North Coast Health is now Neighborhood Family Practice

Dear Patient,

We value you as a patient and are pleased to announce that effective January 1, 2019, North Coast Health will begin operating as Neighborhood Family Practice (NFP). You will continue to receive the same quality care and service with NFP that you have come to know with North Coast Health, as NFP shares the same dedication to delivering high quality affordable care to patients and the community.

To make the transition as easy as possible for you, the information below highlights some things you need to know about our services going forward:

Access to Care:

  • The North Coast Community Health Center will be closed from Wed., Dec. 26, 2018 through Tues., Jan. 2, 2019 and will reopen Jan. 2, 2019 as Neighborhood Family Practice. If you need medical care during this time, you may call 216.228.7878 for assistance scheduling an appointment at one of NFP’s five nearby locations.

  • Beginning January 2, you may continue going to the Lakewood location (which will be renamed Neighborhood Family Practice North Coast Community Health Center) for care. You will also be able to go to any of our five other community health centers which offer additional services including pregnancy care, psychiatry and dental.

Financial Assistance/Charitable Care:

Similar to North Coast Health, NFP offers a sliding fee discount based on family size and income that has been expanded to include patients with income at or below 400% of the federal poverty level.

Effective Jan. 1, 2019, the North Coast Health Charitable Care program will end. If you are currently participating in this program, you will need to enroll in NFP’s financial assistance program prior to making your next appointment. The cost of visits ranges from $5 to $45 depending on income and family size.

  • If you have already scheduled an appointment at North Coast Health in 2019, you will be able to keep your appointment. You will be contacted to arrange a meeting with an NFP patient benefits specialist who will answer questions about health care benefits, assess your health insurance options, provide information on basic health insurance issues and assist with applying for coverage and accessing benefits.

  • If you have questions about NFP’s financial assistance program or if you would like to make an appointment with a patient benefits specialist, please call 216.228.7878.


  • NFP participates in the 340B Drug Pricing Program that allows us to purchase medications at a discounted price. As a result, we can make these medications available to our patients at a lower cost than most other pharmacies.

  • You may have received free sample medications from North Coast Health. NFP does not provide free medication samples, but we will work with you through the 340B Drug Pricing Program and pharmaceutical company discount programs to find an affordable alternative.

We value the trust and confidence you place in us, and we look forward to serving your health care needs in 2019.


jean polster.JPG

Jean Polster
President and CEO

Patient Frequently Asked Questions (FAQs)

Updated Dec. 18, 2019

Q: Who does the financial screening? Do I have to meet with this person before being seen?

A: A member of our patient benefits team will meet with you to review your financial documentation and health insurance options, explain our financial assistance program, assist with applications to Medicaid and answer questions. This meeting should be scheduled prior to your medical appointment.

Q: What financial documentation am I required to present?

A: You will need to provide the financial documentation listed in our Sliding Fee Policy. A patient benefits specialist will review what you need to bring with you prior to your appointment.

Q: How often do I need to renew my financial application?

A: Once a year, unless there is a change in your annual income. This is a rolling year that begins on the date of your appointment.

Q: If I can’t provide the required financial documentation can I be seen, and what will I be charged?

A: Yes, you will be seen and charged the minimum fee of $5. You will have 30 days to complete the financial screening process to see if you are eligible for financial assistance. If you do not complete the financial screening, you will be responsible for paying full charges.

Q: If I can’t pay the fee at the time of service, will I be turned away?

A: No. Patients are never denied service due to an inability to pay. You will be seen and billed for your copay.

Q: Does NFP send patients to collections?

A: It’s NFP’s policy to collect payment for services at the time of your visit, unless prior arrangements have been made. Billing notices will be sent for any services that have not been paid and failure to make a payment may cause your account to be sent to collections. NFP does offer payment plans to assist patients who have difficulty paying outstanding balances. This information will be reviewed at your financial screening appointment.

Q: How do I get my medications and how much will I have to pay?

A: Until March 31, you may continue to get your meds through your provider at the North Coast Community Health Center. Beginning April 1, you will have access to NFP’s Drug Pricing Program and pharmaceutical company discount programs to find affordable alternatives.


