Healthcare when you work for yourself in Dayton

Start with the care you need

SakeOf is a healthcare membership that brings together selected direct-service and discount features, healthcare advocacy and fair-price review, and voluntary member-to-member community funding for eligible medical expenses. It gives you practical ways to take a next step: check which everyday-care features are active, choose a provider when you need in-person care, and ask for help when a bill is confusing or a larger expense is planned.

Your selected program and features, effective dates, eligibility, member responsibilities, and program rules determine what is available. Start with your enrollment details, then use provider search or contact SakeOf if you want help working out the next step. For an emergency, seek emergency care.

Use everyday-care options when they fit

For a non-emergency concern, Zero Copay Telemedicine may be available when selected and active. A clinician may recommend in-person follow-up, a lab, imaging, a specialist, or another service. Ask what follow-up is needed and what it may cost; those services may be separate from telemedicine.

Virtual Primary Care may offer an ongoing-care option when active. Mental Health and Counseling may provide counseling support when selected. Psychiatry, emergency psychiatric care, inpatient behavioral health, and medication costs are separate unless another active benefit or program expressly includes them.

Prescription benefits may be available when selected and active. Confirm whether the medication and pharmacy qualify under the current benefit terms before filling a prescription. Do not assume every medication or pharmacy expense is included.

Choose local care and confirm access

Kettering Health Dayton is located at 405 West Grand Avenue. Its location page lists emergency care, laboratory, imaging, and pharmacy services. Contact the hospital to confirm current availability and expected charges; a location listing is not a quote for your specific care.

Public Health – Dayton & Montgomery County lists area health centers and describes the public-health clinic’s services as limited. The department says listed federally funded health centers provide routine care and adjust fees on a sliding scale. Call a center to ask about services, appointments, eligibility, and payment options. The public-health clinic requires appointments and is not a routine primary-care option.

The City of Dayton describes a Community Paramedicine program that offers scheduled home visits and connections to healthcare and community resources. The city lists 937-333-4509 and 937-333-4535; call to confirm current availability and eligibility. These are city-level resources, not confirmation of a particular appointment or price for a person in ZIP 45424.

Get help with bills and planned higher-cost care

With Full Service, SakeOf offers healthcare advocacy, bill verification, fair-price review, and negotiation support. If a bill is confusing, gather the itemized bill and contact SakeOf. It should include service dates, provider information, and CPT or HCPCS codes when available. SakeOf may request medical records, clinical notes, diagnosis or procedure details, billing records, or a signed release to review eligibility, medical necessity, and fair pricing.

Submit complete documents within six months of the service date. Send balance bills, denials, or payment demands within 10 days of receiving them. For planned higher-cost care, contact SakeOf in advance when reasonably possible. The provider sets its charges, so ask the provider directly for expected costs as well.

Understand community funding and member responsibilities

For eligible medical expenses, Full Service combines advocacy and fair-price review with voluntary member-to-member community funding. An applicable member commitment or feature-specific responsibility may apply. Eligibility, documentation, your active membership, program rules, and available community funds all matter. Funding is voluntary; do not count on a particular amount or outcome.

Keep your membership current, meet applicable member responsibilities, and provide complete itemized bills and requested records promptly. Final determinations follow the Program Guide and the terms of your membership.

Consider other selected features and take a next step

Depending on your membership, additional options may include maternity, dental and vision discounts, chiropractic or acupuncture, PT/OT, or durable medical equipment. Maternity has a continuous 12-month waiting period that must be completed before pregnancy begins; adding or restoring the feature after conception does not make that pregnancy eligible. Dental and vision discounts are through participating providers when available: you pay the provider directly, and discounts vary. Check which options are selected and active rather than assuming they apply.

• For a new, non-emergency concern: Check whether telemedicine or Virtual Primary Care is active and ask whether follow-up care could have separate costs.
• For routine local care: Contact a listed community health center to ask about appointments, services, fees, and sliding-scale eligibility.
• For a hospital service: Call the facility about availability and expected charges before planned, non-emergency care.
• For Medicaid application help: Montgomery County lists County Shared Services at 844-640-6446. Contact the county or Ohio Medicaid for current application and benefit information.
• For a confusing bill or planned major expense: Contact SakeOf, gather itemized documentation, and check your membership terms and applicable member responsibilities.

Use the calculator and Savings Guide to explore membership costs and options, provider search to investigate care choices, or Jordan to help find a next step. Review membership options when you are ready and confirm which features you want active.