Healthcare after employer coverage ends in Cincinnati

Put everyday care and provider choice in one membership

SakeOf is a healthcare membership for people who want a more deliberate way to arrange everyday care, choose providers, and get help with complex bills. Start with the need in front of you: a new health concern, a prescription question, ongoing primary care, counseling, or an in-person service. Then use the features you have selected and that are active, and choose a provider suited to the care you need.

That combination is useful because one care need may call for a virtual conversation, while another calls for a local clinic, specialist, or hospital. SakeOf gives members ways to organize those choices and support reviewing eligible larger medical events. Compare options with the calculator or Savings Guide, or ask Jordan about membership choices.

Use virtual care, prescriptions, and counseling

Zero Copay Telemedicine can provide a convenient first conversation when the feature is selected and active. If the care requires an examination, test, or procedure in person, arrange that service with an appropriate provider. Prescription needs can follow a separate path: Rx and Prescription Benefits is an optional feature priced at an additional $10 per month. Check the active feature terms for how a particular medication and related service are handled.

Virtual Primary Care is an optional feature priced at an additional $15 per month. It requires Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling to remain active for the current bundled service tier. When active, it includes zero-dollar virtual primary-care access through the current service partner, a dedicated physician relationship with ongoing virtual follow-up support, an annual virtual wellness visit, and chronic-care or medication-management support when clinically appropriate for virtual care.

Mental Health and Counseling costs an additional $6 per month. When active, it includes unlimited on-demand telephonic counseling at $0 and 24/7 access to master’s-level counseling professionals for the member and eligible enrolled dependents. Up to three face-to-face counseling consultations per incident may be arranged when available through the program. When more care is needed, the service may refer members to appropriate plans or local community resources. Counseling features have active-feature prerequisites; check your membership details before arranging care.

Find Cincinnati-area in-person care

When you need an examination, lab, dental service, specialist, or hospital care, choose a provider based on the service and contact them about current access and expected charges. The Cincinnati Health Department’s City of Cincinnati Primary Care lists six community health centers offering medical care and also lists dental services. Call 513-357-7320 to ask which center offers the service you need and about appointments. [[cite:]]

Hamilton County Public Health lists STI/HIV testing and treatment, tuberculosis services, and support for eligible families through the Children with Medical Handicaps program at its clinic at 5050 Section Avenue, Cincinnati, OH 45212. Call 513-946-7610 to ask about services and current arrangements. [[cite:]] These county services are a separate local access point; they do not establish access for every need or location.

UC Health provides patient pricing information and a route to request an estimate. TriHealth provides financial-assistance information and financial-counseling contacts. Ask the relevant provider about the specific service, current availability, and expected charges. A provider’s estimate or assistance information can help you plan, while the final amount depends on the service and your circumstances. [[cite:]]

Get help making sense of a medical bill

SakeOf Full Service advocacy can help members with bill verification, fair-price review, and negotiation support for eligible events under program rules. For a review, gather the itemized bill, including 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 medical record release.

Submit complete documents within six months of the service date. Submit a balance bill, denial, or payment demand within 10 days of receiving it. Keeping your membership current, meeting applicable member responsibilities, and contacting SakeOf in advance about planned higher-cost care when reasonably possible help you follow the process. Use the calculator or Savings Guide to explore membership options, and ask Jordan how to get started with bill support.

Plan for a larger eligible medical event

For a larger medical event, the SakeOf process can include advocacy and bill review, an applicable member commitment, and voluntary community funding for eligible events under program rules. The member commitment and funding process depend on the applicable terms and the event’s review. Before planned higher-cost care, contact SakeOf when reasonably possible to ask what information and next steps apply.

Cincinnati-area members can also ask providers directly about estimates or assistance resources. TriHealth describes financial assistance and financial-counseling contact options; contact TriHealth to confirm current requirements and eligibility. [[cite:]] For Medicare-approved provider comparisons, Medicare Care Compare is a federal tool; confirm access and expected charges with the provider. [[cite:]]

Match optional features to your needs

Optional features let members shape a membership around household needs. Maternity Care is an additional $18 per month; Chiropractic and Acupuncture is $14; Physical and Occupational Therapy is $11; Durable Medical Equipment is $7; and Dental and Vision Discounts is $9. Each feature applies when selected and active, according to its program terms.

With Dental and Vision Discounts, members pay participating providers directly at the applicable discounted rate. Actual discounts vary by provider, location, service, product, and vendor terms. Check the feature details and participating-provider arrangements before scheduling or purchasing.

Choose your next step

• Compare membership options: Use the calculator and Savings Guide to consider which features fit your expected care needs.
• Explore care choices: Use provider search, then contact the provider about services, availability, and expected charges.
• Ask about city primary care: Call Cincinnati Health Department City of Cincinnati Primary Care at 513-357-7320.
• Plan higher-cost care: Contact SakeOf in advance when reasonably possible to ask about the applicable member commitment and process.
• Get personal help choosing: Ask Jordan about membership options and enrollment details.