A different way to healthcare in Hamilton

Start with the care you need

SakeOf is a healthcare membership designed to make getting care and handling medical costs more straightforward. Instead of beginning every decision with an insurance-network question, you can start with the kind of help you need: a common illness, a prescription, ongoing primary care, an in-person service, or a bill that deserves a closer look.

Your membership can combine services, advocacy, fair-price review, and voluntary community sharing. Full Service is designed to support everyday medical needs and larger eligible events. Features such as prescription benefits, counseling, and maternity apply only when selected, active, eligible, and used according to their program rules.

Use everyday care options when they fit

For a common, non-emergency illness or symptom, Zero Copay Telemedicine can provide a low-friction starting point when it is active and the clinician considers virtual care appropriate. The current service partner does not impose a program limit on consultation frequency or duration, though provider availability, technology, state law, and clinical judgment still apply.

If a clinician recommends an exam, lab, imaging, specialist, or other in-person follow-up, arrange that care separately with a provider. A telemedicine consultation does not itself include those services. In Hamilton, Bethesda Butler Hospital lists emergency care, imaging, laboratory, and specialty services; contact the hospital to confirm the right location, current availability, appointment requirements, and charges.^{www.summahealth.org}

Virtual Primary Care may be another option when it is part of your active membership. Use it for the type of primary-care support the program makes available, and ask whether your particular need requires an in-person appointment, testing, or referral. Those next steps can involve separate providers and expenses.

For medication, check the current Rx formulary and pharmacy tool before filling a prescription. When the Rx and Prescription Benefits feature is active and program requirements are met, listed acute medications are available at $0 through the participating-pharmacy process. Non-formulary and maintenance medications are not automatically included at that price, so verify the specific medication and any cost before filling it.

When Mental Health and Counseling is active alongside Rx benefits and Zero Copay Telemedicine, the program includes on-demand telephonic counseling with a master’s-level professional at $0 for included access. Up to three face-to-face counseling consultations per incident may be arranged when available. Check the current program details to confirm which services apply to you.

Choose local care for in-person needs

You can choose a local provider when you need an exam, test, procedure, or hospital service. Ask the provider about the exact service, appointment availability, new-patient status, and expected charges. Provider listings do not establish participation in a particular membership or plan, and prices can vary by service and provider.

Bethesda Butler Hospital is at 3125 Hamilton Mason Road and lists emergency care, imaging, laboratory services, and specialty care. Confirm current service availability and charges directly, especially before planned care.^{www.summahealth.org} For emergencies, seek emergency care rather than using a routine virtual-care or membership workflow.

The City of Hamilton Health Department is at 345 High Street. Its official page lists vital-statistics services and public-health contact information, including instructions for reporting specified public-health emergencies; it is not a general provider directory.^{my.clevelandclinic.org} For county public-health programs, contact Butler County General Health District to verify current services, locations, fees, and eligibility.

If Oxford is a practical option for the service you need, McCullough-Hyde Memorial Hospital lists emergency, laboratory, imaging, and other services there. Contact the hospital to confirm the service, location, and charges.^{www.summahealth.org} Oxford Free Clinic reports serving Butler County; reach out to confirm current eligibility, appointments, and any service-specific costs.

Get help when a bill needs a closer look

Full Service includes advocacy, bill verification, fair-price review, and negotiation support. If a bill seems unclear or higher than expected, gather the itemized bill and ask SakeOf about the review process. An itemized bill should include service dates, provider information, and CPT or HCPCS codes when available.

SakeOf may 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.

Before planned hospital care, ask the provider for a service-specific estimate and confirm charges directly. A quote and bill review can help you understand the amount being charged, but actual costs and any membership eligibility depend on the service and applicable program rules.

Understand support for larger eligible events

With Full Service, eligible larger medical events may be considered for voluntary community funding after the applicable member commitment. The program’s review and sharing rules determine whether an expense is eligible; funding is not automatic. Review the Program Guide and ask SakeOf how the member commitment applies to the event you are planning or reviewing.

For a condition, symptom, injury, diagnosis, or recommended care that existed or was known during the 24 months before membership began, pre-existing-condition review may apply. Final determinations depend on documentation, clinical review, and the Program Guide. If a major event is already underway, ask about eligibility before relying on future membership features or sharing.

Check household options and take a next step

If planning a pregnancy, maternity is an optional community-sharing feature when offered and selected. It requires continuous active membership with maternity selected and current for at least 12 months before conception. The stated member responsibility is $5,000 per eligible pregnancy, with community sharing up to $25,000 after that responsibility, subject to program rules. Adding the feature after conception does not make that pregnancy eligible.

Dental and vision options work differently from community sharing: members pay participating providers directly at applicable discounted rates, and discounts vary. Routine dental and vision bills are not community-shared under the stated program terms. For any other service or discount option, including chiropractic, acupuncture, PT/OT, or durable medical equipment, check the current membership materials to see whether it is offered and what rules apply.

• Use the SakeOf calculator and Savings Guide to compare membership options and understand how features work.
• Use provider search, then contact the provider to confirm services, availability, participation, and expected charges.
• Ask Jordan or the membership team about a specific care situation, bill, or feature before making a decision.
• Review the Program Guide and select only the features that fit your needs; confirm they are active before relying on them.