- Up at 5 two days in a row. Sleepy. #
- May your…year be filled w/ magic and dreams and good madness. I hope you…kiss someone who thinks you’re wonderful. @neilhimself #
- Woo! First all-cash grocery trip ever. Felt neat. #
- I accidentally took a 3 hour nap yesterday, so I had a hard time sleeping. 5am is difficult. #
- Wee! Got included in the Carnival of Personal Finance, again. http://su.pr/2AKnDB #
- Son’s wrestling season starts in two days. My next 3 months just got hectic. #
- RT @Moneymonk: A real emergency is something that threatens your survival, not just your desire to be comfortable -David Bach # [Read more…] about Twitter Weekly Updates for 2010-01-09
Cutting Healthcare Costs
It’s not a secret that health care can be expensive. Many people pay two and three digit bills for their prescriptions. A visit to the doctor’s office can hurt the budget. Glasses cost hundreds of dollars? How can you cut this cost?
Drugs
If possible, go generic*. There is no difference between Trazorel and trazadone, aside from the cost. Wal-mart, Target, and many other stores offer common generic prescriptions for $4-5. When you are talking to your doctor, ask if there is an drug option that has an available generic. When you are talking to your pharmacist, ask if there is a generic alternative available.
Get the price match. The Cub Foods pharmacy near me matches the Target generic drug price, giving us $4 generics for the asking. This is often an unpublicized deal, so make sure you ask. If your pharmacy will not match nearby prices, consider going elsewhere.
See if there is a 90 day plan. Many insurance companies sponsor a 90 day prescription plan that gives you a 90 supply of drugs for the 60 costs as long as you are willing to accept the drugs by mail. For expensive prescriptions, this 33% discount can be a substantial savings.
Physician
Does your clinic offer online consultations with your doctor or nurses? Some clinics offer a chat or email option to talk to your doctor without requiring a visit that will add fees and copays to your expense sheet. Most clinics and hospitals have a free nurse line for basic questions, like “When is my baby‘s fever dangerous?” It’s a great chance to save some money. I know, from personal experience, that they won’t be shy if they feel you need to come in, but they generally won’t try to convince you to come in if aspirin will fix the problem.
Stay in-network. Check with your insurance company to make sure the doctor you want to see if in your network and therefore, available at the cheapest out-of-pocket price. If not, and you really want that doctor, ask your insurance company if they accept nominations for the network and ask your doctor if he’d be interested in being nominated.
Stay home for your cold. Don’t go to the doctor for every minor problem. The best remedy a doctor can give your for your cold will reduce it to a seven day malady. On the other hand, if you do nothing, it will go away in about a week. Why waste the money? This counts double for the emergency room and urgent care. Strep throat is not an emergency. Wait until morning and go to the clinic, paying the lower fees instead of the large ER costs. Make an appointment for a doctor visit, if possible. Urgent care is billed the same as a regular visit, but most insurance plans double or triple the copay for urgent care visits.
Cash Flow
A Health Savings Account(HSA) is a pre-tax account to save for qualifying medical expenses similar to a Flexible Savings Account(FSA). The main differences are that HSAs are only available for people with high-deductible insurance plans and do not have to be spent on medical expenses. Non-qualifying expenses move from pre-tax to post-tax, meaning you will be charged federal income tax for non-qualifying withdrawals. FSAs are “use it or lose it” plans. If you don’t use it, it will go away, usually at the end of the year. That makes December a great time to stock up on over-the-counter medicines and possibly replace your eyeglasses, as both of those are qualifying expenses. Find out if you have either option available. If you use either one, set aside a place to store every imaginable medical receipt, so you can be reimbursed. Make sure you understand the FSA-eligible expenses.
An Ounce of Prevention
Get routine checkups. The earlier you find a problem, the more options you have. This goes for everything from cancer screenings to blood tests. Get a physical every year and know what is happening with your body. We may be living in the future, but replacement parts are still hard to come by.
Maintain Your Health
It’s cheaper to be healthy. Eat right, exercise, quit smoking.
I enjoy a good meal. It’s one of my favorite things. I won’t cut rich foods out of my diet, so we reduced portions. Beyond the first few bites, the flavor isn’t nearly as enjoyable or even noticeable. There’s no more enjoyment for huge servings than small ones.
Get more exercise, even if it’s just a 2o minute walks twice a week parking on the far side of the parking lot, or taking the stairs instead of the elevator.
Vision
Go online. This one is worth a write-up all by itself. I have 6 pairs of prescription glasses–all varieties of frames and coatings–that have cost a grand total of about $150. There is no noticeable difference between my cheapies and the designer alternatives. While I work on the write-up, the best site to introduce you to the concept of online glasses is GlassyEyes. Reviews, coupons, and discount likes. They have step-by-step instructions on turning an intimidating idea into a simple and cheap solution to an expensive problem.
How do you save money on health care?
