How to apply for NYC Health + Hospitals — HHC Options Financial Assistance (Manhattan) in New York

Who it's for

NYC Health + Hospitals operates the city's public hospital safety net. Options (formerly HHC Options) is a sliding-scale fee program for uninsured or underinsured patients regardless of immigration status — applies to all H+H hospitals and Gotham Health clinics, including those serving Manhattan. Patients pay a flat reduced rate based on family income: at or below 200% FPL the fee is $0 for clinic visits, ER visits, prescriptions, ambulatory surgery and inpatient stays; 201%-500% FPL pays a sliding fee scale (table effective 04/01/2026). Apply at any H+H facility, online at nychealthandhospitals.org, or call 1-844-692-4692 (option 3) for a financial counselor. Manhattan primary H+H hospitals: NYC Health + Hospitals/Bellevue, NYC Health + Hospitals/Harlem, NYC Health + Hospitals/Metropolitan (Manhattan).

What you'll need

• Proof of NYC residency (any documentation)
• Proof of all household income (or self-attestation if not available)
• Photo identification (any country)
• Recent utility bill or lease (for residency)

Where to apply

What to say when you call

"Hello, I'm calling to ask about NYC Health + Hospitals — HHC Options Financial Assistance (Manhattan). I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need proof of NYC residency (any documentation), proof of all household income (or self-attestation if not available), photo identification (any country) — is anything else required? What is the best next step?"

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Renewals

annual