A different way to healthcare in Appleton

Start with the care you need

SakeOf is a healthcare membership designed to put practical care choices and cost support at the center of the experience. You can begin with the need in front of you—a common illness, prescription question, ongoing primary-care need, counseling, or a service that calls for an in-person exam—and then check which active membership features apply.

Compare membership options using the calculator or Savings Guide. Provider search can help you explore where to go, and Jordan can help explain how a feature works before you select it or arrange planned care. Features and responsibilities depend on the options selected and their program terms.

Use everyday care options when they fit

Zero Copay Telemedicine is designed for common, non-emergency illnesses and symptoms that are appropriate for a remote consultation when the feature is active. A clinician determines whether remote care is suitable. Provider availability, technology, state law, clinical judgment, and prescribing rules apply. If you need an exam, lab, imaging, specialist, procedure, or other in-person follow-up, arrange that care separately.

Prescription benefits depend on the active Rx program. A telemedicine clinician may prescribe when clinically appropriate and legally permitted, but the medication cost follows the active prescription program. Check its current terms for the specific medication and pharmacy before filling a prescription.

Mental Health and Counseling offers unlimited on-demand telephonic counseling through the current service partner, with no member cost for that included counseling access, when Rx and Prescription Benefits and Zero Copay Telemedicine are active. Up to three face-to-face consultations per incident may be available when arranged and available through the program. Counseling can include supportive sessions and referrals when more care is needed; it does not automatically include services such as psychiatry or inpatient behavioral health.

Virtual Primary Care may be an option for ongoing care. Check current membership options for availability and terms, then use provider search or ask Jordan about how to explore ongoing care in your situation.

Choose local care when you need to be seen

For an exam, procedure, or facility service, you can choose a provider and contact them directly about the service, appointment access, and billing. ThedaCare lists ThedaCare Regional Medical Center–Appleton at 1818 N. Meade St.; Ascension NE Wisconsin–St. Elizabeth Hospital is listed at 1506 S. Oneida St. Confirm the service and access with the facility before arranging care.

ThedaCare lists urgent care at 3925 N. Gateway Dr. and orthopedic walk-in care at 2400 E. Capitol Dr. Walk-in access can change, including during busy periods, so check before traveling. Ask how the visit is billed and whether clinicians or other services may bill separately. ThedaCare provides standard-charge information, a cost-estimate tool, and financial-assistance information. For an estimate, ask about your specific service and setting and which charges it includes.

Partnership Community Health Center lists medical, dental, and behavioral-health services and describes a sliding fee scale. Contact the center to ask about current services, eligibility, fees, and appointments. A listed service does not establish that a particular appointment is available.

Get help understanding bills and prices

If a bill is confusing or seems unusually high, Full Service support can review bills and pricing and support negotiation where appropriate. Start by gathering the itemized bill, including service dates, provider information, and CPT or HCPCS codes when available. SakeOf may also request clinical notes, medical records, diagnosis or procedure details, billing records, provider documentation, or a signed release to review eligibility, medical necessity, and fair pricing.

Submit complete requested documents within six months of the service date. Send a balance bill, denial, or payment demand within 10 days of receiving it. For planned higher-cost care, contact SakeOf in advance when reasonably possible. At a local hospital, a published charge or estimate is a starting point for asking about costs—not necessarily an individual’s final amount—and may not include every professional or ancillary charge.

Understand larger eligible needs and optional features

Potentially eligible categories include medically necessary illness or injury care, emergency and urgent care, diagnostics, labs, imaging, hospitalization, surgery, and medically necessary ambulance services. The applicable member commitment or feature-specific responsibility is part of the process. After that responsibility, eligible expenses may be considered for voluntary community funding under program rules. Funding and eligibility are not guaranteed amounts; keep your membership current, provide requested documents, and confirm the applicable terms with SakeOf.

Optional features can address specific needs. Maternity requires continuous active membership with the maternity feature selected and current for at least 12 months before conception. The stated responsibility is $5,000 per eligible pregnancy, with community sharing up to $25,000 after that responsibility, subject to program terms. Potentially eligible maternity care includes routine prenatal visits and tests, delivery-related care, and routine pregnancy-related postpartum care through six weeks after delivery.

Other options may include dental and vision discounts, chiropractic or acupuncture, and durable medical equipment. Check current membership materials for the specific terms rather than assuming a service or price applies. Under the PT/OT feature, eligible services have a shared limit of 12 visits and $780 annually across the enrolled membership, with a $35 feature-specific responsibility. A physician order, referral, or plan of care may be required when clinically appropriate or required by law.

Use local and statewide resources for the next step

Outagamie County Public Health is based in Appleton at 320 S. Walnut St. and lists WIC and maternal and child health among its services. Contact the division to confirm current programs, hours, and access. Outagamie County also provides information about mental-health and substance-use services, including walk-in clinic and eligibility information; verify current details with the county.

Wisconsin DHS ForwardHealth offers Medicaid and BadgerCare Plus program and provider resources. The department also provides information for finding free or low-cost clinics statewide. Eligible Medicaid and BadgerCare Plus members may have non-emergency transportation options for covered appointments when they have no other way to get there; eligibility and advance-scheduling rules apply.

• Compare: Use the calculator and Savings Guide to review membership options and responsibilities.
• Find care: Search providers, then confirm services, availability, and billing directly.
• Ask: Contact Jordan about a feature before selecting it or arranging planned care.
• Prepare: Keep itemized bills and requested records, and contact SakeOf promptly when a bill or payment demand needs review.