What actually ends coverage here

Income changes end some enrollments. Paperwork ends more of them.

The pattern repeats: a household moves within the neighborhood, the renewal packet goes to the previous apartment, nobody sees it, the renewal is not returned, and the case closes. The person finds out at a pharmacy counter or a front desk, months later, still eligible the entire time.

That is a solvable problem, and it is solvable in advance.

If it has already lapsed

The order that works, and the first step is the one people skip:

  1. Find out what actually happened. Closed for non-return of paperwork, or terminated on a finding about income or household? They are different problems with different fixes.
  2. If it closed for paperwork, send the renewal now. Reopening a recently closed case is routine, and in many situations coverage can be restored without starting over.
  3. Ask about retroactive coverage for the gap. Medicaid can cover medical bills incurred in the months before the application in defined circumstances, which matters if care happened while the case was closed.
  4. If a decision is wrong, request a fair hearing. Free, no lawyer required, and the request itself has a deadline printed on the notice. How a fair hearing works.
  5. Ask for aid to continue at the same time. If requested in time, coverage can carry on unchanged while the appeal is decided — and the window for that request is shorter than the window for the hearing itself.

What to do with a bill from the gap

A bill for care received while a case was closed is not automatically yours to pay.

Ask the provider to re-bill once coverage is restored, and say the date the coverage was reinstated to. Ask the hospital specifically whether you were screened for coverage for the date of service — the question that reopens a self-pay balance more often than any other.

And separately from any of it, hospital financial assistance is a statutory right that applies regardless: nothing out of pocket at or below 200% of the federal poverty level, applications accepted at any stage, including after collections. How it works.

Do not assume the income rule ended it

The income lines in New York sit higher than most people expect, and they move with household size. A raise that feels significant frequently does not cross anything.

And if it does cross the Medicaid line, what is usually on the other side is not “nothing”. It is the Essential Plan at $0 a month up to 200% of the federal poverty level, with no deductible and no enrollment season. The programs hand you between them; that handover is what reporting a change triggers. The 2026 limits by household size · The five-question check.

Everything the federal registry lists here

What exists in the neighborhood, per the federal registry

22 organizations registered in NPPES with an address in this neighborhood. Name, type and address come from the registry. Phone numbers and accepted plans are not in it, which is why they are not published here.

Source: NPPES federal provider registry, retrieved August 2026. Always confirm by phone before going.
TypeOrganizationAddress
Community health centerComprehensive Commuity Development Corporation
NPI 1578564001
731 White Plains Rd
Bronx 10473
Federally qualified health centerComprehensive Commuity Development Corporation
NPI 1669636577
1760 Westchester Ave
Bronx 10472
Federally qualified health centerComprehensive Commuity Development Corporation
NPI 1952564049
821-7 East. 233Rd Street
Bronx 10466
Federally qualified health centerComprehensive Commuity Development Corporation
NPI 1659534907
616 Castle Hill Ave
Bronx 10473
Federally qualified health centerUrban Health Plan, Inc
NPI 1770847014
1967 Turnbull Ave, Suite 17
Bronx 10473
Federally qualified health centerUrban Health Plan, Inc.
NPI 1245651637
1300 Boynton Ave
Bronx 10472
Federally qualified health centerUrban Health Plan, Inc.
NPI 1891190393
1551 E 172Nd St
Bronx 10472
Federally qualified health centerUrban Health Plan, Inc.
NPI 1689910622
1764 Westchester Ave
Bronx 10472
Federally qualified health centerUrban Health Plan, Inc.
NPI 1932499274
1930 Randall Ave
Bronx 10473
General acute care hospitalDroma Balgobin
NPI 1427439470
2254 Story Ave
Bronx 10473
Multi-specialty clinicAhc Medical Services P C
NPI 1447863303
1888 Westchester Ave
Bronx 10472
Multi-specialty clinicAndrade Medical Pllc
NPI 1801123617
1163 Manor Ave Frnt 2
Bronx 10472
Multi-specialty clinicEast Coast Medical Services Pc
NPI 1205507738
1888 Westchester Ave
Bronx 10472
Multi-specialty clinicMontefiore Medical Center
NPI 1639309982
1754 Randall Avenue, Mmc Aecom Substance Abuse
Bronx 10473
Multi-specialty clinicNyc Community Medical Care
NPI 1427486703
1268 White Plains Rd
Bronx 10472
Multi-specialty clinicPersonal Touch Medical Of Throgs Neck Rehabilitation & Physical Med
NPI 1982016598
1927 Williamsbridge Rd
Bronx 10461
Primary care clinicMedcareplus, Pllc
NPI 1265720221
1643 Westchester Ave
Bronx 10472
Urgent careBlue Horizon Medical Services Pc
NPI 1801619374
372 E 204Th St
Bronx 10467
Urgent careBronx Urgent Care, P.C.
NPI 1093246274
1733 E 174Th St
Bronx 10472
Urgent careCity Medical Of Upper East Side, Pllc
NPI 1740873264
1613-1615 Westchester Avenue
Bronx 10472
Urgent careCity Medical Of Upper East Side, Pllc
NPI 1235969304
1931 Turnbull Ave
Bronx 10473
Urgent careUrgentmedicaldoc, Pllc
NPI 1639554082
1643 Westchester Ave
Bronx 10472

How to use this table. It tells you what kind of facility exists and where — not whether they take your plan or accept new patients. Those change constantly and only a phone call settles them. A federally qualified health center charges on a sliding scale by income; a hospital-owned urgent care may add a facility fee; a hospital bills through several entities at once.

Questions people ask

I lost Medicaid but my income did not change. How?

Most commonly the renewal packet went to an old address and was never returned, and the case closed on paperwork rather than on eligibility.

Can I get it back?

Usually. Reopening a case that closed for non-return of paperwork is routine, and retroactive coverage for the gap is available in defined circumstances. Ask about both.

What is a fair hearing?

A free formal appeal of a decision about your benefits. No lawyer is required, and the deadline to request one is printed on the notice you received.

Can my coverage continue while I appeal?

If you request aid to continue in time, yes. That window is shorter than the window for the hearing itself, so ask for both in the same call.

What do I do about bills from the months I was uncovered?

Ask the provider to re-bill once coverage is restored, ask the hospital whether you were screened for coverage for the date of service, and apply for hospital financial assistance regardless.

What should I update to prevent this?

The address on file, first. Then a working phone number, and knowing which month your renewal falls in.

Sources

  1. NPPES — national provider registry (checked 2026-09-14)
  2. NYS Department of Health — Medicaid (checked 2026-09-14)
  3. NY State of Health — stay covered (checked 2026-09-14)

More in Neighborhoods

This page explains how the system works. It is not medical advice. More.