
Sentium Health Insurance Advisors

How to Get the Most from Your Health Plan: Use It, Don’t Waste It
Jul 2
3 min read
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Most people don’t use the benefits they’re already paying for. This guide shows how to get real value from your ACA health plan — from free checkups to lower prescription costs.
You Got the Plan — Now What?
Most people sign up for health insurance and never touch it again… until there’s an emergency.But here’s the truth: you’re likely leaving money and benefits on the table.
This article shows you how to actually use your health plan like a pro — so you stay healthier, save money, and avoid unexpected bills.
✅ 1. Schedule Your Free Annual Checkup
All ACA-compliant health plans come with one 100% free preventive checkup per year. No copay, no deductible.
Use it to:
Catch problems early
Update prescriptions
Ask about stress, weight, sleep, or chronic conditions
Get lab work or screenings done
Don’t wait until something’s wrong — prevention is cheaper than treatment.
💊 2. Save on Medications with Formulary Checkups
Your plan includes a list of covered medications (called a formulary). But here’s the trick:
Some meds cost $3. Others cost $300 — even for the same condition.
Ask your doctor to:
Prescribe generic options when available
Review your plan’s drug list to avoid high-cost meds
Submit a “prior authorization” if something isn’t covered
Bonus Tip: Some pharmacies offer cheaper cash prices than your insurance copay. Ask both.
🧑⚕️ 3. Find In-Network Doctors
Your insurance only fully covers doctors and facilities in your network. Out-of-network = big surprise bills.
Here’s what to do:
Log into your insurance provider portal
Search for a primary care provider near you
Use the “Find Care” tool to locate urgent care, labs, specialists, or mental health services
Or ask me — I can help you check fast
🧠 4. Use Your Mental Health Benefits
Most plans now include behavioral health coverage — and many providers now offer virtual visits.
Covered services may include:
Therapy or counseling
Substance abuse programs
Depression/anxiety treatment
Psychiatric evaluations
Mental health is health. And you already pay for the coverage — use it when needed.
🦷 5. Look for Extra Perks
Some ACA plans offer:
Free gym memberships
Teledoc access (24/7 doctor calls)
Transportation to medical visits
Vision or dental add-ons
Grocery or OTC cards for specific conditions
Check your plan booklet — or let me review it with you.
📅 6. Keep Your Plan Up to Date
Life changes fast. If your income, address, or household changes, update your plan:
It could increase your subsidy
You might qualify for a better plan
You avoid IRS penalties at tax time
Don’t guess — contact your agent (me!) and I’ll walk you through updates in minutes.
🙋 Need Help Using Your Plan?
I don’t just enroll people and disappear — I help you get the most from your plan, all year long.
If you have a question — about bills, coverage, prescriptions, or anything — I’m here to help.
📞 Let’s Make Sure You’re Covered and Confident
📱 Call or text:407-815-5238💬 Chat with me live: Live agent chat bottom right📄 Need a plan review?
🗣️ Real Client Testimonial
"I had no idea my plan included free mental health visits and virtual care. Jackson walked me through everything, and now I use it monthly."— Loren, Orlando FL
Don’t Waste What You Already Have.
You took the right step by getting insured — now take the next step and use it wisely.
👉 [Let’s Review Your Plan Together]👉 [Chat or Call for Help]





