Healthcare when you work for yourself in Dayton

Plan care around what you need

SakeOf is a healthcare membership that brings together healthcare advocacy, fair-price review, selected direct-service and discount options, and voluntary member-to-member community funding for eligible medical expenses. It offers a more active way to approach healthcare: first identify the kind of care you need, then check your selected, active options and decide whether remote care, an in-person provider, or help with a bill is the right next step.

That can make the process easier to organize. Instead of assuming one option handles every part of a care need, check what the service includes and ask about possible follow-up costs before non-emergency care. Use the calculator to explore membership costs and options, and the Savings Guide or provider search to help plan a specific visit.

Use everyday-care options when they fit

Depending on your membership and the features selected and active, options may include Zero Copay Telemedicine, Rx and Prescription Benefits, Mental Health and Counseling, and Virtual Primary Care. Check your enrollment information for access, eligibility, and terms before arranging care. When an issue may be appropriate for remote care, telemedicine can be one option to consider; it does not automatically include an in-person follow-up, test, specialist visit, or medication.

Prescription benefits depend on the active feature and its terms. If you also use another healthcare arrangement, do not assume a third-party prescription or telehealth benefit can be combined with it; check the vendor terms. Mental Health and Counseling does not by itself mean psychiatry, inpatient behavioral health, emergency psychiatric care, or medication costs are included. Ask Jordan if you need help understanding how a particular feature works.

Choose a provider for in-person care

You can choose a provider for an in-person need. In Dayton, Kettering Health Dayton is located at 405 West Grand Avenue, and its location page lists emergency care, laboratory, imaging, and pharmacy services. [[cite:]] Contact the hospital to confirm current services and ask about expected charges before non-emergency care.

Public Health – Dayton & Montgomery County maintains a local provider directory that lists area health centers and describes sliding-scale fees at listed centers. [[cite:]] Ask a center directly about services, eligibility, appointments, and payment options; the directory does not determine your individual fee. The department describes its own clinic as offering limited, appointment-based services, so contact it to confirm current services and scheduling. [[cite:]]

The City of Dayton describes a Community Paramedicine program with scheduled home visits and connections to healthcare and community resources. The city lists 937-333-4509 and 937-333-4535; call to ask about current availability and eligibility. [[cite:]] These are Dayton-area resources, not confirmation of access for every person in ZIP 45423. For any provider, confirm current appointments, participation, and expected charges directly.

Get help reviewing a bill

Full Service advocacy can help members review medical bills, assess whether charges appear fair, and seek negotiation support. For a bill that is unclear or unexpectedly high, gather the itemized bill, including service dates, provider information, and CPT or HCPCS codes when available. SakeOf may also request medical records, clinical notes, diagnosis or procedure details, billing records, or a signed medical-record release to assess eligibility, medical necessity, and fair pricing.

Complete documents should be submitted within six months of the service date. Submit balance bills, denials, or payment demands within 10 days of receiving them. For planned higher-cost care, contact SakeOf in advance when reasonably possible. Active membership, documentation, eligibility rules, fair-price review, and the details of the event all affect the process; review and negotiation support do not promise a particular price or outcome.

Know how larger eligible medical expenses are handled

For eligible larger medical expenses, Full Service combines advocacy and fair-price review with voluntary community funding. The applicable member commitment and other responsibilities matter, including keeping membership current, funding required asks, and providing requested documentation. Eligibility rules and available community funds also affect how an event is handled.

Before planned major care, check your enrollment summary, active options, effective dates, waiting periods, and responsibilities. Ask the provider for an estimate and contact SakeOf in advance when reasonably possible. That gives you a chance to understand the process and gather information before care begins. Use Jordan for questions about how a planned care path or bill-review process works.

Consider household options and take your next step

Selected, active membership options may also include maternity, chiropractic or acupuncture, PT/OT, durable medical equipment, and dental or vision discounts. Dental and vision discounts are paid directly to participating providers at the applicable discounted rate; actual discounts vary. Routine dental and vision expenses are not community-sharing expenses under the stated program rules.

Maternity has a continuous 12-month waiting period: pregnancy must begin after that period is complete. Adding or restoring the feature after conception does not make that pregnancy eligible. Check your enrollment information and current program terms before planning care.

• Use the calculator to explore membership costs and options.
• Check the Savings Guide and provider search for the care you are considering.
• Ask Jordan about active features, a bill-review process, or planning higher-cost care.
• Contact a Dayton provider directly to confirm current services, appointments, participation, and expected charges.