Healthcare when you work for yourself in Cincinnati

A more guided way to arrange care

SakeOf is a healthcare membership for people who want a more active way to organize care and handle medical costs than an insurance-first experience. It brings together everyday-care options, provider choice, and support reviewing medical bills. The practical first step is to match the care you need with the membership features you have selected and that are active, then contact the relevant service or provider.

For a new concern that is appropriate for remote care, telemedicine may be a convenient place to start. For ongoing care, Virtual Primary Care may provide a dedicated physician relationship and follow-up. If you need an examination, test, or specialist, use provider search to identify places to contact and ask directly about the service, availability, and expected charges. The calculator and Savings Guide help you explore membership options; Jordan can help with membership questions.

Use everyday-care options that fit

Zero Copay Telemedicine is an optional feature. When selected and active, it provides access to the current service partner’s telemedicine service. A clinician may recommend an in-person visit or another service; ask the provider about any separate service and charge before proceeding when possible.

Rx and Prescription Benefits are optional. If selected and active, check the program information and pharmacy details for the medication you need before filling it. The applicable terms determine how a prescription is handled, so confirm any cost or requirements rather than assuming a particular medication or pharmacy price applies.

Mental Health and Counseling is an optional feature that requires active Rx and Prescription Benefits and Zero Copay Telemedicine. When active with those required features, it includes unlimited on-demand telephonic counseling at zero dollars through the current service partner, with 24/7 access to master's-level counseling professionals. Up to three face-to-face counseling consultations per incident may be arranged when available through the program. If you need a different type or level of behavioral-health service, ask the service partner or a local resource about appropriate next steps.

Virtual Primary Care has a $15 monthly adjustment and requires active Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling for the bundled service tier. When selected and active, it provides zero-dollar virtual primary-care access, a dedicated physician relationship, an annual virtual wellness visit, and chronic-care follow-up and medication-management support when clinically appropriate for virtual care.

Find Cincinnati care when an in-person visit is needed

Cincinnati Health Department City of Cincinnati Primary Care lists six community health centers offering medical care and provides 513-357-7320 for appointment inquiries. The department also lists dental services. Call to ask which center offers the service you need and what appointment arrangements are currently available. ^{www.summahealth.org}

Hamilton County Public Health lists STI/HIV testing and treatment, tuberculosis services, and support for eligible families through the Children with Medical Handicaps program. Its clinic is at 5050 Section Avenue, Cincinnati, OH 45212; the listed phone number is 513-946-7610. Call to confirm current services, eligibility, and arrangements before visiting. ^{www.summahealth.org}

UC Health and TriHealth list care locations in Cincinnati. Treat a provider listing as a starting point: contact the specific location to confirm it offers the service, has appointments, and can provide an expected charge. For hospital care, UC Health provides a route to request an estimate. An estimate may not determine the final amount, so ask about the specific service and any applicable costs before scheduled care when possible.

For Medicare provider comparisons, Medicare Care Compare is a federal tool for finding and comparing Medicare-approved providers. Use it to compare available information, then confirm details with the provider; it does not establish appointment access or an individual’s cost. Ohio Medicaid’s state resources provide benefit, provider-directory, and application information for people seeking state program information.

Get support understanding a bill

If a bill is confusing or seems unusually high, SakeOf Full Service advocacy can support bill verification, fair-price review, and negotiation. Keep the itemized bill and related records together. An itemized bill is required for submissions and should include service dates, provider information, and CPT or HCPCS codes when available. SakeOf may also request medical records, clinical notes, diagnosis or procedure details, provider documentation, billing records, 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. For planned higher-cost care, contact SakeOf in advance when reasonably possible. These steps give the review information it may need; they do not promise a particular decision or outcome.

TriHealth describes financial-assistance applications and financial-counseling contacts. If you are considering care there, contact TriHealth to confirm current requirements and eligibility. Its assistance process and SakeOf membership support are separate options; ask each directly what applies to your situation.

Plan for a larger eligible medical event

For a larger eligible event, SakeOf’s approach includes an applicable member commitment and voluntary community funding, subject to program rules. Full Service advocacy can help verify bills, review fair pricing, and support negotiation. Eligibility and applicable responsibilities depend on the membership terms, so contact SakeOf about planned care when reasonably possible.

Keep your membership active, maintain a valid payment method, fund required asks, and provide requested documentation promptly. If a provider can give you an estimate, request one for the specific planned service and keep it with your bills and provider communications. An estimate is a useful planning detail, not a promise of the final amount.

Explore additional membership options

Depending on your needs, optional features include Maternity Care (+$18 per month), Chiropractic and Acupuncture (+$14), Physical and Occupational Therapy (+$11), Durable Medical Equipment (+$7), and Dental and Vision Discounts (+$9). Each applies only when selected and active and remains subject to its program terms. Review the feature details in the calculator or membership options before choosing one for a particular need.

Dental and vision discounts are available through participating providers at applicable discounted rates. The member pays the provider directly, and discounts vary by provider and service. Ask the provider what it offers and what price applies before scheduling or making a purchase.

Choose your next step

• For everyday care: Check your active telemedicine, counseling, prescription, and Virtual Primary Care features in the calculator and Savings Guide.
• For a Cincinnati city clinic: Call Cincinnati Health Department City of Cincinnati Primary Care at 513-357-7320 and ask about the service and appointment arrangements you need. ^{www.summahealth.org}
• For county clinical services: Call Hamilton County Public Health at 513-946-7610 to confirm current services and eligibility before visiting. ^{www.summahealth.org}
• For a bill or planned major care: Contact SakeOf about Full Service advocacy and documentation, and request an estimate from the provider when available.
• For membership questions: Ask Jordan or review membership options in the calculator and Savings Guide.