A different way to healthcare in Hico

Start with the care you need

SakeOf is a healthcare membership built around a more direct way to arrange everyday care, choose providers, and handle medical costs. Instead of making every decision begin with a billing question, start with the care situation: a common symptom, an ongoing health concern, a prescription question, or a service that needs an in-person clinician.

For common, non-emergency symptoms that are appropriate for a virtual visit, Zero Copay Telemedicine offers an easy first route when it is active in your membership. A clinician can assess the concern and advise whether virtual care is appropriate. If the next step is an exam, lab, imaging, specialist, or other in-person service, plan for that separately and choose a provider that fits your needs.

For an emergency, seek emergency care. Telemedicine and routine membership steps are not emergency-care pathways.

Build an everyday-care routine

When active, Zero Copay Telemedicine provides access to virtual consultations for common non-emergency needs. Provider availability, technology, state law, and clinical appropriateness still matter. A prescription may be issued when clinically appropriate and legally permitted; medication costs follow the active Rx program, so check the program details and whether a specific medication is included.

Mental Health and Counseling, when selected and active with its required features, provides telephonic counseling access through the current service partner, with face-to-face consultations available when arranged and offered through the program. Counseling access does not by itself include psychiatry, inpatient behavioral health, or medication costs.

Virtual Primary Care may suit someone who wants an ongoing virtual relationship rather than a one-time consultation. The current feature includes a dedicated physician relationship, ongoing virtual follow-up support, an annual virtual wellness visit, and chronic-care and medication-management support when appropriate for virtual care. It adds $15 per month and requires active Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling. Labs, imaging, in-person follow-up, and specialist services are not included just because a virtual clinician recommends them.

Use local care when you need an in-person visit

Midland Trail Health Center is state-listed in Hico at 26709 Midland Trail, ZIP code 25854, as a satellite of Rainelle Medical Center, Inc.; the listed phone number is 304-969-8080. Call before going to confirm current hours, services, appointment availability, payment arrangements, and charges.^dhhr.wv.gov

If a clinician recommends in-person care, you can choose a provider that meets your needs. Before scheduling, ask whether the provider offers the service you need, what the expected charge is, whether additional professional or ancillary bills may follow, and what payment arrangements are available. For lab work, imaging, specialist visits, or procedures, confirm the location and price directly with the facility or clinician providing the service.

To check whether a provider participates in a West Virginia Medicaid program, use the state provider directory to search by program, provider or clinic name, specialty, and location, then confirm participation and availability directly with the provider.^{www.wvmmis.com}

Get help making sense of a medical bill

When costs are hard to understand, SakeOf Full Service advocacy can help with bill verification, fair-price review, and negotiation support. This gives members a practical place to turn when a bill seems confusing or inflated. Ask SakeOf what documents are needed and how to submit them; keep the itemized bill and any related records.

For submissions, an itemized bill is required. It should show service dates, provider information, and CPT or HCPCS codes when available. SakeOf may request medical records or other documents to review eligibility, medical necessity, and pricing. Submit complete documents within six months of the service date; send balance bills, denials, or payment demands within 10 days of receiving them.

Plan for a larger eligible medical event

For a larger eligible event, understand the applicable member commitment and the program rules before care when reasonably possible. Contact SakeOf in advance about planned higher-cost care, keep your membership current, and ask what records or estimates may be useful. Full Service advocacy can support bill review and negotiation; voluntary community funding may be available for larger eligible events under program rules. Neither the provider’s estimate nor a discussion with SakeOf guarantees a particular final bill or outcome.

When arranging care, ask the provider for a service-specific estimate and whether separate professional, facility, or ancillary charges may apply. Keep copies of estimates, itemized bills, and communications so you can share them if requested.

Choose a useful next step

• For a common non-emergency concern: Check whether Zero Copay Telemedicine is active and appropriate for the issue.
• For local primary care: Call Midland Trail Health Center at 304-969-8080 to confirm services, hours, and arrangements.
• For a provider search: Search the West Virginia Medicaid directory by program and location, then call to verify participation.
• For a bill or planned larger service: Gather an estimate or itemized bill and contact SakeOf about advocacy and documentation.
• To compare membership choices: Use the calculator or Savings Guide, ask Jordan a question, or review membership options.

Optional features apply only when selected, active, eligible, and subject to their program rules. Review the relevant feature details before relying on an option for a particular service.