Healthcare before Medicare in Cedarville

A more coordinated way to approach healthcare

SakeOf is a healthcare membership that gives members a practical starting point for everyday care, freedom to choose providers for in-person services, and a team to help make sense of eligible medical bills. Instead of facing each step alone, members can explore active care options, ask about costs before planned services, and turn to SakeOf for bill review and navigation.

For a common, non-emergency concern that is appropriate for a virtual visit, active Zero Copay Telemedicine can be a convenient first step. If in-person care is a better fit, choose a provider and ask about services and expected charges. For planned higher-cost care, contact SakeOf in advance when reasonably possible so the team can explain the review process and documentation that may be useful.

To see how membership options fit your needs, start with the calculator and Savings Guide. Provider search can help you explore care choices, and Jordan can answer questions as you consider membership options.

Use active options for everyday and ongoing care

Zero Copay Telemedicine is designed for common non-emergency illnesses and symptoms suitable for a virtual visit. A clinician may prescribe medication when clinically appropriate and legally permitted; prescription costs follow the active Rx program. If a clinician recommends labs, imaging, a procedure, specialty care, or an in-person follow-up, those are separate services subject to applicable program rules.

Rx and Prescription Benefits can be part of your everyday-care mix when selected and active. Check whether a particular medication follows the active program’s rules before relying on a benefit for its cost.

Mental Health and Counseling can add another option when selected and active. Members seeking continuity in primary care may also consider Virtual Primary Care. The current bundled service provides a dedicated physician relationship, virtual follow-up, an annual virtual wellness visit, and chronic-care follow-up and medication-management support when clinically appropriate for virtual care. It adds $15 per month and requires Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling to remain active. Labs, imaging, in-person exams, procedures, specialist visits, and medications are separate expenses under applicable rules.

Choose local care for in-person needs

Kettering Health Primary Care — Cedarville is listed as a rural health clinic and a service of Soin Medical Center, with a family-medicine office at 29 Kyle Dr. Call 937-766-2611 to ask about current appointments, services, participation, and expected charges.

Cedarville University Medical Services is a separate, campus-based ambulatory service for students—not the community primary-care office. Students can contact the university to confirm eligibility, current hours, availability, and self-pay fees. The university states that its medical service is not an authorized Medicare or Medicaid provider.

Other listed resources are in nearby cities, not Cedarville: Kettering Health Greene Memorial is in Xenia, and Soin Medical Center is in Beavercreek. Five Rivers Greene County Health Center is listed at 360 Wilson Drive in Xenia and gives 937-281-6800 as its phone number. These listings can help you identify options; contact each organization about its current services, appointments, and charges. For planned labs, imaging, or specialist care, ask the provider about expected costs and contact SakeOf in advance when reasonably possible.

Get support with bills and fair-price review

SakeOf Full Service advocacy helps members work through eligible medical-bill questions. SakeOf reviews eligibility, medical necessity, documentation, and price fairness, and may negotiate or reprice bills. The applicable member commitment and any feature-specific responsibility remain part of the member’s responsibility. Voluntary community funding may support larger eligible events, subject to program rules; it is not guaranteed.

For submissions, an itemized bill is required. It should include service dates, provider information, and CPT or HCPCS codes when available. SakeOf may also request clinical notes, medical records, provider or billing documentation, or a signed medical-record release. Submit complete documents within six months of the service date. Send balance bills, denials, or payment demands within 10 days of receiving them.

Keep membership active, maintain a valid payment method, and submit requested documents promptly. For planned care, contact SakeOf in advance when reasonably possible. These steps help the team review the details of an expense; eligibility and any price negotiation depend on the information and applicable program rules.

Consider additional options and plan for larger needs

Depending on selected options, membership may include dental and vision discounts, chiropractic or acupuncture, and physical or occupational therapy. Review the relevant option’s terms before using it. Imaging or other medical services ordered by a chiropractor or acupuncturist are separate expenses and follow normal eligibility rules.

Durable medical equipment may also be considered under program rules. The annual community-sharing maximum is $1,000 across the enrolled membership. Equipment expected to cost more than $300 requires advance review when reasonably possible; rental may be required when it is the lower reasonable cost.

For maternity, pregnancy must begin after the continuous 12-month maternity waiting period is complete. Eligible pregnancy-related expenses are subject to the maternity limit and program rules. A newborn should be added to membership within 30 days of birth; medical needs after the newborn’s initial discharge are separate from the mother’s maternity event.

Take a useful next step

• For an appropriate non-emergency concern, check whether Zero Copay Telemedicine is selected and active.
• For community primary care in Cedarville, call Kettering Health Primary Care — Cedarville at 937-766-2611 to ask about appointments and expected charges.
• For a planned lab, scan, specialist visit, or other higher-cost service, ask the provider about costs and contact SakeOf in advance when reasonably possible.
• Use the calculator and Savings Guide to explore membership options, search providers for care choices, or ask Jordan a question.