Healthcare before Medicare in Gassaway

Start with the care you need—and a clearer path to it

SakeOf is a healthcare membership designed to make getting care and handling its costs more organized. Members can use healthcare advocacy and fair-price review, with direct-service or discount options when selected. For eligible medical expenses, voluntary member-to-member community funding may also be available under program rules.

A useful first step is to match the need to the care setting. For a non-emergency concern, an active telemedicine option may be a convenient place to start. For ongoing care, consider whether Virtual Primary Care is selected and active. If the issue calls for an examination, lab, imaging, specialist, or other in-person service, choose a provider who can deliver it and ask about the service and payment arrangements before care when practical.

For an emergency, contact emergency services or go to an emergency department. Braxton County Memorial Hospital in Gassaway reports 24-hour emergency care, as well as inpatient care and outpatient surgery.^{www.loganregionalmedicalcenter.com}

Use everyday-care options when they fit

When selected, active, and eligible, Zero Copay Telemedicine can offer a remote way to address an appropriate health concern. Virtual Primary Care may provide a separate route for primary-care needs. These services do not replace in-person evaluation when the situation calls for an examination, testing, or hands-on treatment.

Prescription benefits are 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. Check the current pharmacy tool before filling a prescription: the formulary, pharmacy participation, and vendor rules can change. A non-formulary medication may have a negotiated or discount price, but it is not automatically free or eligible for community sharing.

If counseling is selected and active, support may include initial problem assessment, supportive counseling, follow-up, crisis support, and referrals when more care is needed. Psychiatry, inpatient behavioral-health care, emergency psychiatric care, and medication costs are not automatically included just because counseling is active. Confirm which services apply to your membership before scheduling.

Choose local in-person care when you need it

For hospital care, Braxton County Memorial Hospital is at 100 Hoylman Drive in Gassaway. Its directory lists billing, a financial counselor, laboratory, radiology, and a Community Health Center contact; call the hospital to confirm current services, locations, appointments, and charges.^{www.loganregionalmedicalcenter.com}

The hospital directory lists the Community Health Center at 304-364-2401. Call to confirm its current location, services, and appointment availability before making a trip.^{www.loganregionalmedicalcenter.com} For hospital billing questions, the directory lists 855-778-2922, and its financial counselor at 304-364-2307.^{www.loganregionalmedicalcenter.com}

WVU Medicine lists a home-health office at 64 State Street in Gassaway, serving Braxton and other counties. The listed office number is 304-364-1063 and the referral number is 304-424-2078; ask about current services and referral requirements.^{www.loganregionalmedicalcenter.com} The Braxton County VA Clinic in Gassaway lists primary care for eligible Veterans. Check the VA’s current facility information for hours and transportation details.^{www.loganregionalmedicalcenter.com}

Local facilities may provide services that involve separate costs, such as laboratory tests, imaging, specialist visits, or in-person follow-up. Ask the provider what is planned, who will bill for it, and what payment arrangements are available. SakeOf members can contact advocacy before planned higher-cost care when reasonably possible.

Put bill review and advocacy to work

When a bill is confusing or seems unusually high, Full Service advocacy can review eligibility, medical necessity, supporting documentation, and price fairness. SakeOf may negotiate or reprice a bill. This gives members a process for raising questions about a charge rather than having to sort through every detail alone.

For a review, keep the itemized bill and any related provider paperwork. An itemized bill is required for submissions and should show service dates, provider information, and CPT or HCPCS codes when available. SakeOf may request additional 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.

WVU Medicine publishes standard-charge files for Braxton County Memorial Hospital, but those files are not final quotes or guaranteed out-of-pocket amounts.^www.cms.gov Ask the hospital about a specific service, billing questions, and available financial assistance. Its financial counselor can explain the hospital’s process; a posted charge file alone cannot tell you the final amount you will owe.

Understand support for larger eligible expenses

Full Service combines advocacy and fair-price review with an applicable member commitment and voluntary member-to-member community funding for eligible medical expenses. Sharing is not automatic: eligibility, documentation, medical necessity, price fairness, and program rules matter. Keep membership active, meet applicable responsibilities, and provide requested records promptly.

Before planned higher-cost care, contact SakeOf when reasonably possible. Ask the provider for an itemized estimate and confirm which services or professionals may bill separately. This can help identify questions to resolve early; neither a provider estimate nor a SakeOf review guarantees a particular final bill or sharing outcome.

Check household options and take a next step

Depending on what is selected and active, membership options may include maternity support, dental and vision discounts, chiropractic or acupuncture, physical or occupational therapy, and durable medical equipment. Each option has its own eligibility and program rules. For example, the maternity feature has a continuous 12-month waiting period before a pregnancy begins; ask for the current program details before planning around it.

To get oriented, use the calculator to compare membership options, read the Savings Guide, or use provider search to explore care options. If you have a question about how a service or bill fits the program, ask Jordan or contact SakeOf before planned care when possible.

• For urgent emergencies: use emergency services; Braxton County Memorial Hospital reports 24-hour emergency care.^{www.loganregionalmedicalcenter.com}
• For a local clinic visit: call the Community Health Center at 304-364-2401 to verify current details.^{www.loganregionalmedicalcenter.com}
• For a hospital estimate or bill: ask the hospital about the service, billing, financial counseling, and financial assistance.^{www.loganregionalmedicalcenter.com}
• For state program information: WV PATH supports screening and applications for programs including Medicaid and WVCHIP.^bms.wv.gov