Healthcare after employer coverage ends in Mount Storm

A more hands-on way to make healthcare choices

SakeOf is a healthcare membership designed to make care decisions more practical. You can start with the kind of help you need, consider the services available through your selected membership features, and choose where to seek in-person care. If a bill is difficult to understand, Full Service also offers advocacy and fair-price review.

This puts everyday care, provider choice, and help navigating costs into one membership experience. Your next step can be straightforward: compare membership options using the calculator and Savings Guide, then check the current details for the features you are considering. Jordan can help explain how those options relate to your plans.

Match everyday-care features to what you need

When selected and active, Zero Copay Telemedicine can provide access to remote care for concerns that are appropriate for a telemedicine visit. If a clinician recommends an in-person examination, lab work, imaging, or other follow-up, you can choose where to arrange that care. Check the service details and any separate provider costs before proceeding.

Rx and Prescription Benefits are another feature to consider. Review the current terms for the medication and pharmacy you plan to use, and check the price before filling a prescription. This helps you understand how the benefit may fit your prescription needs before you rely on it.

Virtual Primary Care may be available when selected and active. Review its current service details to see how it fits your ongoing-care preferences. Mental Health and Counseling, when active with its prerequisites, provides on-demand telephonic counseling through the current service partner. It can also include up to three face-to-face counseling consultations per incident when arranged and available. Psychiatry, medication costs, and higher levels of behavioral-health care are not automatically part of that counseling feature.

Choose local in-person care when it fits

Members choose where to seek in-person care. Preston-Taylor Community Health Centers lists Mt. Storm Health Center at 14311 George Washington Highway, Mount Storm, WV 26739, and West Virginia’s provider listing identifies it as a Preston-Taylor satellite in Grant County.^dhhr.wv.gov Call 304-693-7616 to ask about current services, hours, appointment availability, payment arrangements, and prices before you travel or book.

The available research confirms the Mount Storm location but does not establish its full current service list or prices. A quick call can help you determine whether the center offers the service you need and what to expect for scheduling and payment. If you are planning a visit, ask for a service-specific price estimate and whether separate charges may apply.

For care that requires a different setting or specialty, use provider search to explore options and contact the provider directly about the service, location, appointment process, and costs. For planned higher-cost care, request an estimate that identifies the expected service and ask whether facility, professional, lab, or imaging charges are separate.

Bring confusing bills to Full Service

Full Service includes healthcare advocacy, bill review, fair-price review, and negotiation support under program rules. If a bill seems unclear or unusually high, this gives you a place to ask for help examining the charges and understanding what documentation may be needed.

Keep the itemized bill, including service dates, provider information, and CPT or HCPCS codes when available. SakeOf may also request medical records, clinical notes, billing records, or other documents to review eligibility, medical necessity, and fair pricing. Submit complete documents within six months of the service date. Send a balance bill, denial, or payment demand within 10 days of receiving it.

For a planned higher-cost service, contact SakeOf in advance when reasonably possible. Having an estimate and relevant records ready can make it easier to discuss the bill-review process if questions arise later.

Understand support for larger eligible needs

Full Service combines advocacy and fair-price review with the possibility of voluntary member-to-member community funding for eligible medical expenses. Applicable member commitments and program requirements apply. Eligibility, documentation, medical necessity, fair pricing, feature limits, participation status, and available community funds all affect whether an expense may receive support.

Community funding is voluntary and is not a guaranteed payment of a bill. For a planned major medical expense, gather a service-specific estimate, ask the provider about separate charges, and contact SakeOf in advance when reasonably possible. Reviewing the estimate and membership details can help you understand the process before moving forward.

Compare options and take a useful next step

Depending on the membership options you select, additional features may include maternity, dental and vision discounts, chiropractic or acupuncture, physical or occupational therapy, and durable medical equipment. Review the current feature terms and ask providers about availability and prices before arranging care.

• Use the SakeOf calculator and Savings Guide to compare membership options with the care you expect to use.
• Check which everyday-care features are selected and active, then review their current service details.
• Use provider search to explore care choices and confirm services, appointments, and prices directly.
• Ask Jordan how the available membership options may fit the care you are considering.
• For local clinic information, call Mt. Storm Health Center at 304-693-7616 before arranging a visit.^dhhr.wv.gov