Does urgent care take Medicaid in NYC?
Many urgent care centers do, but not all, and the answer can differ between two locations of the same chain. The reason is how New York Medicaid works. Many enrollees are in a managed care plan run by a carrier such as Healthfirst, Fidelis Care or MetroPlus, and a clinic participates in each carrier’s Medicaid product separately. A sign in the window that says “We accept Medicaid” may mean one plan, several or straight Medicaid only.
So the reliable question names the product printed on your card, not the program: “Do you take Healthfirst Medicaid?” or “Do you take Fidelis Care Medicaid Managed Care?”, not “Do you take Medicaid?”. A practice can participate in a carrier’s Medicaid product and not its marketplace product, and the reverse. Why the plan name matters.
How to check before you go
- Read your card. Note the carrier, the exact plan name and the member services phone number on the back.
- Call member services and ask for in-network urgent care near you. Ask for two options and their hours.
- Or search the plan’s directory for “urgent care” by ZIP code. Treat the result as a lead, not a guarantee.
- Cross-check in the state’s Provider and Health Plan Look-Up Tool, which shows which plans a provider participates in.
- Call the site before you leave home and ask the two questions below. Directories are wrong often enough that the call is worth the two minutes.
NYC Health + Hospitals ExpressCare
The city’s public health system runs ExpressCare, which NYC 311 describes as a fast, easy way to get care for health problems that are not emergencies. Two ways to use it:
- By video or phone, 24 hours a day, 7 days a week, at (631) 397-2273.
- In person, walk-in, at NYC Health + Hospitals locations.
The system’s stated policy is that you can receive care regardless of your ability to pay or your immigration status, and your information, including immigration status, is kept confidential. For a primary care appointment with a NYC Health + Hospitals or Gotham Health provider, the booking line is (844) 692-4692, also open around the clock.
We could not load the NYC Health + Hospitals website itself when we checked on October 29, 2026; the ExpressCare details above come from the city’s 311 service. Confirm which locations have walk-in hours today by calling before you go.
If you are uninsured, the public system’s financial assistance applies across its eleven acute care hospitals and the Gotham Health clinics: free care at or below 200% of the federal poverty level and a sliding scale to 400%. How H+H billing works. For ongoing care without insurance, NYC Care gives you a membership card and a primary care doctor in the same system.
Urgent care, emergency room or video visit: which door
| Your situation | Where to go |
|---|---|
| Chest pain, trouble breathing, stroke signs, severe bleeding, a head injury with confusion | Call 911 or go to an emergency room |
| A sprain, a cut that may need stitches, a fever, an infection, a rash | Urgent care in your plan’s network, or H+H walk-in care |
| A refill, a rash you can show on camera, a question about a medication | ExpressCare by video at (631) 397-2273, or your plan’s telehealth |
| It is the middle of the night and you are not sure how serious it is | ExpressCare by phone or video, and the ER if they tell you to go |
| You are uninsured or your Medicaid is pending | NYC Health + Hospitals, which treats everyone and has financial counselors |
| You keep needing urgent care for the same problem | Book a primary care visit; a health center or NYC Care assigns a doctor |
| The urgent care near you does not take your plan, and none does | Call member services and ask them to find one; if the network is thin, you can change plans through NY Medicaid CHOICE at 1-800-505-5678 |
Medicaid and the Essential Plan in New York both cover telehealth broadly, so a video visit through your plan is often the fastest option for something that does not need hands or equipment.
Cost: urgent care versus the ER
With Medicaid, both are covered services, so for most enrollees the real cost of the wrong door is time: an emergency room sees the sickest patients first, and a minor problem can mean a long wait. Your member handbook lists any copay that applies.
For people paying themselves, the difference is large. An emergency room bill is built from a facility fee tiered by acuity, a separate physician fee, and every lab and scan billed on its own. An independent urgent care charges a visit fee plus any tests or procedures. A hospital-affiliated urgent care can add a facility fee because it is licensed as part of the hospital, and a freestanding emergency department is billed as an ER visit even when it looks like a storefront clinic. The full cost comparison and what urgent care costs in New York.
Where to look by neighborhood
Searches for urgent care in Bensonhurst, Rego Park and other neighborhoods usually turn up chains first. Our neighborhood guides list the public hospitals and community health centers nearby. Use them to find the nearest public option, then run the plan-name check above before you go. What CityMD, Northwell-GoHealth, ProHEALTH and Mount Sinai each publish about the plans they take is on urgent care chains and insurance in NYC.
Questions people ask
Does CityMD take Medicaid?
It depends on your plan and the location. Call the specific site or your plan’s member services and ask whether that location is in network for the exact plan name on your Medicaid card.
How do I find an urgent care that takes my Medicaid plan?
Call the member services number on the back of your card, search your plan’s directory for urgent care by ZIP code, or use the state’s Provider and Health Plan Look-Up Tool. Then call the site to confirm.
What is NYC Health + Hospitals ExpressCare?
The public system’s urgent care for non-emergencies. It is available by video and phone 24 hours a day at (631) 397-2273, and as walk-in care at NYC Health + Hospitals locations, regardless of insurance or immigration status.
Can I go to urgent care without insurance in NYC?
Yes. NYC Health + Hospitals treats patients regardless of ability to pay, and its financial assistance makes care free at or below 200% of the federal poverty level. Independent centers will quote a self-pay price if you ask first.
Should I go to urgent care or the ER with Medicaid?
Go to the ER for anything that could be an emergency, such as chest pain or trouble breathing. For minor injuries and infections, an in-network urgent care or a video visit is faster and keeps the ER free for emergencies.
Can an urgent care turn me away if I have Medicaid?
An urgent care can decline a plan it does not participate in. A hospital emergency department cannot turn you away: federal law requires it to screen and stabilize you regardless of insurance.
Sources
- NYC 311 — Urgent care (ExpressCare) at NYC Health + Hospitals (checked 2026-10-29)
- NYC 311 — Find a doctor at NYC Health + Hospitals and ExpressCare (checked 2026-10-29)
- NYS Provider and Health Plan Look-Up Tool (checked 2026-10-29)
- NYC Health + Hospitals — financial assistance sliding fee scale (checked 2026-08-12)
- CMS — Hospital Price Transparency (checked 2026-09-09)
More in Health Care Costs in New York City
- What an X-Ray Costs in New York — An X-ray is the cheapest imaging study and still produces two bills. Where it is taken decides the total, and the read arrives separately weeks later.
- Ambulance Bills in New York: The Hole the Surprise Billing Law Left Open — Got a ground ambulance bill in New York? The No Surprises Act covers air ambulances, not ground ones. What state law protects, and how to dispute the bill.
- What an Ambulance Ride Costs, and Why the Number Is Not the Point — What does an ambulance ride cost in New York? A base rate, mileage, supplies and a service level you did not choose. Mileage and level are most often wrong.
This page explains how the system works. It is not medical advice. More.
