Healthcare when you work for yourself in Cincinnati

Start with the care you need

SakeOf is a healthcare membership designed to make it easier to organize everyday care and navigate larger medical bills. You can begin with a care need, use the membership features you have selected and kept active, and choose a provider directly when in-person care makes sense. That puts practical care steps and bill support alongside provider choice, rather than making a directory the only place to start.

For a concern suitable for a virtual visit, Zero Copay Telemedicine provides virtual access when selected and active. Rx and Prescription Benefits is a separate feature for prescription needs under its program terms. Mental Health and Counseling includes unlimited on-demand telephonic counseling at no member cost, 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.

Virtual Primary Care offers a dedicated physician relationship, an annual virtual wellness visit, and ongoing virtual follow-up, including chronic-care or medication-management support when clinically appropriate. It requires Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling to remain active. A clinician may recommend in-person evaluation or other services; ask the provider what is involved and what charges to expect.

Choose a useful everyday-care path

For a quick clinical conversation

Use Zero Copay Telemedicine if it is selected, active, and appropriate for your concern. If you want a continuing relationship for routine questions or follow-up, consider Virtual Primary Care and check that its required features are active. Virtual care can help you discuss a next step, but it is not an emergency response.

For prescriptions or counseling

Before relying on Rx and Prescription Benefits, check the current feature terms and how your particular medication is handled. Prescription eligibility and costs depend on those terms, and a medication that requires an in-person evaluation may involve additional steps.

Mental Health and Counseling is telephonic counseling, not a promise of every type of behavioral-health service. Psychiatry, inpatient behavioral health, emergency psychiatric care, and medication costs are not automatically included. When a different level of help is needed, the service may support referral to appropriate behavioral-health plans or local community resources.

For an ongoing primary-care relationship

Virtual Primary Care may suit members looking for a dedicated physician relationship, wellness visit, and follow-up when appropriate for virtual care. Check the active-feature requirements and current membership options before choosing it. For needs that call for a local examination, lab, imaging, or specialist, contact a provider directly to discuss the service and expected charges.

Find in-person care in Cincinnati

The Cincinnati Health Department’s City of Cincinnati Primary Care program lists six community health centers offering medical care. Call 513-357-7320 to ask which center offers the service you need and about appointments. The department also lists dental services and contacts; confirm current details with the department. ^{www.summahealth.org}

Hamilton County Public Health lists STI/HIV testing and treatment, tuberculosis services, and Children with Medical Handicaps support for eligible families. Its clinic is at 5050 Section Avenue, Cincinnati, OH 45212; call 513-946-7610 to check current services and arrangements. These are county services at a specific clinic, not a listing of all care available near every Cincinnati address. ^{www.summahealth.org}

UC Health and TriHealth list hospital and other care locations in Cincinnati. For planned care, contact the facility to confirm the service, availability, participation relevant to your situation, and expected charges. UC Health provides a route to request a patient estimate; TriHealth describes financial assistance and financial-counseling contacts. Ask those organizations directly about estimates, current requirements, and eligibility. ^{www.summahealth.org}

For a different public-program route, Ohio Medicaid’s official resources provide benefit, application, and provider-directory information. Medicare Care Compare is a federal tool for finding and comparing Medicare-approved providers. These are state and federal resources, respectively; neither determines a particular appointment or an individual’s final costs. ^{www.summahealth.org}

Get help understanding a bill

If a bill is confusing or seems unusually high, SakeOf Full Service advocacy can include bill verification, fair-price review, and negotiation support, subject to program rules and eligibility. It is a way to work through the charge and possible next steps, not a promised price or outcome. Contact SakeOf in advance for planned higher-cost care when reasonably possible.

Keep the itemized bill, including service dates, provider information, and CPT or HCPCS codes when available. SakeOf may also request clinical notes, medical records, diagnosis or procedure details, provider documentation, billing records, or a signed 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.

Understand support for larger eligible needs

For a larger eligible medical event, Full Service can include bill review and negotiation support. Members remain responsible for the applicable member commitment and required program steps. Voluntary community funding may be available for larger eligible events under the Program Guide; eligibility and any funding depend on program rules and review. For planned care, contact SakeOf early and ask what information to gather.

Pre-existing-condition review may consider an illness, injury, symptom, diagnosis, or treatment that existed, was known, or had recommended or received medical advice or care during the 24 months before membership began. A formal diagnosis is not required for a symptom to be considered. Determinations depend on documentation, clinical review, and the Program Guide.

Choose features and take your next step

Optional features let members consider other needs, including Maternity Care, chiropractic and acupuncture, physical and occupational therapy, and durable medical equipment. Dental and Vision Discounts provide access to participating-provider discounts; actual discounts vary, and members pay participating providers directly at the applicable rate. Review current feature prices, requirements, and terms before selecting. When a feature becomes inactive, its related services or discounts are no longer included during that period.

• Compare membership options: Use the calculator and Savings Guide to explore features and costs.
• Find local care: Call Cincinnati Health Department primary care at 513-357-7320, or contact a provider directly about services, appointments, and charges.
• Prepare for a bill review: Keep the itemized bill and contact SakeOf about Full Service, documentation, and applicable member responsibilities.
• Get help choosing a next step: Search for a provider or ask Jordan a question about membership options.