Patient Information

Payments and Insurance

Coastal Community Health Services gladly accepts Medicaid, including Amerigroup, Wellcare and Peachcare, Medicare, Tricare and some private insurance. We will work with you to help you get the care you need.

No Insurance?

We will help you determine your eligibility for various programs offered by the State and/or the Affordable Care Act. If you do not qualify, we offer discount sliding fees based upon family size and income level. Please fill out this Sliding Fee Scale Application (English or Español) and bring it with proof of income to your first appointment.

Patient Forms

English
Spanish
Doctor's Desk

What to Bring on Your First Visit

  • Medical insurance card, Medicaid coupon and/or Medicare card

  • Proof of income (pay stubs, tax return)

  • Photo ID

  • A list of all medications

Man Hands On Keyboard

Existing Patients

Coastal Community Health Services Health Care Support Portal provides better communication with your physician's office by providing convenient 24/7 access from the comfort and privacy of your own home or office.

Notice of Privacy Practices

The United States government established a law called the Health Insurance Portability and Accountability Act (“HIPAA”) of 1996. The law is intended to provide standard privacy and security protections for your medical information.

 

The Notice of Privacy Practices, located below explains how we use and maintain your medical information. It is used by the Coastal Community Health Services (CCHS); staff and volunteers; members of the Medical Staff; those participating in managed care networks with the CCHS; and other legal entities that provide services to the CCHS.

 

You will be asked to sign a form acknowledging that you have had an opportunity to receive this Notice and to ask questions regarding its contents. Signing this Acknowledgment form in no way affects the care you will receive.

 

If you have questions about anything contained in the Notice of Privacy Practices, please contact our Privacy Officer-Cheryl Ehrreich.

We Promise to Serve All Patients

Offer discounted fees for patients who qualify.

We will not deny services based on a person's race, color, sex, national origin, disability, religion, sexual orientation, inability to pay