Healthcare when you work for yourself in Charleston

Build a care path around the need in front of you

SakeOf is a healthcare membership designed to make everyday care more organized and direct. Start with what you need now: an acute illness, a prescription, ongoing primary care, an in-person appointment, or help understanding a bill. Selected membership features connect some of those needs to virtual services; you can also choose local providers when in-person care is appropriate.

Features have their own monthly adjustments, prerequisites, and program rules. Use the calculator and Savings Guide to compare membership options before selecting features. Provider search can help you look for care, and Jordan can help you understand which active features and processes may apply to a specific question.

Use virtual care for suitable everyday needs

When Zero Copay Telemedicine is active, the current service partner offers 24/7 urgent-care telemedicine, with unlimited medically appropriate consultations and board-certified physicians licensed for the member’s state. It can be a convenient first step for an appropriate acute concern. For urgent or emergency situations that need in-person attention, seek appropriate in-person care.

Virtual Primary Care is an optional feature that provides $0 virtual primary-care access, a dedicated physician relationship, an annual virtual wellness visit, and a health-risk assessment and stratification. It also includes chronic-care follow-up, medication-management support, and care coordination when clinically appropriate for virtual care. The current bundled service tier requires Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling to remain active. A virtual visit may help with ongoing needs, while an examination or test may require a local provider.

Check the prescription and counseling details

When Rx and Prescription Benefits is active, the current service partner’s benefit includes approximately 70 commonly prescribed acute medications at $0 when program requirements are met. Use the current formulary and participating-pharmacy tool to check a specific medication before filling it. Prescribing and dispensing requirements apply; medicines outside the active formulary are not automatically included at $0. Chronic-maintenance, specialty, and other medications require a separate active program that expressly provides them.

Mental Health and Counseling, when active, provides unlimited on-demand telephonic counseling through the current service partner, with access for members and eligible enrolled dependents. The program also describes up to three face-to-face counseling consultations per incident when arranged and available. Psychiatry, medication costs, and other services are separate unless another active program expressly includes them. Check the feature prerequisites and current service details when comparing membership options.

Choose an in-person option in Kanawha County

Southern West Virginia Health System lists family medicine, pediatric care, walk-in and same-day care, laboratory, and X-ray services at its Sand Plant Road site in Kanawha County. Alum Creek Pharmacy is also listed at that location. Before traveling, contact the site to confirm the particular service, hours, walk-in or appointment availability, prescription services, and payment arrangements.

Charleston has hospital and outpatient resources, including CAMC facilities in or near ZIP code 25301. CAMC publishes price-transparency information and an estimator, but standard charges are not patient-specific out-of-pocket estimates and may exclude separately billed professional services.^www.cms.gov When requesting an estimate, ask which facility and professional charges are included. CAMC lists Patient Financial Services at 304-388-7530 in the local research information; verify current details with CAMC.

The Kanawha-Charleston Health Department is a Charleston public-health resource at 108 Lee Street E, Charleston, WV 25301, with phone number 304-344-5243. Contact the department to confirm that it offers the service you need and check current hours. These are local options to investigate; call providers directly about availability, payment arrangements, and prices.

Get help with bills and fair-price questions

If a bill is unclear, gather the itemized bill, any estimate, and the provider’s explanation of the services performed. Ask which charges are for the facility and which are from individual professionals. For planned care, request a service-specific estimate and ask whether ancillary services or separate professional bills may be involved.

SakeOf’s Full Service advocacy process includes bill verification, fair-price review, and negotiation support. Ask Jordan what process is available for your membership, which bills or services may be eligible, and what documentation is needed. A review or negotiation is not a promise of a changed bill or a particular result; the provider’s estimate and final bill can differ.

Understand larger eligible needs and other options

For a larger eligible medical event, review the applicable member commitment and ask SakeOf how eligibility, documentation, and timing work under the program rules. Voluntary community funding may be part of the process for eligible events, but it is voluntary and not guaranteed. For scheduled care, contact the provider early about the planned services, location, estimate, and any separate professional or ancillary charges. Keep estimates and bills together when asking Jordan what SakeOf support may apply.

Other optional features include maternity care, dental and vision discounts, chiropractic and acupuncture, physical and occupational therapy, and durable medical equipment. Review each feature’s price adjustment and requirements in the calculator or Savings Guide, then use provider search and contact a provider to check whether the service is available to you.

For state program information, West Virginia residents can use WV PATH to screen for and apply to programs including Medicaid and WVCHIP. Eligibility and benefits vary. The state Bureau for Medical Services provides member resources on topics including managed care, transportation, and renewals.

• Compare options: Use the calculator and Savings Guide to review membership features and price adjustments.
• Find care: Search for a provider, then call to confirm the service, availability, payment arrangements, and current price.
• Get help: Bring a specific care or bill question to Jordan and ask which active features and program rules apply.