Healthcare when you work for yourself in Shady Spring

Start with the care you need

SakeOf is a healthcare membership built around a more practical way to pay for and navigate healthcare. Instead of beginning with a complex billing question, begin with the care you need: a common illness, a prescription, ongoing primary care, a local appointment, or help understanding a larger bill.

Your membership can bring together selected direct services and support for eligible medical expenses. Which services apply depends on the options you select, whether they are active, and the program rules. You can explore membership options, use the calculator, or ask Jordan to help you understand the next step.

Use everyday care options when they fit

For a common, non-emergency illness or symptom that is appropriate for a virtual visit, active Zero Copay Telemedicine provides access to urgent-care consultations at a $0 member cost. The service is available by phone or video, subject to clinician availability, state licensing, technology, and clinical appropriateness. If a clinician recommends an in-person visit, lab, imaging, or other service, that next step is handled separately.

When active, Rx and Prescription Benefits provide access to a current formulary of about 70 commonly prescribed acute medications at $0 when program requirements are met. A prescription must be clinically appropriate and legally issued; medication outside the formulary follows its own cost and arrangements. A local pharmacy may be useful for filling a prescription, but confirm its current hours, availability, price, and payment arrangements directly before you go.

Active Mental Health and Counseling includes unlimited telephonic counseling access through the current service partner, with up to three face-to-face consultations per incident when arranged and available. Active Virtual Primary Care offers a continuing virtual physician relationship, an annual wellness visit, and follow-up support when virtual care is clinically appropriate. These services are optional and have feature prerequisites; check your membership details to see which are active.

Find an in-person care path near Shady Spring

When you need an in-person appointment, start by identifying the service: routine clinic care, dental care, public-health services, hospital care, or a diagnostic service. Then contact the provider to confirm that the service is offered at that location, whether appointments are available, and what it will cost. SakeOf supports provider choice; local care can be part of your plan when a virtual visit is not the right fit or a clinician recommends follow-up.

AccessHealth lists a school-based clinic at Shady Spring High School, 300 Hinton Road, Shady Spring. Its published hours are Monday through Friday, 8:00 a.m. to 11:30 a.m., and it describes a sliding-fee program for eligible uninsured or underinsured patients that requires an application and proof of income. Because it is a school-based location, call first to confirm who may use it, current services, appointment requirements, hours, and charges.

Shady Spring Dental Care lists a Shady Spring location and describes payment options. Ask the practice which services are available there and confirm current fees and payment terms before booking. For county public-health services, Raleigh County information is available through the West Virginia Department of Health. Contact the department to check current services and access details.

For planned hospital care in Beckley, Raleigh General Hospital provides a cost estimator and Good Faith Estimate information. Ask what the estimate includes: physician fees may be billed separately from the hospital, and other professional or ancillary charges may not be included. Estimates are a starting point for planning, not a guarantee of the final bill.

Get help making sense of bills

If a bill seems confusing or unusually high, SakeOf’s Full Service advocacy can help with bill verification, fair-price review, and negotiation support for eligible expenses. The process depends on program rules and your documentation. Keep the itemized bill and provider details, and respond promptly if SakeOf requests records or other information.

An itemized bill is required for submissions and should include service dates, provider information, and CPT or HCPCS codes when available. Complete documents must be submitted within six months of the service date. Submit balance bills, denials, or payment demands within 10 days of receiving them. For planned higher-cost care, contact SakeOf in advance when reasonably possible.

Understand support for larger eligible events

For a larger eligible medical event, SakeOf may provide a path that includes bill review, the applicable member commitment, and voluntary community funding. Funding is not guaranteed; eligibility and handling depend on the program rules, documentation, and review. Keep your membership active, maintain a valid payment method, and be prepared to meet the applicable commitment and provide requested records.

When considering a major procedure or other planned care, ask the provider for a written estimate and clarify whether separate clinician, laboratory, imaging, or facility charges could apply. Contact SakeOf ahead of planned higher-cost care when reasonably possible so you can understand the relevant process and documentation.

Choose options that match your needs

Optional membership features may include maternity care, dental and vision discounts, chiropractic and acupuncture, physical and occupational therapy, and durable medical equipment. Each applies only when selected, active, eligible, and otherwise subject to program rules. Review the Savings Guide and membership options to understand current feature details and monthly adjustments before choosing.

For West Virginia Medicaid or WVCHIP screening and applications, use WV PATH. The state Bureau for Medical Services also provides Medicaid member information, including resources related to managed care, transportation, renewals, and benefits. Program eligibility and benefits vary; use official state resources for current details.

Take your next step

• Feeling sick: Check whether Zero Copay Telemedicine is active and whether your symptoms are appropriate for a virtual urgent-care visit. For emergencies, seek emergency care.
• Need ongoing care: Review Virtual Primary Care and search for an in-person provider if you need an examination or follow-up locally.
• Need medication: Check the active formulary and confirm prescription and pharmacy details before filling it.
• Need local services: Call AccessHealth, the dental practice, or the county health department to verify current access, services, and costs.
• Facing a large bill or planned event: Gather estimates and itemized documents, then contact SakeOf about advocacy and the applicable process.

Use the calculator to explore membership options, read the Savings Guide, search for providers, or ask Jordan which next step fits your care situation.