* There are no generics available on new drugs until the initial patent expires. This gives the pharmaceutical companies a change to recoup their research and development costs. Without this patent period, new private drug research would evaporate. Don’t hate the brand names, but don’t show undue loyalty.
Getting Back on Track
Have you ever set a goal…and failed?
At some point, it happens to all of us. After all, our reach should exceed our grasp, right? That doesn’t make it easy to admit failure, or to correct it. Did you let a New Year’s resolution lapse, or slip off of a diet? Have you started shopping indiscriminately again, or stopped going to the gym?
It’s okay if you did, but it’s time to fix it.
How can you get back on track after failing a goal?
1. Pick a day to start over.
Just like when you first started towards your goal, you have to decide when you’re going to get back on board. If you can’t decide, just pick the beginning of the next month. A new beginning is a great time to tackle your new beginning.
2. Recommit.
You failed once. Accept it and move on. Past behaviors don’t have to be an indicator of future performance. Just do better this time.
3. Announce it.
Somebody has noticed that you aren’t on the wagon. Your coworkers are seeing you eating candy, or your spouse has noticed you buying things you don’t need. Talk to these people. Tell them you’re going to redo the things you’ve undone. You’ll change the world, but you have to start with yourself.
4. Don’t be ashamed of your lapse.
Unless I have seriously misjudged my audience, you are human. Humans sometimes make poor decisions. Being ashamed won’t help you, but take the opportunity to learn from the past. Do you know what caused you to fail? Are there triggers to your behavior that you can avoid this time around? When I quit smoking, I tried to avoid rush hour, because I smoked heavily while I drove and I wanted to avoid being in car for as long as possible, minimizing one of my triggers. What cause your lapse, and can you avoid it?
5. Don’t do it again.
This one should be the most obvious, but the fact that it’s a problem means it’s not. Do whatever it takes to not make the same mistakes and uphold your goals. Don’t smoke. Don’t eat garbage. Exercise more. Whatever you’ve decided to do or not do, do it….or not.
Have you missed a goal? How have you picked it back up?
Free Tivo
- Image by Marcin Wichary via Flickr
TV is causing problems in my life.
We watch too much TV. Often, we’re only watching because there’s a crappy show in between two shows we do want to watch. In the winter–during the new seasons–my son has wrestling practice 4 or 5 nights per week, which means I miss the new shows I like. We recently downgraded our service provider, so there’s no functional guide button in the house.
That all makes me sad.
Then I found out that Tivo’s lifetime service is attached to the unit. If you sell a unit with lifetime service, you can transfer the service to the buyer. You can’t, however, transfer the service to a new box. That means that everyone who upgrades and sells their old box is selling the lifetime service with it. If you don’t mind having older equipment, you can pick up a used box with full lifetime service for less than the cost of a new box.
After reading Erica’s method of finding 750 extra hours per year, we decided to give it a shot. We are taking back control of our TV. No more rushing home to catch a new episode. No more mindlessly channel-surfing to kill time between good shows. No more commercials. And a guide! I like having a guide button.
I started shopping. My goal was to get a Series 2 Tivo with full lifetime service for about $100 before shipping. I came close a few times, but always lost the auction, in the end. I wasn’t in a hurry, and I didn’t actually have the money budgeted, so it was good to lose.
Then, a friend found himself in a situation that didn’t work with a Tivo and decided to sell his heavily upgraded, heavily accessorized Tivo HD for $100 + shipping. A quick call to my wife resulted in just one objection: Where were we getting the money? We don’t have an opportunity fund, yet and I needed to take advantage of this quick if we were going to get it.
I decided to make it free.
When I automated all of our bills, I rounded up. If a bill was for $63.50, I paid $64. If a bill wasn’t exactly consistent, I paid enough to cover the higher amount. For example, I didn’t have a text messaging plan on my cell phone until December. Before that, I’d get about a dozen texts each month, so I budgeted for paying for the texts. If I didn’t get the texts, I’d get a credit on my bill. I never lowered the automated payment. All of my bills were set up like that. My insurance company dropped my rates, but I left the payment alone. I slowly started accumulating a credit on a number of bills. My intention was to skip a month when the billed amount got to $0, and apply the money to debt. It was just a mind-game to play with myself to make the debt easier to pay.
I flipped through the bills, looking at the credits. I adjusted the payments to match the bills this month and found more than enough to buy the Tivo. This is a purchase that doesn’t influence my budget in any way. Almost. This unit doesn’t have lifetime service, so I will be paying for the monthly fee, but that’s been more than balanced out by reducing our television service.
This is a recently-high-end model for free, as far as my budget is concerned. I used money that wasn’t even on the table before I went looking for it. It’s like searching the couch cushions for money to catch a movie.
Now, I’ll have control of my TV–with a strong measure of convenience to boot–for $13 per month. The time savings is yet-to-be-determined.
A free Tivo simply because I rounded my bills up when I automated last year. That’s a pain-free opportunity fund.
