How do encounters with healthcare providers shape refugees’ experiences of belonging in a polity? States typically extend social rights such as access to education and healthcare to refugees, which provide key mechanisms for incorporation into the host state society. In the case of Turkey, Syrian refugees are provided “temporary protection” as opposed to official refugee status. Unlike the conferral refugee status, which denotes a state’s legal commitment to providing social rights to protected individuals, temporary protection is an ad hoc status. Temporary protection for Syrians in Turkey has precipitated generous social rights including education and healthcare access but remains unspecified in its temporal scope. This temporal ambiguity affects the organizational terrain in which refugees interact with the state as they access services and incorporate into Turkish society. This paper analyzes the ways in which Syrians’ experiences with healthcare services shape their sense of belonging and identity in Turkey, while assessing in tandem the development of a patchwork healthcare landscape for refugees that extends beyond state providers. Using semi-structured interviews with Syrian patients, Syrian doctors, Turkish doctors, and Syrian clinic administrators, I examine the experiences of individuals with both Turkish state providers and alternative providers that have emerged in the interstices of state services. I find that despite the fact that Syrians have legal access to Turkish healthcare, they may opt out of state services due to feelings of marginalization. Exclusion from and avoidance of Turkish healthcare due to a confluence of language barriers, bureaucratic challenges, and discrimination creates demand for alternative healthcare options. Syrian doctors and professional have created new combinations of healthcare to meet this demand. I argue that individuals are able to exert autonomy by seeking care in Syrian-run clinics, outside the Turkish bureaucratic healthcare apparatus. These clinics are able to mediate incorporation into society by filling everyday healthcare needs such that individuals do not need to enter the Turkish healthcare setting where their refugeehood and otherness comes into sharper relief in waiting rooms and through interactions with healthcare personnel. On the other hand, the persistence of parallel services outside the margins of the state perpetuates identity-based service provision, which undermines broader attempts at social integration. Most recently, the Turkish state has begun opening separate Migrant Health Centers employing Arabic-speaking doctors, thereby institutionalizing the separation of migrants and refugees as a group while easing access to official services.