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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.
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.
First 3 Things to Do in the New Year
- Image by iowa_spirit_walker via Flickr
With the new year looming, it’s the perfect time to review the things that may not have gone as well as planned in the current year, and plan ahead for the coming year, to make sure things go well from now on.
To get a good start in the new year, you should focus on three things.
1. Budget.
A good budget is the basis of every successful financial plan. If you don’t have a budget, you have now way of knowing how much money you have to spend on your necessities or you luxuries. Do you really want to guess about whether or not you can afford to get your car fixed, or braces for your kid? I’ve gone over all of the essentials to make a budget before. Now is the perfect time to review that series and make sure your own budget is functional and ready for the new year.
At the same time, spend some time thinking about how your what has gone wrong with your budget over the previous year. In my case, when we got back from vacation in August, our mindset had changed a bit about spending money, and we got out of the habit of staying strictly on budget. By the time we got back on track, it was Christmas and our plans got shot, again. If it weren’t for my side hustles–money that I don’t track in the budget because the money isn’t consistent, yet–we would have had some serious problems this fall. Where have you gone wrong, and what could you do to improve next year?
2. Credit Cards and New Debt.
In the new year, if you haven’t already done so, make sure you throw your credit cards away. The most basic law of debt reduction is, “If you don’t stop using debt, you’ll never be out of debt.” That’s why you need to set up your budget first. Make sure that your expenses are less than your income, so you can make ends meet without having to charge the difference.
How has your debt use worked out over the last year? Have you used it at all, or have you eliminated the desire to pay interest? What have you used your credit cards for? How much of that could you have done without?
3. Estate Planning.
Now is the time to make sure that all affairs are in order, if the worst should happen. If you die, what happens to your money? Your kids? I’ve gone over everything you need in an estate plan before, so I won’t beat that horse again. You owe it to your family to make sure they are taken care of if something should happen to you. At a bare minimum, write a will and get it notarized.
Have you putting off writing your will? You know you need one, but it’s a morbid thought, so it’s easy to put off, right? Get over it. If you love your family, you’ll do better and get your affairs together next year.
That’s a good financial start for 2011. What are you missing in your financial life?
Debanking
I’m overbanked.
The National Bank, Oamaru, built 1871: a prostyle Palladian portico on a neoclassical facade (Photo credit: Wikipedia)I’ve mentioned that before.
I won’t give up my herd of CapitalOne 360 accounts. I use those to track my savings goals, all 17 of them. I can’t drop my business accounts, my kids’ savings accounts, or the personal accounts that I actually use to spend money.
I do, however, need to simplify a bit.
Last month, I went through the hassle of transferring my 401k from two jobs ago and my IRA from my last job. Now, I’m down to just two retirement accounts. One is for my current job, and the other is a self-managed IRA with Sharebuilder.
Two down.
A few months ago, I went to yet another bank to close an account. My last job offered crappy health insurance, but balanced it out with an HSA. It complicated things, but the actual costs came to almost the same as the previous plan that didn’t have a high deductible. When I left, my HSA just sat there.
Last year, my oldest got braces, so I cleaned out the HSA ahead of time so we could pay up front and save 5% without paying interest.
Another one down.
That’s three accounts down out of 34.
Thirty-four?
Crap. That’s retirement accounts, business accounts, and personal accounts for two adults and three kids.
Bank 1 has the checking account we use, plus two savings accounts, one of which is where we store the rent money until we take a payday.
Bank 2 has a checking account, 16 savings accounts, and stock-trading account, a CD, and two IRAs for my wife and I.
Bank 3 has a checking account, and savings account for each of two businesses I own, a spare set of personal accounts, a savings account for each of the kids, and a checking account for my teenager.
Bank 4 holds nothing but my current 401k.
The only thing I can simplify without sacrificing my organizational jungle is to combine the personal accounts from bank 1 and 3. The problem is that Bank 1 has all of my bill pay information and there is still an account open for my mother-in-law’s estate. We keep that open just in case we find any other checks we need to cash. Bank 3 has my business accounts tied to my personal account and is the bank that my business partner uses, so that’s convenient to move money around.
I may be stuck.
How have you improved your situation today?
Every day, in some small way, it’s important to do something to improve your situation. Whether it’s paying down debt, researching inexpensive alternatives to your existing expenses, or something as simple as hugging your spouse or playing games with your kids.
Educate
I was once told that every day, you either get smarter, or you get dumber. Don’t do the latter. Never pass up an opportunity to educate yourself. Make the day good for you.
- Read a book. There are hundreds of personal finance books available. Dave Ramsey’s Total Money Makeover is a great place to start.
- Read a blog. Once again, lack of choice is not a problem here. There are thousands of choices. My favorites are in my sidebar, to the left.
- Find a mentor. Failing that, get a PF-Buddy. Find someone you can call when you need the moral support to make an appropriate or difficult financial decision.
- Take a class. Whether it’s a personal finance class, or some other way of improving yourself, do it. Many cities offer affordable community education classes. Ad Hoc college courses are another option.
Elucidate
It’s incredibly important to understand your situation. If you don’t know where you are, how can you control where you’re going?
- Examine your finances. I heartily recommend Quicken to track your finances, but Mint is a great place to see where your money has gone.
- Know your debt. It’s important to know your debt. Own it. Know your fees and your rates. Know every cent you owe. Get a spreadsheet or a notebook and write it all down. Keep it updated. Mint is great for this. I update my debt-sheet monthly.
- Know your spending. This is another plug for Mint. There’s no better way to see where your money has gone in the past. I use Quicken for the present and future, Mint for the past and snapshots.
- Find your waste. Do you have the cheapest plans that meet your needs for television, internet, phone service? Do you have AAA and roadside assistance through your insurance company?
- Talk to your spouse. Discuss your finances. Make sure everyone is on the same page and there are no surprises or hidden bills. Plan together.
- Eliminate problems early. If you see a problem, eliminate it before it gets out of control. The earlier you identify a problem, the easier it is to eliminate.
- Family meeting. Get the family together so everyone can participate, even the children. Young eyes sometimes have a clarity that a lifetime of habits has clouded. If your kids understand the concept of money, they are old enough to participate and even help. Brainstorming means that no idea is a bad idea. It may not be implemented, but everything is worth hearing.
Eradicate
What’s left? Eliminate baggage. Kill your bills. If you’re paying for something you don’t want or need, get rid of it!
- Unnecessary items. Do you have an extra cell phone or an insured motorcycle in the garage? Time to cancel.
- Unused items. Do you really use the movie package in your cable bill? Are you saving money with Netflix, or would Redbox be a better option?
- Forgotten bills. Did you sign up for an identity protection scheme or an appliance repair plan for an appliance that no longer exists? Cancel!
- Fees. What fees are you paying? Do you have an annual fee for your credit card or minimum balance fees at your bank? Find new institutions. Loyalty to your bank may be costing you money.
Unused or unnecessary bills are nothing but unhappiness generators. They don’t provide value so trim the waste and get rid of what you don’t need.
