A different way to healthcare in Boca Raton

Put care choices and cost support in one plan

SakeOf is a healthcare membership designed to make everyday care easier to arrange and healthcare costs easier to understand. It combines membership services, advocacy, fair-price review, voluntary community sharing, and optional direct-service or discount features. The two primary programs are Full Service and Major Medical Only; the services and features available depend on the membership and options you select and keep active.

The practical approach is to start with the need in front of you. For a timely clinical question, check telemedicine. For an ongoing relationship, consider Virtual Primary Care. When an in-person exam, test, specialist, or hospital service is needed, choose a provider and ask about charges before care when possible. If a bill is confusing, Full Service advocacy can help review it. For larger eligible expenses, the program’s member commitment and voluntary community funding process apply under current rules.

Use the calculator and Savings Guide to compare membership choices and features. Provider search can help you look for care, and Jordan can help you work through a question or next step.

Start with practical everyday care

When you want timely guidance for an appropriate urgent-care concern, active Zero Copay Telemedicine provides access through the current service partner. Partner materials describe 24/7 access, unlimited medically appropriate consultations, and physicians licensed in the member’s state. Telemedicine is a convenient first step for suitable concerns; for an emergency, call 911.

If a prescription is needed, active Rx and Prescription Benefits describe approximately 70 acute medications at $0 through more than 67,000 participating pharmacy locations. Check the current benefit for both the medication and pharmacy before relying on it. A medication not included in the benefit may have a separate cost.

Active Mental Health and Counseling includes telephonic counseling on demand and, when arranged and available, up to three face-to-face counseling consultations per incident. Counseling may offer immediate problem assessment, follow-up with the original counselor when available, crisis support, or help identifying another appropriate resource. Psychiatry, inpatient behavioral health, emergency psychiatric care, and medication costs are not automatically included simply because counseling is active.

Virtual Primary Care is an optional service with a $15 monthly adjustment. When active with its required bundled services—Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling—it includes $0 virtual primary-care access, a dedicated physician relationship, an annual virtual wellness visit, health-risk assessment, and chronic-care and medication-management support when clinically appropriate for virtual care. In-person exams, labs, imaging, and specialist care may need to be arranged separately.

Choose local care when you need an in-person visit

Boca Raton has hospital, primary-care, and community health center options. These are city-level listings, not proof that a location is convenient or accessible from every address in ZIP 33496. Confirm current services, appointments, accepted plans, and charges directly with each provider.

The West Boca Community Health Center lists adult primary care, mental health, and adult and pediatric optometry at its Boca Raton location. Listed hours are Monday through Friday, 8 a.m. to 5 p.m.; call 561-642-1000 to confirm current availability, appointments, and payment details. The Health Care District describes a sliding fee scale and payment-plan options for community health center services; ask the center whether those options apply to your situation and what current fees are.

Baptist Health Primary Care at Boca Raton BRiC is listed at 4930 Conference Way North, Suite 100. Florida Atlantic University Medicine Primary Care is listed at 880 NW 13th Street. Contact either office to check availability, services, accepted plans, and charges. For hospital care, Boca Raton Regional Hospital is a 24-hour hospital at 800 Meadows Road and lists emergency care and diagnostic imaging. For an emergency, call 911.

Before scheduled care, ask for an estimate and whether facility, clinician, lab, imaging, or other services will generate separate bills. Baptist Health publishes hospital price information and offers estimates through a central pricing office; an estimate may differ from the final bill. FloridaHealthFinder can help locate facilities and review selected quality information. FloridaHealthPriceFinder compares listed service bundles statewide, not ZIP-specific prices or an individual quote.

Use advocacy to understand a bill

For Full Service members, advocacy can help make a confusing bill more manageable. SakeOf can review billing details, verify a bill, assess fair pricing, and provide negotiation support under program rules. Keep the itemized bill and related records. An itemized bill is required for submissions and should include service dates, provider information, and CPT or HCPCS codes when available.

SakeOf may request medical records, clinical notes, diagnosis or procedure details, billing records, provider documentation, or a signed release to review eligibility, medical necessity, and fair pricing. Submit complete documents within six months of the service date. Submit a balance bill, denial, or payment demand within 10 days of receiving it. Having the itemized bill and any related records ready can make it easier to begin a review.

Know how larger eligible needs are handled

For a larger medical event, Full Service combines advocacy and fair-price review with the applicable member commitment and voluntary community funding for eligible expenses. Eligibility and the process depend on program rules. Community contributions are voluntary, so they are not a guaranteed payment or fixed reimbursement. Review current membership details and request estimates before planned care whenever possible.

For a planned procedure, ask the facility and separately billing clinicians for estimates. Save estimates, itemized bills, provider records, and payment requests. Those documents can help you understand expected charges and support a later review if a bill needs attention. The calculator and Savings Guide can help you compare membership options before a time-sensitive decision arises.

Compare optional features and take a next step

Depending on what is selected, active, and eligible under its rules, optional features may include maternity, dental and vision discounts, chiropractic or acupuncture, physical or occupational therapy, and durable medical equipment. The PT/OT feature has a shared 12-visit annual limit and $780 annual maximum. Eligible visits use a $35 feature-specific member responsibility instead of the standard $500 event commitment. A physician order, referral, or documented plan of care may be required when clinically appropriate or required by state law.

Maternity has a continuous 12-month waiting period that must be complete before pregnancy begins; adding or restoring the feature after conception does not make that pregnancy eligible. Check the current feature details before relying on an optional service. To move forward, compare memberships in the calculator, review the Savings Guide, search for a provider, or ask Jordan about a specific option.

• For an immediate care question, check whether Zero Copay Telemedicine is selected and active.
• For an in-person visit, call the Boca Raton provider to confirm services, availability, accepted plans, and charges.
• For planned care, ask for estimates and whether other clinicians will bill separately.
• For a bill review, gather the itemized statement and submit documents within the applicable timelines.
• Use FloridaHealthFinder for facility information and FloridaHealthPriceFinder for statewide comparisons of listed service bundles.