a $10 administrative fee for each prescription. Patients will not be asked to pay more than $40 at any single visit, no matter how many prescriptions they receive. If a patient is unable to afford the fee, a Financial Counselor is available to discuss payment options.

Medicare Part D

Medicare prescription drug coverage is insurance provided by private companies that have been approved by Medicare. As of January 1, 2006, new Medicare prescription drug coverage is available to everyone with Medicare. This drug coverage may help lower prescription drug costs and help protect against higher costs in the future.

EPIC

The Elderly Pharmaceutical Insurance Coverage (EPIC) Program is a New York State-sponsored prescription plan for senior citizens who need help paying for their prescriptions. Eligibility is based on income. Seniors who receive full Medicaid benefits are not eligible for EPIC benefits. Seniors with other prescription coverage can join EPIC to pay for drug costs not covered by the other plan.

OUR ACCREDITATIONS

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