A different way to healthcare in Burnsville

Start with the care you need

SakeOf is a healthcare membership built around practical access, provider choice, bill support, and voluntary community funding for eligible medical expenses. It offers a smarter alternative to an insurance-first approach: begin with the kind of care you need, then use the membership services and support that fit the situation.

For a new, non-emergency concern, an active Zero Copay Telemedicine feature can provide 24/7 access to urgent-care clinicians by phone or video, with no member cost for an eligible consultation. Rx and Prescription Benefits are a prerequisite. Clinical appropriateness, state licensing, service-partner availability, and program rules still apply. For severe or life-threatening symptoms, seek emergency care rather than waiting for a routine appointment or telemedicine.

For questions about how a membership feature works, use the Savings Guide or ask Jordan. The calculator can help you explore membership options before deciding what to select.

Build an everyday-care routine

When active, Rx and Prescription Benefits can be part of the everyday-care setup. Check the current program details for how the benefit works and which prescriptions qualify. A medication that is not eligible or is outside the benefit’s terms may remain a separate expense.

Mental Health and Counseling, when selected and active, includes unlimited on-demand telephone counseling at no member cost through the current service partner. The service offers 24/7 access to master’s-level counseling professionals for members and eligible enrolled dependents; up to three face-to-face consultations per incident may be arranged when available. Rx and Prescription Benefits and Zero Copay Telemedicine must remain active for this feature. Counseling does not automatically include psychiatry, inpatient behavioral care, or medication costs.

Virtual Primary Care can add an ongoing relationship with a dedicated physician through the current service partner. When active, it includes virtual primary-care access, an annual virtual wellness visit and health-risk assessment, plus follow-up and medication-management support when appropriate for virtual care. Its prerequisites are active Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling. Virtual care can help with appropriate needs, while exams, lab work, imaging, referrals, or in-person follow-up may require separate services and charges.

Use nearby care when an in-person visit makes sense

The identified Burnsville-area resource is a school-based health center serving Braxton County students. Community Care of West Virginia describes services such as immunizations, well-child exams, physicals, and screenings. Because access is tied to participating schools, confirm the specific site, eligibility or consent requirements, hours, and current availability before making a trip.

Braxton County Memorial Hospital is in Gassaway, not Burnsville. It reports 24-hour emergency care and offers inpatient care and outpatient surgery. Contact the hospital directly about the service you need, appointment or referral requirements, charges, and payment arrangements. For emergencies, use emergency services.

The hospital-affiliated Braxton Community Health Center is listed at 617 River Street in Gassaway; call 304-364-2401 to confirm current services and availability. The Braxton County Health Department is in Sutton and provides public-health education and clinical and environmental health services; check its current hours and offerings before visiting. These county resources are outside Burnsville, so plan for travel and confirm details first.

SakeOf supports provider choice. If you need a local clinic, specialist, lab, imaging service, or hospital, use provider search and contact the facility to confirm it offers the service and ask what it will cost. A provider’s posted price or estimate may not include every professional or ancillary charge.

Get help when a bill is hard to understand

Full Service advocacy can help members make sense of medical bills through bill verification, fair-price review, and negotiation support. If a charge looks unclear or unusually high, gather the itemized bill and contact SakeOf for guidance on the applicable process. An itemized bill should show service dates, provider information, and CPT or HCPCS codes when available.

SakeOf may also request medical records, clinical notes, diagnosis or 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. Balance bills, denials, or payment demands should be submitted within 10 days of receipt. The Program Guide and documentation review determine how a particular submission is handled.

Before scheduling planned care, ask the facility for a written estimate and payment information. Braxton County Memorial Hospital has a financial assistance policy and application available through WVU Medicine. Hospital standard-charge files can be useful for comparison, but they are not a final quote or a guarantee of what you will owe.

Understand support for a larger medical event

For larger eligible medical expenses, SakeOf includes voluntary member-to-member community funding under program rules. The applicable member commitment and eligibility depend on the membership terms and review of the specific expense; community funding is voluntary and is not guaranteed. Check the current Program Guide or ask Jordan how a particular event is evaluated before relying on a funding estimate.

Timing matters. An illness, injury, symptom, diagnosis, or treatment that existed, was known, or had recommended or received care during the 24 months before membership began may be treated as pre-existing. A symptom can count even without a formal diagnosis. Eligibility is determined through documentation, clinical review, and the Program Guide. Turning on a feature later does not create retroactive eligibility for an event or course of treatment that began before its effective date.

Choose useful options and take a next step

Households can review other membership options that may fit their needs, including maternity, dental and vision discounts, chiropractic or acupuncture, physical or occupational therapy, and durable medical equipment. These options apply only when selected, active, eligible, and subject to their program terms. Review the current feature details before arranging care; the type of service and its expenses affect what may apply.

• Need care now? For an appropriate non-emergency concern, check whether Zero Copay Telemedicine and its prerequisites are active. Use emergency services for emergencies.
• Need a local visit? Confirm school-based clinic access or call the Gassaway provider directly about availability, charges, and payment arrangements.
• Need help paying for or understanding care? Ask about the hospital’s financial assistance, and contact SakeOf about bill review and documentation.
• Exploring membership? Compare options with the calculator and Savings Guide, search for providers, or ask Jordan a question before enrollment.

West Virginia residents can also use WV PATH to screen for and apply for Medicaid or WVCHIP, and the state Bureau for Medical Services publishes Medicaid member resources. Eligibility, benefits, and transportation details vary; Braxton County Department of Human Services can provide information about local assistance and non-emergency medical transportation.