The New York City Health Department may ask for a fee for immunization services given to adults (age 19 and over). The Health Department must ask for insurance or payment for services to meet Medicaid standards and other legal requirements.
If you do not have insurance or cannot pay the fee, you will still get services. Everyone will receive services.
No. If you are under 19, you do not have to pay for the visit. However, if you have health insurance, the Health Department will still ask for your insurance information. No payment or copayment will be requested.
Yes. Please ask clinic staff for the Health Insurance Portability and Accountability Act (HIPAA) Notice of Privacy for details. The Health Department will not send you any bills, financial statements or receipts. Please note: Many health insurance providers send an Explanation of Benefits (EOB) to the policy holder with details of the visit (including tests, diagnoses and treatment). If you are concerned about information being sent to the policy holder, you can contact your insurance provider and ask for the EOB to be sent to another address. Another option is to pay for the visit yourself using the Health Department’s sliding scale.
The Health Department will ask for your health insurance information. No copayment is required. If you do not have insurance, the Health Department will not ask for payment.
You can still receive services. The Health Department will ask you to pay a sliding scale fee based on your family size and yearly income. You will not be asked for proof of family size or yearly income. No payments will be collected at the clinic. You can mail payment after your clinic visit.
No payments will be collected at the clinic. Instead, please complete a check or money order (not cash) payable to NYC Department of Health and Mental Hygiene. Please mail the check or money order to:
NYC Department of Health and Mental Hygiene
Attn: Division of Finance
42-09 28th Street, CN32W
Long Island City, NY 11101
The check or money order should include the patient’s name, date of visit and patient’s ID number. Clinic staff will provide this information at the visit.
The Health Department will not send you any bills, financial statements or receipts.
The clinic accepts all insurance, including Medicaid, Medicare, Medicaid Managed Care and private insurance, such as United Healthcare or Aetna.
Yes, you can choose to use your insurance. The Health Department will bill your insurance for immunization services. Please note: You or the policy holder may receive an Explanation of Benefits (EOB) from your insurance provider. The EOB will list the services you received.
If you are concerned about the EOB being sent to the policy holder, you can contact your health insurance provider and ask for it to be sent to another address, or you can choose to pay for the visit yourself using the sliding scale.
The Health Department will give you a letter so that you can mail your insurance information after your visit.
If you are concerned about the EOB being sent to the policy holder, you can contact your health insurance provider and ask for it to be sent to another address, or you can choose to pay for the visit yourself using the sliding scale.
No. The Health Department will not send you any bills, financial statements or receipts.
Please note: Many health insurance providers send an Explanation of Benefits (EOB) to the policy holder with details of the visit. The EOB will also show if a copayment is owed.
If you are concerned about the EOB being sent to the policy holder, you can contact your health insurance provider and ask for it to be sent to another address, or you can choose to pay for the visit yourself using the sliding scale.
Yes, but at each visit, you can choose to use your insurance or pay the sliding scale fee. If your insurance has changed since your last visit, please tell clinic staff.
The information on the bill includes the patient’s name, address, date of birth, insurance ID, services given, service date and amount charged. The provider listed will be “NYC Department of Health and Mental Hygiene,” plus the clinic location (for example, “Fort Greene Health Center”).
The clinic is in-network for some insurance plans. Even if your health insurance provider says the claim is out-of-network and denies it, you will not be held responsible for payment.
Please sign the back of the check and write “Payable to NYC Department of Health and Mental Hygiene only” under your signature. Make a copy for your records. Submit this signed check along with your Explanation of Benefits (EOB) to:
NYC Department of Health and Mental Hygiene
Attn: Division of Finance
42-09 28th Street, CN32W
Long Island City, NY 11101
It may, depending on the services received. However, your primary health care provider will be notified during the eligibility process and can submit a Threshold Override Application (TOA), to increase the amount of services allowed.
Some clinics have on-site enrollment counselors who can check if you qualify for public health insurance coverage (such as Medicaid or Medicare) and help you sign up. If you do not qualify for public health insurance coverage, you can apply for health insurance through the New York State Benefit Exchange website or by calling 311.
No. You do not need a referral to receive services at any Health Department clinic.