Healthcare options for contractors in Teays

Start with the care you need

SakeOf is a healthcare membership designed to make it easier to navigate everyday care, provider choices, and medical bills. Rather than starting every decision with an insurance process, members can consider the care they need, use the selected membership features that fit, and choose a provider when an in-person service is appropriate.

For a common, non-emergency illness or symptom suited to a virtual visit, Zero Copay Telemedicine provides consultations through the current service partner. Provider availability, technology, state law, clinical appropriateness, and prescribing rules apply. A recommendation for a lab, imaging, specialist, or in-person follow-up is a separate service. For an emergency, call 911 or seek emergency care; Putnam County Emergency Services directs people to call 911 for emergencies.

Make everyday care easier to navigate

When selected and active, Rx and Prescription Benefits can support prescription needs under the applicable program rules. A clinician may issue a prescription during a telemedicine visit when it is clinically appropriate and legally permitted; medication costs follow the active Rx program. Check the program details and confirm the medication’s availability and cost before relying on a particular prescription.

Mental Health and Counseling may include problem assessment, supportive counseling, follow-up with the original counselor when available, and crisis support. If further care is needed, the service may help connect a member with behavioral-health plans or local community resources. Psychiatry, inpatient behavioral health, emergency psychiatric care, neuropsychological testing, residential substance-use treatment, and medication costs are separate unless another active benefit or program expressly includes them.

Virtual Primary Care is an optional feature with a $15 monthly adjustment. When active, it offers $0 virtual primary-care access through the current service partner, a dedicated physician relationship with ongoing virtual follow-up, an annual virtual wellness visit with health-risk assessment, and chronic-care follow-up and medication-management support when appropriate for virtual care. The current bundle requires Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling to remain active.

Choose local care when you need a visit or test

Teays-area care options are concentrated along Teays Valley Road and nearby in Hurricane and Scott Depot. CAMC lists a primary-care location at 3948 Teays Valley Road in Hurricane. Valley Health’s Teays Valley location in Hurricane lists QuickCare and laboratory services at 1100 Hospital Drive. Check the official location information and call to confirm current hours, services, appointment options, and payment arrangements.

FamilyCare Health Centers lists its Teays Valley community health center at 97 Great Teays Boulevard, Suite 6, in Scott Depot, with adult, women’s, prenatal, behavioral-health, and other services described on its location page. SC Pediatrics lists pediatric and laboratory services at 3751 Teays Valley Road in Hurricane. Marshall Health’s Teays Pavilion offers primary and specialty care in Teays Valley. Contact each provider to confirm the specific service, appointment availability, and price.

CAMC Teays Valley Hospital is in Hurricane and provides emergency services and other hospital care. For scheduled hospital care, ask the facility and clinician for current self-pay prices and a written estimate. A hospital estimate may not include separate professional or ancillary charges; CMS provides consumer information about hospital price transparency.^www.cms.gov

Use advocacy to understand a bill

If a bill is confusing or seems unusually high, SakeOf Full Service advocacy can help verify billing details, review whether pricing is fair, and support negotiation under the applicable program rules. Keep the itemized bill and related paperwork together. An itemized bill is required for submissions and should include service dates, provider information, and CPT or HCPCS codes when available. SakeOf may also request medical records, clinical notes, billing records, or other documentation to review eligibility, medical necessity, and pricing.

Submit complete documents within six months of the service date. Submit a balance bill, denial, or payment demand within 10 days of receiving it. The applicable member commitment and program rules matter when a request is reviewed. For scheduled care, ask the provider for an estimate early and keep the estimate with your records.

Prepare for a larger eligible medical need

Potentially eligible categories can include medically necessary illness or injury care, urgent and emergency care, diagnostics, labs, imaging, hospitalization, surgery, and medically necessary ambulance services. Eligibility depends on documentation, clinical review, and the applicable program rules. Larger eligible events may involve a member commitment and voluntary community funding; funding is subject to program rules and is not guaranteed.

When a significant care need arises, contact SakeOf early to understand the process and documents relevant to your situation. Keep estimates, provider records, itemized bills, and any payment demands together. For West Virginia Medicaid provider information, the state directory can help you search, but confirm participation and availability directly with the provider. WV PATH is a state portal for screening for and applying to programs including Medicaid and WVCHIP; eligibility and benefits vary.

Explore options for other household needs

Depending on the membership options selected, additional features may be available for maternity care, dental and vision discounts, chiropractic or acupuncture care, physical or occupational therapy, and durable medical equipment. Review the Savings Guide or membership options to see what is available and what rules apply. Potentially eligible maternity expenses may include routine prenatal visits, certain prenatal testing, delivery charges, and routine pregnancy-related postpartum care through six weeks after delivery, subject to the maternity feature’s rules and limit.

To decide what to do next, use the calculator and Savings Guide to compare membership options, check the provider’s official listing for the service you need, and contact the provider to confirm details. If you have a bill or questions about how a feature works, ask Jordan or SakeOf for help identifying a useful next step.