Healthcare after employer coverage ends in Cincinnati

Build a care path around your needs

SakeOf is a healthcare membership designed to make everyday care and care decisions more direct. Choose the features that fit your household, use their services when they are active, and choose a provider when a hands-on visit, test, specialist, or hospital service makes sense. If a bill is confusing, Full Service advocacy can help review the paperwork and fair pricing. For larger eligible medical needs, the program may involve voluntary community funding under its terms.

A useful first step is to match the need to the kind of care: consider an active virtual option for an appropriate remote concern, arrange local in-person care when an examination or procedure calls for it, and gather the itemized bill if you need help understanding charges. Explore the calculator and Savings Guide to compare membership options, or ask Jordan to help you understand the available features.

Use everyday services when they fit

Zero Copay Telemedicine is an optional feature. When selected and active, it provides telemedicine access with a $0 member cost for that service, subject to program terms. It can offer a convenient first step for an appropriate concern. If you want an ongoing virtual primary-care relationship, Virtual Primary Care is a separate direct service with a $15 monthly adjustment. Its active bundle includes $0 virtual primary-care access, a dedicated physician relationship with ongoing virtual follow-up, an annual virtual wellness visit, and chronic-care or medication-management support when clinically appropriate for virtual care.

To use the current Virtual Primary Care bundle, keep Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling active. Rx and Prescription Benefits is an optional feature; check its terms for how a particular medication and pharmacy expense are handled before relying on it.

Mental Health and Counseling has a $6 monthly adjustment and, when selected and active with its prerequisites, includes unlimited on-demand telephone counseling at $0 through the current service partner. Members and eligible enrolled dependents have 24/7 access to master's-level counseling professionals. Up to three face-to-face counseling consultations per incident may be arranged when available. Psychiatry, inpatient behavioral health, emergency psychiatric care, and medication costs are not automatically included in this counseling service.

Choose Cincinnati care for in-person needs

When you need a physical exam, lab, imaging, specialist, or hospital service, you can choose a provider for that in-person care. Cincinnati Health Department City of Cincinnati Primary Care operates six community health centers offering medical care. Call 513-357-7320 to ask about appointments and which center offers the service you need; the department also lists dental services and contacts. Confirm current arrangements with the department when you call.

Hamilton County Public Health’s clinical-services clinic is at 5050 Section Avenue, Cincinnati, OH 45212. The county lists STI/HIV testing and treatment, tuberculosis services, and support for eligible families through the Children with Medical Handicaps program. Call 513-946-7610 to ask about current services and arrangements.

For hospital care, UC Health and TriHealth list Cincinnati locations. UC Health provides patient pricing information and a way to request an estimate; TriHealth lists financial-assistance and financial-counseling contacts. Ask the provider about the specific service, expected charges, and any separate professional, facility, lab, imaging, or follow-up charges. These Cincinnati and Hamilton County resources are local starting points, not evidence of appointment access or a specific price for an individual.

Get support with bills and fair pricing

Full Service advocacy gives members a process for asking for help with bill verification, fair-price review, and negotiation. Begin with an itemized bill that includes service dates, provider information, and CPT or HCPCS codes when available. SakeOf may also request medical records, clinical notes, diagnosis and 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. Send a balance bill, denial, or payment demand within 10 days of receiving it. Advocacy is subject to program terms and review. If a bill is unclear, contact SakeOf through the member process and include the documents requested for review.

Plan ahead for a larger eligible need

For planned higher-cost care, contact the provider for an estimate and reach SakeOf in advance when reasonably possible. This gives you an opportunity to understand the applicable member commitment, documentation, and next steps before care. Larger eligible events may involve voluntary community funding through the program, subject to its rules and review.

Members are responsible for keeping membership active, maintaining a valid payment method, funding required asks, and submitting complete records promptly. For unexpected care, follow the appropriate care path and share bills and requested documents within program timelines. Use the calculator or Savings Guide to explore membership options and ask Jordan about the process for your situation.

Choose additional features for your household

Optional features can address needs beyond routine primary care: Maternity Care has an $18 monthly adjustment; Chiropractic and Acupuncture is $14; Physical and Occupational Therapy is $11; and Durable Medical Equipment is $7. Each feature applies when selected and active, subject to its program terms.

Dental and Vision Discounts has a $9 monthly adjustment. Members pay participating providers directly at the applicable discounted rate; discounts vary and are not guaranteed at every provider. Review the feature details and confirm the price with the provider before scheduling.

• Explore options: Use the SakeOf calculator and Savings Guide to compare membership features.
• Find city primary care: Call 513-357-7320 and ask which Cincinnati center offers the service you need.
• Plan a procedure: Request a provider estimate and contact SakeOf in advance when reasonably possible.
• Review a bill: Gather the itemized bill and contact SakeOf through the member process.
• Talk through membership: Ask Jordan about features and next steps.