A different way to healthcare in Dayton

Make a care plan around your needs

SakeOf brings together healthcare guidance, fair-price review, selected direct-service and discount options, and voluntary member-to-member community funding for eligible medical expenses. That combination helps you consider everyday care, choose a provider when you need in-person services, and get support making sense of a bill.

Start by identifying what you need now: advice about a non-emergency concern, ongoing primary care, a prescription, an in-person visit or test, or help with a charge. Then check your enrollment summary for your program, active features, and effective dates. Full Service and Major Medical Only offer different program arrangements, and selected features determine which additional services may be available.

To explore what may fit, compare membership options with the calculator or Savings Guide. Provider search and Jordan can help you consider next steps. For a local appointment, call the provider to confirm the service, availability, and expected charges before non-emergency care.

Use selected everyday-care options

For a non-emergency concern, Zero Copay Telemedicine may be a useful first step when the feature is selected, active, and the concern fits its current terms. It can help you begin a care conversation remotely; some needs still call for an examination, test, imaging, or specialist visit.

Virtual Primary Care is another option to explore if it is active in your membership. Mental Health and Counseling may offer support when selected and active; counseling alone does not establish access to psychiatry, emergency psychiatric care, inpatient behavioral health, or medication costs. Check the active feature and its terms to understand what it offers.

For a medication need, check whether Rx and Prescription Benefits are active and review the current vendor details. Ask whether the medication and any related appointment or follow-up are included in that option or involve separate costs. If you have another healthcare arrangement, confirm its coordination rules before assuming benefits can be combined.

Choose in-person care in Dayton when you need it

SakeOf supports provider choice: when your care calls for an in-person visit, test, imaging, or specialist, you can contact a provider that offers the service you need. Ask about appointments, the exact service, separate charges for labs or follow-up, and expected patient costs before planned care.

Kettering Health Dayton is at 405 West Grand Avenue. Its location information lists emergency care and laboratory, imaging, and pharmacy services. Contact the hospital or relevant department to confirm current services and expected charges. A hospital service listing can help you identify a place to ask, but it is not an individual estimate.

Public Health – Dayton & Montgomery County lists area health centers and says listed federally funded centers offer routine care with sliding-scale fees. Contact a center directly to ask about services, eligibility, appointments, and payment options. The county public-health clinic has limited, appointment-based services; the county describes it as distinct from primary and urgent care.

The City of 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 for the program. Call to ask about current availability and eligibility. These are city- and county-level starting points, not confirmation of access or charges for every resident of ZIP 45490.

Get help understanding a bill

When a bill or estimate is hard to interpret, Full Service advocacy can include bill verification, fair-price review, and negotiation support, subject to your program terms and responsibilities. Ask SakeOf for help with questions about a charge, rather than trying to sort through every billing detail alone.

An itemized bill is required for submissions. It should include service dates and provider information, with CPT or HCPCS codes when available. SakeOf may also request clinical notes, medical or billing records, procedure details, provider documentation, or a signed release to review eligibility, medical necessity, and fair pricing. Submit complete documents within six months of the service date; send a balance bill, denial, or payment demand within 10 days of receiving it.

For planned higher-cost care, contact SakeOf in advance when reasonably possible. Ask the provider for an estimate and whether tests, imaging, specialist visits, or follow-up are charged separately. A fair-price review and advocacy are useful support, but neither a provider listing nor a preliminary estimate determines the final amount.

Understand community support for larger eligible needs

For a larger medical event, Full Service combines advocacy and fair-price review with voluntary community funding for eligible expenses. The review considers applicable program terms, eligibility, documentation, fair pricing, available community funds, and the applicable member commitment. Use the calculator or Savings Guide to explore membership options, then ask Jordan or SakeOf how to prepare for a planned event.

Keep membership current, maintain a valid payment method, meet applicable member responsibilities and commitments, and provide requested records promptly. Your selected program, active features, effective dates, and the event details all matter. Community funding is voluntary, so use the membership terms to understand the review process rather than treating funding as a guaranteed payment.

Explore other household care needs

If maternity planning is relevant, review the maternity feature before pregnancy. 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. Add the newborn to membership within 30 days of birth. Newborn care after the initial discharge is separate from the mother's maternity event.

Dental and vision discounts work differently from community funding: members pay participating providers directly at the applicable discounted rate. Discounts vary by provider, location, service, and vendor terms, and routine dental and vision bills are not community-sharing expenses. Chiropractic or acupuncture, PT/OT, and durable medical equipment may also be worth exploring when relevant; whether an option applies depends on your selected program, active features, and written terms.

Take the next step

• For an everyday or virtual-care question: Check your active features, then use the calculator or Savings Guide to explore membership options.
• For ongoing care or a prescription: Review Virtual Primary Care or Rx and Prescription Benefits if active, and confirm what the selected option includes.
• For a Dayton appointment, test, or imaging: Contact the provider or health center to confirm services, appointment availability, payment arrangements, and expected charges.
• For a confusing bill: Gather the itemized bill and relevant records, then ask SakeOf about Full Service advocacy and fair-price review.
• For a planned major event: Contact SakeOf in advance when reasonably possible and ask about the review process and documentation to prepare.