A different way to healthcare in Boulder

Start with the care you need—not a billing maze

SakeOf is a healthcare membership built around practical care access, advocacy, fair-price review, and voluntary member-to-member community funding for eligible medical expenses. Instead of beginning with a complicated payment question, start with the need in front of you: a new symptom, a prescription, ongoing primary care, or an in-person appointment.

Your available services depend on the options selected, whether they are active, and the program rules. Use the calculator and Savings Guide to understand membership options, and ask Jordan for help figuring out what to explore next.

Use everyday-care options when they fit

For a non-emergency concern, Zero Copay Telemedicine may offer a convenient way to speak with a clinician when that benefit is selected and active. It can help with an immediate problem or a next-step question. If the clinician recommends an exam, test, imaging, or specialist visit, those services may involve separate providers and costs.

Prescription benefits are designed primarily for medications commonly prescribed for acute conditions. A listed medication may be available at $0 through the participating-pharmacy process when program and dispensing requirements are met. Check the current formulary and pharmacy tool before filling a prescription: non-formulary medications may have a negotiated or discount price, and are not automatically included in community sharing.

If counseling or Virtual Primary Care is active on your membership, use those options according to their service terms. Counseling may include immediate problem assessment, supportive sessions, follow-up when available, crisis support, and referrals when additional care is needed. Counseling does not automatically include psychiatry, inpatient behavioral health, emergency psychiatric care, or medication costs.

Choose local in-person care and check the details

When you need an exam, lab, imaging, specialist, or hospital service, you can choose a provider that fits your needs. In Boulder, Boulder Community Health publishes a directory of hospital and outpatient locations. Contact the specific location to confirm its services, appointments, and participation in any program relevant to you.

Boulder Community Health also provides price-estimate and price-transparency information. When asking for an estimate, clarify which facility services, professional fees, tests, and other charges are included; final charges can differ, and some professional fees may be separate. The organization also describes financial-assistance options, with eligibility and application details to confirm directly.

For community-based care, Clinica’s People’s Clinic is a Boulder option; contact the clinic to verify current services and enrollment details. Boulder County Public Health offers programs that include immunizations, communicable-disease services, family-health programs, and environmental health. Check the county’s information or call to confirm program locations, hours, and availability.

If you use Health First Colorado, its provider-search and member-support resources can help with finding participating providers and questions about benefits, bills, or pharmacy matters. Confirm participation and appointment availability directly with the provider. The state search is not a guarantee of a particular service or appointment.

Ask for advocacy when a bill is hard to understand

With Full Service, SakeOf advocacy can help members make sense of billing, verify bills, review fair pricing, and seek negotiation support when appropriate. An itemized bill is required for submissions. Keep service dates, provider details, and CPT or HCPCS codes when available; SakeOf may also request clinical or billing records to review eligibility, medical necessity, and fair pricing.

Submit complete documents within six months of the service date. If you receive a balance bill, denial, or payment demand, submit it within 10 days of receiving it. Timely, complete paperwork gives the review team information to assess the bill and explain the next step.

Understand support for larger eligible medical events

For a larger eligible medical expense, Full Service combines advocacy and fair-price review with voluntary member-to-member community funding. Sharing is voluntary and applies only to eligible expenses under the program rules; it is not a promise that a particular bill will be paid. The applicable member commitment is part of how a qualifying event is handled, so review the current Program Guide for its amount and terms before relying on a specific figure.

For a planned service, ask the provider for an itemized estimate and submit the relevant information for review as directed. Keep records of the estimate, bills, service dates, and communications. For an emergency, seek emergency care first rather than delaying care to follow a routine membership workflow.

Consider other options that may suit your household

If maternity is relevant, the program has a 12-month continuous waiting period: pregnancy must begin after that period is complete. Licensed birth-center and licensed-midwife services may be considered at a fair cash price, subject to program terms. Review the maternity rules in advance, including the newborn enrollment deadline and event limits.

Dental and vision options are discounts paid directly to participating providers; discounts vary and routine dental or vision bills are not community-shared. Chiropractic and acupuncture have a combined visit and annual-dollar limit, with sharing capped per eligible visit. PT/OT or durable medical equipment may be options when the applicable program expressly includes them and requirements are met; check current terms before arranging care or purchasing equipment.

Make your next step in Boulder

• For a new, non-emergency concern: Check whether telemedicine is active and appropriate, then follow any recommendation for in-person care.
• For a local appointment: Contact the provider to verify services, location, appointment availability, and any estimate details.
• For a bill: Gather the itemized bill and submit it within the required timeframe for review.
• For membership questions: Compare options with the calculator or Savings Guide, explore provider search, or ask Jordan what to review.