Healthcare before Medicare in Ellsworth

A more connected way to get care in Ellsworth

SakeOf is a healthcare membership designed to make care easier to organize and healthcare costs easier to address. Instead of treating every need as a separate transaction, the membership can connect everyday virtual services, your choice of local providers, and support when a bill needs a closer look.

Start with the care you need. A common, non-emergency illness may be appropriate for telemedicine. A preventive service or a concern that needs an examination may call for an in-person provider. For a larger medical event, SakeOf’s Full Service model adds bill review and support for eligible expenses, subject to the program rules and your applicable member commitment.

Start with the lowest-friction everyday care

When Zero Copay Telemedicine is selected and active, eligible members can access medically appropriate, non-emergency urgent-care consultations by phone or video at a $0 member cost. The current service partner describes access as available 24/7, with unlimited medically appropriate consultations while the feature is active. Clinician availability, state licensing, technology, and clinical judgment still apply.

Rx and Prescription Benefits can work alongside that care for eligible acute medications on the active formulary. A prescription is issued only when clinically appropriate and legally permitted. Check the current pharmacy tool before filling a medication: the formulary, participating pharmacies, and vendor rules can change, and a medication outside the active benefit may have a separate cost.

If ongoing care is the need, Virtual Primary Care offers a dedicated physician relationship, virtual follow-up, an annual wellness visit, a health-risk assessment, and medication-management support when appropriate for virtual care. This service tier requires Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling to remain active.

Selected, active Mental Health and Counseling includes on-demand telephonic counseling with a $0 member cost through the current partner. The program also describes up to three face-to-face counseling consultations per incident when arranged and available. Psychiatry and other services beyond the described counseling benefit are not automatically part of it.

Use local care when an in-person visit makes sense

SakeOf does not restrict you to a single local provider. When you need an examination, lab, imaging, specialist, or hospital service, identify the service you need, choose a provider, and confirm directly what is available and what it is expected to cost. A virtual clinician may recommend in-person follow-up; that visit and any related testing are separate care decisions.

For county public-health services, Mahoning County Public Health lists immunizations, a tuberculosis clinic, WIC, and other programs. Its office is at 50 Westchester Drive, Youngstown, OH 44515; call 330-270-2855 to confirm current services, locations, and appointment details.[[cite:]] WIC information lists clinic contacts and locations in Austintown, Boardman, Goshen, and Youngstown; contact the department to ask about eligibility and appointments.[[cite:]]

For hospital care, Mercy Health lists St. Elizabeth Youngstown Hospital at 1044 Belmont Avenue, Youngstown, OH 44504, phone 330-746-7211. Confirm the service you need, current access, provider participation, and expected charges with the hospital and any applicable coverage source.[[cite:]] These are county-area access points, not facilities identified within Ellsworth itself.

Get help making sense of a medical bill

When a bill seems confusing or high, Full Service gives members a place to bring the paperwork for review. SakeOf can verify bills, review whether charges appear fairly priced, and provide negotiation support under the program rules. Contact SakeOf in advance for planned higher-cost care when reasonably possible; for an unexpected bill, submit it promptly and follow the program’s documentation instructions.

An itemized bill is required for submissions and should show service dates, provider information, and CPT or HCPCS codes when available. SakeOf may request clinical notes, medical records, or other documentation. Complete documents are due within six months of the service date; submit a balance bill, denial, or payment demand within 10 days of receiving it.

Understand support for a larger eligible event

For larger eligible medical events, Full Service combines bill review and fair-price support with a member commitment and voluntary community funding, subject to the Program Guide. Keep membership current, fund required asks, pay the applicable member commitment, and provide requested records. Eligibility and the amount that may be shared depend on documentation, clinical review, and program rules; do not assume an expense qualifies before checking with SakeOf.

Planned care is easier to organize when you contact SakeOf before the service, gather estimates and provider details, and keep itemized bills and records together. Community funding is voluntary, so it is not a guaranteed payment amount or outcome.

Consider options for specific household needs

If maternity support is relevant, the maternity feature is available only when offered and selected as part of Full Service. It requires at least 12 months of continuous active membership and maternity selection before conception. The stated member responsibility is $5,000 per eligible pregnancy, with community sharing up to $25,000 per eligible pregnancy after that responsibility, for pregnancy-related care through six weeks postpartum. Program eligibility and rules apply.

Other membership options, including dental and vision discounts, chiropractic or acupuncture, PT or OT, and durable medical equipment, may be worth asking about when those needs arise. Confirm which options are currently offered, selected, active, and applicable to your service before arranging care. They are not automatically included simply because you have a membership.

Choose your next step

• Feeling sick: Check whether Zero Copay Telemedicine and Rx and Prescription Benefits are active, then use the service for an appropriate non-emergency concern.
• Need a regular care relationship: Review the requirements for Virtual Primary Care and ask whether the active service tier fits your needs.
• Need local services: Call Mahoning County Public Health or the hospital directly to confirm appointments, services, and charges.
• Have a bill or planned procedure: Contact SakeOf, review the Savings Guide, and gather itemized bills or estimates.
• Comparing membership choices: Use the calculator, provider search, or Jordan to explore options and ask questions before enrolling.