Q: Why is this happening?

A: The decision is the result of North Coast Health’s strategic planning process to ensure long-term access to health care in our community. By joining Neighborhood Family Practice, we will strengthen and enhance existing services while increasing our capacity to provide more access to care.

Q: Why did North Coast Health Choose Neighborhood Family Practice?

A: North Coast Health and Neighborhood Family Practice share a similar mission of providing quality health care to those in need, regardless of their ability to pay. By joining together, we can accomplish much more than we would be able to do individually.

Q: What will happen to the North Coast Health clinic in Lakewood?

A: The clinic will remain open at its current location on 16110 Detroit Avenue in Lakewood. On Jan. 1, 2019, when North Coast Health joins Neighborhood Family Practice’s network of community health centers the name will change to Neighborhood Family Practice and the site will be called the North Coast Community Health Center.

Q: Will I still be able to see my doctor or nurse practitioner?

A: You will be able to continue seeing your provider (Dr. Garven, MaryJo and Teegan), at the Lakewood location. If one of Neighborhood Family Practice’s other locations is more convenient for you, you may also receive services there. To learn more about NFP’s providers, please click here.

Q: Will the services available at North Coast Health change?

A: The current services available at North Coast Health will continue. Beginning in January, we will add care for pediatric patients (children), which will make it possible for us to take care of your whole family. As a part of Neighborhood Family Practice, you will also have access to additional services including women’s health and midwifery (care during pregnancy), talk therapy (psychotherapy) and psychiatry and dental.

Q: How do I schedule an appointment?

A: Continue to call North Coast Health at 216.228.7878. You can also schedule an appointment when you are at North Coast Health.

Q: Will there be any changes in how much it costs for an appointment?

A: Beginning in January 2019, there will be changes. We know this is probably an area of concern for you, and many of our patients. Both organizations provide financial assistance by means of a sliding fee scale and Neighborhood Family Practice is working out the details to combine the two in a manner that will best meet the needs of our patients and the combined organization. We will have information available to you as soon as possible. As always, care would never be withheld if you were unable to pay. Through December 31, 2018, there will not be any changes to how much you pay for services.

Q: Who is Neighborhood Family Practice?

A: Neighborhood Family Practice is a Federally Qualified Health Center (FQHC) with five community health center locations that delivers high quality, affordable primary and preventive health care to people in Cleveland’s west side neighborhoods. Similar to North Coast Health, Neighborhood Family Practice’s model of care is a team-based approach to care that seeks to address social determinants of health and promote good outcomes. NFP provides primary care, women’s health and midwifery services, behavioral health and dental to more than 19,000 patients annually at its combined locations.

Q: Where are Neighborhood Family Practice’s other community health centers located?

A: Ridge Community Health Center - 3569 Ridge Road, Cleveland, OH 44102

Detroit Shoreway Community Health Center - 6412 Franklin Boulevard, Cleveland, OH 44102

Puritas Community Health Center - 14625 Puritas Aveneue, Cleveland, OH 44135

Tremont Community Health Center - 2358 Professor Avenue, Cleveland, OH 44113

W. 117 Community Health Center - 11709 Lorain Avenue, Cleveland, OH 44111

Q: What is a Federally Qualified Health Center?

A: Federally Qualified Health Centers (FQHCs), more commonly known as community health centers, serve more than 27 million people in thousands of locations nationally. FQHC structure is based on community needs and provides care in medically under served areas. As consumer-driven, patient centered organizations, FQHCs must have patient-majority governing boards. This ensures the organization stays true to the community focus. FQHCs receive Federal funding for charity care and to support an enhanced model of care for people living in poverty and those with other barriers to care. Community health centers are not government agencies.

Q: How will I find out more information?

A: We will continue to provide updates as we work through the details. An informational letter about the merger will be mailed to all North Coast patients in August followed by a second letter in November with updates and additional information. Copies of the letters and Frequently Asked Questions (FAQs) will be available at North Coast Health and on our website.

Q: Who do I call if I have questions?

A: Please call us during normal business hours at 216.228.7878 or send an email to

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