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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]


Jul 2

3 min read

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3

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