A different way to healthcare in Prince

Make care decisions around the need in front of you

SakeOf is a healthcare membership designed to help members approach care more directly: use available everyday-care services, choose a provider for an in-person service, and get help reviewing a medical bill. Instead of beginning with a complicated payment path, you can start by identifying the kind of care you need and which membership benefits are selected and active.

For a common, non-emergency concern, telemedicine may be a convenient first step when remote care is appropriate. For a visit, test, specialist, or other in-person service, you can choose a provider and ask for the details and price before scheduling. If a bill is difficult to understand, Full Service advocacy can help members with bill verification, fair-price review, and negotiation support. For a larger eligible event, the applicable program rules determine how the member commitment and any voluntary community funding apply.

To see how membership options may fit your situation, begin with the Savings Guide or calculator. You can also search for providers or ask Jordan a question before reviewing membership options.

Use everyday-care benefits when they fit

Zero Copay Telemedicine is designed for common, non-emergency illnesses and symptoms that are appropriate for a remote consultation. Availability, technology, state law, clinical judgment, and prescribing rules apply. A telemedicine consultation does not itself include a recommended lab, imaging, procedure, specialist visit, emergency care, or in-person follow-up; check the relevant active benefit and the provider’s charges for those services.

Prescriptions may be issued through telemedicine when clinically appropriate and legally permitted. The cost of a medication follows the active Rx and Prescription Benefits program, so check the applicable program details rather than assuming a particular medication price.

Mental Health and Counseling, when selected and active with its required benefits, offers telephonic counseling through the current service partner. It can include immediate problem assessment, supportive counseling, follow-up when available, crisis support, and referral to an appropriate behavioral-health plan or community resource when more care is needed. Face-to-face consultations are subject to program arrangements and availability. Psychiatry, inpatient behavioral-health care, emergency psychiatric care, and medication costs are not automatically included just because counseling is active.

Virtual Primary Care is an optional direct service built around a dedicated physician relationship and ongoing virtual follow-up. The current bundled service tier requires Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling to remain active. It may include an annual virtual wellness visit, health-risk assessment, medication-management support, and chronic-care follow-up when clinically appropriate for virtual care.

Choose local in-person care with a clear estimate

No healthcare facility specifically in Prince was verified in the reviewed sources. The state lists New River Health Association at 908 Scarbro Road, Scarbro, WV 25917, phone 304-469-2905. This is a Fayette County resource, not a verified facility in Prince. Call before traveling to ask whether it offers the particular service you need, whether appointments are available, and which payment arrangements it accepts. ^dhhr.wv.gov

For a useful estimate, describe the exact service rather than asking only for a general price. Ask whether the estimate includes professional, facility, laboratory, imaging, or other ancillary charges, and confirm how and when payment is due. Keep the estimate so you can compare it with the bill later. A provider listing can help you identify a place to contact, but it does not establish current appointment availability or the total cost of a service.

Provider choice is part of a practical care path: identify a provider that can deliver the service, ask about its arrangements, and decide whether the location and estimate work for you. If a clinician recommends additional care, ask the provider responsible for that service about its availability and cost separately.

Get help understanding a bill

If a medical bill is unclear or higher than expected, gather the bill, any itemized charges, and any estimate or other information you received. SakeOf Full Service advocacy can help members with bill verification, fair-price review, and negotiation support. Contact the member support path to ask what assistance is available for the specific bill.

Compare the final bill with the estimate and ask the provider to explain differences or charges from separate professionals or services. Advocacy can help you review the situation and communicate about the bill; the result depends on the circumstances, the provider, and applicable program rules.

Know the steps for a larger eligible event

For a larger medical event, first identify which program rules apply, what expenses may be eligible, and what documentation is required. The member commitment applies as described in the applicable program materials. Voluntary community funding may be available for larger eligible events under those rules, but it is not guaranteed. Review the current terms for the particular event and use member support to clarify the process.

For maternity care, the feature may include eligible routine prenatal care, delivery-related expenses, and routine pregnancy-related postpartum care through six weeks after delivery, subject to the maternity sharing limit and program rules. Confirm the current feature terms and the specific expense before planning around it.

Some services have their own conditions. For example, eligible physical or occupational therapy under the PT/OT feature must be medically necessary and provided by an appropriately licensed therapist. The feature has a shared 12-visit limit and a $780 annual maximum across the enrolled membership; its $35 feature-specific member responsibility applies to eligible visits under that feature in place of the standard $500 event commitment. A physician order, referral, or documented plan of care may be required when clinically appropriate or required by state law.

Choose your next step

• For a common symptom: Check whether Zero Copay Telemedicine is selected and active, and whether the concern is appropriate for remote care.
• For ongoing care: Review Virtual Primary Care and confirm that its required bundled benefits are active.
• For a prescription: Check the active Rx program for the medication and its applicable cost.
• For an in-person service near Prince: Call New River Health Association in Scarbro to verify the service, appointments, payment arrangements, and charges before traveling. ^dhhr.wv.gov
• For a bill question: Gather the bill and estimate, then ask Full Service about review and fair-price support.
• To explore membership: Use the calculator or Savings Guide, search for providers, or ask Jordan a question.