When family healthcare feels too expensive in Clayton

Start with the care you need in Clayton

SakeOf is a healthcare membership built around a more practical way to pay for and navigate care. The member experience can begin with a low-friction everyday option, then move to an in-person provider when the situation calls for an exam, test, or other local service. Your provider choice remains part of the decision.

For common, non-emergency illnesses or symptoms appropriate for a virtual visit, Zero Copay Telemedicine can offer a convenient starting point when the feature is selected and active. A virtual clinician can assess the concern and advise on next steps. If symptoms suggest an emergency, seek emergency care rather than using a routine virtual-care path.

Build an everyday-care routine that fits

SakeOf’s everyday-care options can work together. Rx and Prescription Benefits support eligible medications under the active program and current formulary. Prescriptions depend on clinical judgment and applicable prescribing rules; check the current pharmacy tool before filling a medication because formulary and vendor rules can change.

Mental Health and Counseling can provide access to counseling when selected and active, subject to program rules. Virtual Primary Care adds a dedicated physician relationship, virtual follow-up, an annual virtual wellness visit, and chronic-care follow-up or medication-management support when appropriate for virtual care. The current Virtual Primary Care tier requires Rx and Prescription Benefits, Zero Copay Telemedicine, and Mental Health and Counseling to remain active.

These options can make routine questions and follow-up easier to organize, but a virtual recommendation may lead to separate care. Labs, imaging, in-person exams, procedures, specialists, and medications outside the applicable benefit follow their own program rules and may be separate expenses.

Choose local in-person care when you need it

Hometown Primary Care lists a Clayton location at 7709 Hoke Road, Clayton, OH 45315, with phone number 937-809-2940. Contact the office to confirm current hours, appointments, clinicians, and payment arrangements before you go.

A state agency collection-site document dated 2022 lists Hometown Urgent Care at 7709 Hoke Road and phone number 937-836-4000. Because that document is older and is not a current clinic directory, verify the address, operating status, hours, services, and charges directly before visiting.

For outpatient services beyond Clayton, Kettering Health Englewood Health Center lists primary care, laboratory, imaging, and other services. Contact the relevant department to confirm availability and details. A location listing does not establish that a provider is accepting patients or participates in a particular plan. Before scheduling, ask about the service, expected charges, payment arrangements, and participation in any applicable coverage or program.

Use advocacy when a bill needs a closer look

When a healthcare bill is confusing or unexpectedly high, SakeOf’s Full Service advocacy can help members with bill verification, fair-price review, and negotiation support, subject to program rules. This gives members a point of support for understanding charges and pursuing a reasonable resolution rather than handling every billing question alone.

For a submission, an itemized bill is required. It should include service dates, provider information, and CPT or HCPCS codes when available. SakeOf may request clinical notes, medical records, billing details, or other documentation to review eligibility, medical necessity, and fair pricing. Submit complete documents within six months of the service date, and send balance bills, denials, or payment demands within 10 days of receiving them.

Understand support for larger eligible events

For larger eligible medical events, SakeOf combines review and advocacy with an applicable member commitment. Voluntary community funding may also be available for eligible events under program rules; it is not something to assume in advance. Contact SakeOf about planned higher-cost care when reasonably possible, and keep membership current, maintain a valid payment method, and provide requested records promptly.

Members planning maternity care should know that eligibility requires pregnancy to begin after the continuous 12-month maternity waiting period is complete. Maternity rules include limits and other conditions; review the current Program Guide for the details that apply to a planned event.

Explore options for household needs and local help

Depending on available programs and what is selected and active, membership options may include dental and vision discounts, chiropractic or acupuncture, PT/OT, and durable medical equipment. Check the current program details before arranging care so you understand the applicable access process and member responsibilities.

Montgomery County provides Medicaid program information and application routes, including County Shared Services at 844-640-6446. Public Health – Dayton & Montgomery County lists area community health centers and describes sliding-fee-scale services; contact each center to ask about services, fees, and payment options. Its public-health clinic offers a limited set of appointment-based services, so call 937-225-4550 to confirm current services and scheduling. These county resources provide access information, not a determination of individual eligibility or availability.

Take your next step

• Need help with a common illness? Check whether Zero Copay Telemedicine is selected and active, then use the service for an appropriate non-emergency concern.
• Want an ongoing care relationship? Review the Virtual Primary Care tier and its required active features.
• Need care in person? Call a Clayton or nearby provider to verify services, appointments, payment arrangements, and participation before scheduling.
• Have a bill or planned major expense? Ask SakeOf about advocacy and review the applicable program rules. Use the calculator, Savings Guide, provider search, or Jordan to explore membership options.