Update: After I wrote this, I found out that I dropped the ball in budgeting for child-care now that summer is here and my oldest won’t be in school. These costs are going up $350 per month. I spent an hour scavenging the couch cushions of my budget this week. I had to adjust some savings and repayment goals, but I’ve effectively paid for a summer worth of care for my boy the same way. Free.
Make Extra Money: A Niche Site Walkthrough
Make Extra Money Part 1: Introduction
Right now, I have 7 sites promoting specific products, or “niche” sites. When those products are bought through my sites, I get a commission, ranging from 40-75%. Of those sites, 5 make money, 1 is newly finished, and 1 is not quite complete. I’m not going to pretend I’m making retirement-level money on these sites, but I am making enough money to make it worthwhile.
Make Extra Money Part 2: Niche Selection
These three topics have been making people rich since the invention of rich. Knowing that isn’t enough. If you want to make some money in the health niche, are you going to help people lose weight, add muscle, relieve stress, or reduce the symptoms of some unpleasant medical condition? Those are called “sub-niches”.
Making Extra Money Part 3: Product Selection
My niches site are all product-promotion sites. I pick a product–generally an e-book or video course–and set up a site dedicated to it. Naturally, picking a good product is an important part of the equation.
Make Extra Money Part 4: Keyword Research
If you aren’t targeting search terms that people use, you are wasting your time. If you are targeting terms that everybody else is targeting, it will take forever to get to the top of the search results. Spend the extra time now to do proper keyword research. It will save you a ton of time and hassle later. This is time well-spent.
Make Extra Money, Part 5: Domains and Hosting
In this installment, I show you how to pick a domain name and a website host.
Make Extra Money, Part 6: Setting Up a Site
A niche site doesn’t amount to much without, well, a site. In this installment, I show you how I configure a site, from start to finish.
Make Extra Money, Part 6.5: Why I Do It The Way I Do It
Several people have asked me to explain why I use the plugins and settings I use. This explains the “Why” behind Part 6.
More to come….
My Financial Plan – How I Improve on Ramsey
In April, my wife and I decided that debt was done. We have hopefully closed that chapter in our lives. I borrowed, then purchased, The Total Money Makeover by Dave Ramsey. 
budget” width=”300″ height=”213″ />We are almost following his baby steps. Our credit has always been spectacular, but we used it a lot. Our financial plan is Dave Ramsey’s The Total Money Makeover, with some adjustments.
Step 1. Budget:
The budget was painful, and for the first couple of months, impossible. We had no idea what bills were coming due. There were quarterly payments for the garbage bill and annual payments for the auto club. It was all a surprise. Surprises are setbacks in a budget.
When something came up, we’d start budgeting for it, but stuff kept coming up. We’re not on top of all of it, yet, but we are so much closer. We’ve got a virtual envelope system for groceries, auto maintenance, baby needs(we have two in diapers) and some discretionary money. We set aside money for everything that isn’t a monthly expense, and have a line item for everything that is. My wife is eligible for overtime and monthly bonuses. That money does not get budgeted. It’s all extra and goes straight on to debt, or to play catch-up with the bills we had previously missed. I figure it will take a full year to get all of the non-monthly expenses in the budget and caught up.
Step 2. The initial emergency fund:
Ramsey recommends $1000, adjusted for your situation. I decided $1000 wasn’t enough. That isn’t even a month’s worth of expenses. We settled on $1800, plus $25/month. It’s still not enough, but it’s better. Hopefully, we’ll be able to ignore it long enough that the $25/month accrues to something worthwhile.
Step 3. The Debt Snowball:
This is the controversial bad math. Pay off the lowest balance accounts first, then take those payments and apply them to the higher balance accounts. Emotionally, it’s been wonderful. We paid off the first credit card in a couple of weeks, followed 6 weeks later by my student loan. Since April, we’ve dropped nearly $10,000 and we haven’t made huge cuts to our standard of living. At least monthly, we re-examine our expenses to see what else can be cut.
Step 4. Three to six months of expenses in savings:
We aren’t on this step yet. In step 2, we are consistently depositing more, making us more secure every month.
Step 5. Invest 15% of household income into Roth IRAs and pre-tax retirement:
I have not stopped my auto-deposited contribution. It’s stupid to pass up an employer match. My wife’s company does not match, so she is currently not contributing.
Step 6. College funding for children:
We have started a $10 College fund.
Step 7. Pay off home early:
I don’t see the point in handling this one separately. Our mortgage is debt, and when the other debts are paid, we will be less than a year from owning our house, free and clear. This is rolled in with step three. All debt is going away, immediately.
Step 8. Build wealth and give!
We have cut off most of our charitable giving. Every other year, it has been a significant percent of our income, and in a few more years, will be so again. The only exception to this is children knocking on the door for fundraisers. I have no problems with saying no to a parent fundraising for their kid, but when the kids is doing the work, door-to-door, especially in the winter, I buy something. My son’s school, on the other hand, gets fundraisers ignored. When they come home, I send a check to the school, ignoring the program. I bypass the overhead and make a direct donation.
