Driver questionPay, fees & earnings rules

Can Drivers Without Insurance Use NYC Care?

Yes, if you live in NYC and can't get or afford insurance. NYC Care isn't insurance, fees start at $0 and it doesn't ask immigration status. How to sign up.

  • Reviewed
  • 2 min read
  • 5 official sources
On this page (7)
  1. Who qualifies
  2. What you get, and what it costs
  3. Not insurance: what that means for you
  4. Immigration status
  5. How to sign up
  6. FAQ
  7. Sources

Yes, if you live in NYC and can't get or afford health insurance. NYC Care is a city program run through NYC Health + Hospitals. It is not insurance, but it gives you your own primary care doctor, low-cost prescriptions and other care, with fees on a sliding scale that start at $0 and no premiums. It doesn't ask about immigration status. For a self-employed driver with no plan from an app or base, it can fill the gap. Call 646-NYC-CARE (646-692-2273).

General information, not medical or legal advice. As of 2026-10-12.

Who qualifies

ACCESS NYC says you qualify if you:

  • live in NYC (any of the five boroughs),
  • don't have health insurance from an employer,
  • don't qualify for any health insurance plan available in New York State, and
  • can't afford health insurance based on government guidelines.

If you drive as an independent contractor for an app, a base or a taxi owner, "insurance from an employer" isn't an option. Uber's NYC driver benefits, for example, don't include health insurance. The question is whether you qualify for Medicaid, the Essential Plan or a marketplace plan you can afford. If you lost the Essential Plan in July 2026 (see the Essential Plan change), the Attorney General named NYC Care as one option for people who can't afford a marketplace plan.

What you get, and what it costs

What NYC Care members get (ACCESS NYC)

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Care is only at NYC Health + Hospitals locations: the NYC Care FAQ says that includes 11 hospitals plus community health centers, with interpretation in over 250 languages and dialects.

Not insurance: what that means for you

Because NYC Care isn't insurance, it doesn't pay bills at private doctors, other hospitals or out-of-state providers. If you later qualify for Medicaid, the Essential Plan or an affordable marketplace plan, NYC Care's yearly screening is meant to catch that. In a medical emergency, call 911 or go to the nearest emergency room; don't wait for an NYC Care appointment. If you drive for Uber, Lyft or a black car base, the free Black Car Fund benefits (dental, vision, telemedicine) can sit alongside NYC Care.

Immigration status

ACCESS NYC: "NYC Care doesn't ask about immigration status." The NYC Care FAQ: "We do not record information regarding your immigration status."

How to sign up

  1. Call or visit

    Call 646-NYC-CARE (646-692-2273), or go to an NYC Health + Hospitals site, a community-based organization or a MetroPlusHealth office.

  2. Bring proof

    ID, NYC residency, household income and household size. A printout of a NY State of Health insurance determination can replace other documents.

  3. Can't find documents?

    ACCESS NYC says a counselor may still be able to help you enroll.

  4. Renew on time

    Renew up to 30 days before your card expires. You're re-screened every 12 months.

For driving income, bring your last tax return, 1099s or recent app pay statements to show household income.

Frequently asked questions

Is NYC Care health insurance?

No. NYC Care says plainly that it is not an insurance plan. It is a city program that gives low-cost and no-cost care at NYC Health + Hospitals locations to people who can't get or afford insurance.

How much does NYC Care cost?

Fees are based on your family size and income and start at $0. There are no membership fees, monthly fees or premiums.

Will NYC Care ask about my immigration status?

ACCESS NYC says NYC Care doesn't ask about immigration status, and NYC Care says it does not record information about it.

Can I use NYC Care at any doctor or hospital?

No. NYC Care works only at NYC Health + Hospitals patient care locations, which include 11 hospitals plus community health centers in the five boroughs.

How do I renew?

NYC Care says members can renew up to 30 days before the card expires, and a financial counselor screens members every 12 months to see if they now qualify for insurance.

Sources

Last reviewed against the official sources on .

  1. ACCESS NYC: NYC Care access.nyc.gov
  2. NYC Care: FAQ nyccare.nyc
  3. TLC: Driver Resources nyc.gov
  4. Uber: NYC driver benefits (Apr 15, 2026) uber.com
  5. NY Attorney General: Guidance to New Yorkers Facing Health Insurance Changes (Jun 22, 2026) ag.ny.gov

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