A different way to healthcare in Dayton

Build a clearer path from a health need to a next step

SakeOf is a healthcare membership that brings together selected everyday-care services and discounts, provider choice, bill advocacy, fair-price review, and voluntary member-to-member community funding for eligible medical expenses. Instead of beginning with a maze of payment steps, you can consider the care you need, check which SakeOf features are active for you, and choose a suitable next step.

Your selected program, active features, effective dates, member responsibilities, documentation, eligibility rules, and available community funds all matter. Use the calculator and Savings Guide to compare membership options, and provider search or Jordan to help plan where to start.

Use everyday care options that fit the need

For a concern that can be handled remotely, Zero Copay Telemedicine may provide a convenient first step when selected and active. Virtual Primary Care may support ongoing primary-care needs when that feature is selected and active. Mental Health and Counseling may offer another route to support when active. Check current feature and vendor terms before using a service.

Prescription or Rx benefits may be available through selected, active features. A prescription, medication, non-formulary drug, or related service can involve separate costs. Similarly, remote care does not necessarily include lab work, imaging, in-person follow-up, or specialist visits. Consider the kind of care required and whether an in-person visit or additional service may be needed.

Other options to compare during enrollment may include chiropractic or acupuncture, PT/OT, and durable medical equipment. A feature must be selected, active, and applicable for its terms to apply. If a situation is an emergency, seek emergency care rather than relying on a routine virtual-care or membership process.

Choose an in-person provider in the Dayton area

SakeOf members can choose providers. When you need an examination, test, specialist, or hospital service, contact an appropriate provider to ask about appointments, the service you need, participation in any applicable arrangement, and expected charges.

Kettering Health Dayton is at 405 West Grand Avenue in Dayton. Its location page lists emergency care and on-site laboratory, imaging, and pharmacy services. Contact the hospital to confirm current service availability and expected charges; its location information is not an individualized price estimate.

For routine care, Public Health – Dayton & Montgomery County lists area health centers and describes sliding-scale fees at listed centers. Contact a center directly to ask about its services, eligibility, appointments, fees, and payment options. The county public-health clinic has limited, appointment-based services; call 937-225-4550 to confirm current offerings and scheduling before relying on it for a particular need. These are Dayton- and county-level resources, not confirmation of access for every person in ZIP 45432.

Dayton’s Community Paramedicine program describes scheduled home visits and connections to healthcare and community resources. The city lists 937-333-4509 and 937-333-4535; contact the program to confirm current eligibility and availability. Montgomery County residents seeking Medicaid application information can contact County Shared Services at 844-640-6446 or use the county’s online and in-person application routes. Application help does not determine an individual’s eligibility.

Get help making sense of a medical bill

With Full Service, advocacy and fair-price review can help you understand a bill and explore negotiation support. Start with an itemized bill that includes service dates, provider information, and CPT or HCPCS codes when available. SakeOf may also request clinical notes, medical records, diagnosis or procedure details, provider documentation, billing records, or a signed release to review eligibility, medical necessity, and fair pricing.

Submit complete documents within six months of the service date. Submit a balance bill, denial, or payment demand within 10 days of receiving it. Keep your membership current, meet applicable member responsibilities, and contact SakeOf in advance for planned higher-cost care when reasonably possible. Ask the provider promptly about unclear charges and expected costs; posted information is not a quote for your individual care.

Know how support for larger eligible expenses works

For a larger eligible medical expense, Full Service combines advocacy, bill verification, fair-price review, and potential voluntary member-to-member community funding. The applicable member commitment and other member responsibilities are part of the process. Community funding is voluntary; eligibility and the amount of funds available are not guaranteed.

Before planned higher-cost care, check your enrollment summary, effective dates, selected features, and program terms, and contact SakeOf when reasonably possible. During pre-existing condition review, an illness, injury, symptom, diagnosis, or care that existed, was known, or for which advice or care was recommended or received during the 24 months before membership began may be considered—even without a formal diagnosis. Documentation, clinical review, and program rules determine eligibility.

Compare features and take a local next step

If maternity support is relevant, check whether the feature is selected and active and review its waiting period. Pregnancy must begin after the continuous 12-month maternity waiting period is complete; adding or restoring the feature after conception does not make that pregnancy eligible.

Dental and vision discounts may be available through participating providers when the applicable feature is active. The member pays the discounted bill directly, discounts vary, and routine dental and vision bills are not community-shared. Compare these and other options with the calculator and Savings Guide. Then use provider search or Jordan to think through a care path and confirm local appointments, services, and charges directly with the provider.