A different way to healthcare in Dayton

Start with the care you need

SakeOf gives members a more supported way to make healthcare decisions: access selected care options, choose where to go, and get help making sense of the bill. Rather than beginning with a search for an in-network provider, start with the need in front of you—an everyday symptom, ongoing care, a prescription, or a planned in-person service.

Your membership program, selected features, effective dates, and program rules determine which services and expenses may be eligible. Use the calculator and Savings Guide to explore membership options, or ask Jordan for help finding the right next step.

Use everyday-care options when they fit

When selected and active, Zero Copay Telemedicine can offer a convenient starting point for a health concern that can appropriately be handled virtually. Virtual Primary Care may support ongoing primary-care needs when that feature is active. The right option depends on your situation and the feature terms.

Prescription benefits may be available when selected and active. Check the current benefit terms and the medication’s eligibility before relying on a discount or other benefit. A prescription benefit does not mean every medication or pharmacy charge is included.

Mental Health and Counseling may provide access to counseling when the feature is active. Psychiatry, medication costs, emergency psychiatric care, and inpatient behavioral-health services are separate unless another active benefit or program expressly includes them.

Choose local in-person care for hands-on needs

For an exam, lab, imaging, specialist visit, or other service that needs an in-person provider, you can choose a local option and contact it before booking. Kettering Health Dayton is at 405 West Grand Avenue; its location page lists emergency care and on-site laboratory, imaging, and pharmacy services. Confirm current availability directly with the hospital.

Public Health – Dayton & Montgomery County maintains a directory of area healthcare providers, including community health centers. The department says listed federally funded health centers offer routine care and sliding-scale fees; ask a center directly about services, eligibility, fees, and payment options. The department’s own clinic offers limited appointment-based services, so contact it to confirm what it currently provides.

For scheduled home visits and connections to healthcare and community resources, the City of Dayton describes a Community Paramedicine program in partnership with Premier Health and Dayton Fire Department. The city lists 937-333-4509 and 937-333-4535; contact the program to confirm current eligibility and availability.

Before planned non-emergency care, ask the provider what the visit, tests, imaging, and follow-up are expected to cost. A hospital or clinic location page is not an individualized price quote. Labs, imaging, specialist visits, in-person follow-up, and medications may be separate from any selected SakeOf service or discount feature.

Get help when a bill is hard to understand

With Full Service, SakeOf advocacy can help members review medical bills, check billing details, support fair-price review, and assist with negotiation. Send an itemized bill with service dates, provider information, and CPT or HCPCS codes when available. SakeOf may request clinical notes, medical records, or other documentation to review eligibility and pricing.

Submit complete documents within six months of the service date. If you receive a balance bill, denial, or payment demand, submit it within 10 days. These steps give the review team information to assess the bill; they do not guarantee a particular price, negotiation result, or payment.

Understand how larger eligible expenses work

For larger medical events that meet program rules, Full Service combines advocacy and fair-price review with voluntary member-to-member community funding. An applicable member commitment and other feature-specific responsibilities may apply, and available community funds are not guaranteed. Eligibility depends on the program, effective dates, documentation, clinical review, and other terms.

If care is planned and may be costly, contact SakeOf in advance when reasonably possible. Keep your membership active, submit complete records promptly, and review your enrollment summary so you understand the features you selected and the responsibilities that apply.

Explore options for household needs

If maternity features are relevant, check the waiting period before a pregnancy begins: the pregnancy must begin after the continuous 12-month maternity waiting period is complete. Newborn care after initial discharge is separate from the mother’s maternity event, and a newborn should be added within 30 days of birth. Planned home birth requires advance review and must meet program rules.

Selected dental and vision discounts let members pay participating providers directly at the applicable discounted rate; discounts vary and are not guaranteed at every provider. Routine dental and vision bills are not community-sharing expenses. Chiropractic or acupuncture, PT/OT, and durable medical equipment may also be worth checking against your active program terms before scheduling or purchasing.

Take a useful next step in Dayton

• Compare membership options: Use the calculator and Savings Guide to explore the costs and features that match your needs.
• Find a care starting point: Use provider search, then call to confirm services, appointments, payment arrangements, and any relevant participation.
• Ask about community resources: Montgomery County lists Medicaid application routes and County Shared Services at 844-640-6446. Contact the county or Ohio Medicaid for program details and application help.
• Plan a larger service: Contact SakeOf ahead of time when practical, and request an estimate from the provider before non-emergency care.
• Need help deciding? Ask Jordan about the care path or review membership options before enrolling.