Healthcare after employer coverage ends in Union City

Make healthcare easier to organize

SakeOf is a healthcare membership that brings together practical everyday services, provider choice, member advocacy, fair-price review, and voluntary community sharing for eligible larger medical events. Instead of beginning with a plan’s network and payment rules, members can consider the care they need, choose relevant membership features, and look for a provider who can deliver that care. Your program and active features determine which services and processes apply.

For a common non-emergency illness or symptom, active Zero Copay Telemedicine offers eligible urgent-care consultations at no member cost. Members can access the service 24/7 by phone or video where the service partner is available and licensed, and the concern is appropriate for virtual care. The program does not limit medically appropriate consultation frequency or duration. Clinicians may prescribe when appropriate and legally permitted. Use emergency services for emergencies.

For an exam, procedure, lab, imaging, or specialist, choose an appropriate in-person provider. SakeOf supports provider choice, so you can start by searching for providers and then ask the office about appointment access and expected charges.

Choose everyday services that fit

Zero Copay Telemedicine requires Rx and Prescription Benefits to remain active. The Rx feature is designed primarily for medications commonly prescribed for acute conditions. A listed formulary medication may be available at $0 when the participating-pharmacy process and prescribing and dispensing requirements are met. Non-formulary medications are not automatically $0 or eligible for community sharing. Check the current pharmacy tool before filling a prescription because formulary and pharmacy rules can change.

Mental Health and Counseling provides on-demand telephonic counseling through the current service partner, with face-to-face consultations available in some circumstances when arranged through the program. Rx and Prescription Benefits and Zero Copay Telemedicine must remain active for this feature.

Virtual Primary Care is an optional service for members seeking a dedicated physician relationship with virtual follow-up. It includes an annual virtual wellness visit and support for chronic-care follow-up and medication management when appropriate for virtual care. It requires Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling to remain active. Consider whether virtual care suits your needs; a virtual recommendation does not itself include separate in-person services.

Find local in-person care in Union City

Wayne HealthCare lists primary-care and walk-in services at 622 East Elm Street, Union City, OH 45390-1722, for adults and children from six months of age. Its published hours are Wednesday, 7:00 a.m. to 4:30 p.m.; the location lists other days as closed. Hours can change, so call 937-968-7416 before visiting to confirm current hours and appointment availability. Ask the office about participation and expected charges for the service you need.

If a virtual clinician recommends lab work, imaging, an in-person follow-up, or specialist care, contact the provider who will perform each service and ask what it will cost. One visit or procedure may involve separate professional or facility charges. Keep itemized bills and related records in case you want to request SakeOf review.

For countywide public-health services, the Darke County General Health District lists nursing, immunization, Help Me Grow, environmental health, and vital-record services. These are county public-health resources, distinct from hospital or private clinical care. Check the district directly for current service details, hours, and fees. Family Health Services serves Darke County through multiple locations and lists insurance-assistance resources and a sliding discount scale; ask the organization about current locations, eligibility, and terms.

Get support with confusing bills

With Full Service, SakeOf advocacy can help members understand eligible medical bills through bill verification, fair-price review, and negotiation support. If a bill looks unclear or unusually high, gather the itemized bill and provider details and contact SakeOf about the review process and any applicable member commitment. Review can help you evaluate a charge, but it does not guarantee a price reduction or that an expense will qualify.

An itemized bill is required 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. Submit complete documents within six months of the service date. Submit balance bills, denials, or payment demands within 10 days of receiving them.

Plan ahead for larger eligible needs

Full Service includes an applicable member commitment for eligible events, followed by the possibility of voluntary community funding under program rules. The member commitment and eligibility depend on the event and membership details. Contact SakeOf about planned higher-cost care when reasonably possible, and ask the provider for an estimate. Confirm which clinicians and facilities may bill separately.

Members are responsible for keeping membership current, maintaining a valid payment method, funding required asks, paying applicable member commitments, and providing requested documents promptly. For an immediate emergency, seek emergency care first.

Compare options and take a next step

If pregnancy planning is relevant, the optional maternity sharing feature, when offered and selected, requires continuous active membership and maternity selection for at least 12 months before conception. The member responsibility is $5,000 per eligible pregnancy, with community sharing up to $25,000 per eligible pregnancy after that responsibility. Adding or restoring the feature after conception does not make that pregnancy eligible.

Depending on the program and selected features, options may also include dental and vision discounts, chiropractic or acupuncture, PT/OT, and durable medical equipment. Review membership options to see which features are available and fit your household. The base membership fee is $50 per member per month; the final monthly amount also depends on the program, household composition, community ask calculation, selected features, and any applicable Full Service adjustment.

• Need quick guidance? Check whether active telemedicine is appropriate for your non-emergency concern.
• Need local in-person care? Call Wayne HealthCare at 937-968-7416 to confirm current access and ask about charges.
• Need a medication? Check the active formulary and participating-pharmacy process before filling it.
• Received a bill? Gather the itemized bill and contact SakeOf promptly about advocacy and review.
• Planning a larger expense? Use the Savings Guide, provider search, or Jordan to prepare questions, then contact SakeOf in advance when reasonably possible.