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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.
Answer: How Much Term Life Insurance Do I Need to Buy?
From a question posted here:
Thank you for all your help in my previous question. After meeting with the agent, I’ve decided on term life insurance over whole life. But I am still not sure how much term life I should buy. Should I buy as much as I could afford or some specific amount?
My answer(edited a bit):
That question is far too open-ended.
Are you married? If yes, are you the primary breadwinner? Do you have children? Investments? Savings?
Here’s my situation:
I am married, with three children. I have the primary income.
We have a mortgage, a car payment, and some consumer debt.
I added up all of the debt as my base level of term life insurance. My family will not be burdened with debt if anything happens to me.
To the base level, I added 5 years of my net income. Without changing a thing, my family will be supported exactly as is for 5 years if I die. They won’t, however, have the same level of expenses, due to the base level of insurance paying off all debt. All of my living expenses also evaporate. For example, there will be one car sold, one less mouth to feed and body to dress, etc.
I figure with the lower expenses and no debt, my insurance will support my family for 10 to 15 years if my wife manages the money right. If she continues to work, it should last almost forever.
How do you figure the “right” amount of life insurance?[ad name=”inlineright”]
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?
Where the hell have I been?
For the last year or so, I haven’t been writing much, which feels weird. I used to write three timer per week. I’d write about saving money, investing, frugality, sometimes, relationships and parenting.
But that stopped. Why?
When I started this site, I was about $110,000 in debt, and just starting my journey out of it. A few months before, I was looking into bankruptcy, because I didn’t know how to get out of debt.
For years, the ways I saved money, cut corners, and earned extra money was fodder for this site. Everything I did was about saving money, earning money, and paying off debt.
Now? I’m about 2 months away from being completely debt-free. I paid my mortgage off last month, and have about $10,000 in credit card debt at the moment. I know, I paid that off backwards, but there are reasons. Reasons I’ll share another time.
4 years ago, I was essentially working 4 jobs. My day job, my gun training business, my internet marketing business, and my websites(including this one). I was working all of the time. It was necessary, but it’s a path to burnout. Then, I changed jobs a couple of times, nearly doubling my day job’s pay. My business partner got promoted out of a position that generated leads for one of our businesses, then had an accident that the other shared business on hold for a while.
Suddenly, I had free time and enough money coming in that I didn’t need to work all of the time. It was a crazy place to be after spending more than a decade pretending to be a workaholic just to keep my head above water. (Here’s a secret: I’m incredibly lazy. I’m just the busiest lazy man I know.) So I started pursuing hobbies.
Linda and I have been taking ballroom dancing lessons and are nearly to the point that competing is a real possibility.
I cleaned out my garage and assembled a decent wood shop, which is something I’ve wanted to do roughly forever.
I’ve been taking blacksmithing lessons with my teenage son.
I’ve been playing games with my kids, dating my wife, and simply enjoying my life.
This site?
Through all of that, I haven’t known what to write about.
“Dear audience, this month, I paid my bills, didn’t go on vacation, and bought a drill press.”
“Dear audience, my debt went down another $500 this month.”
“Dear audience, I didn’t buy a car I can’t afford this month. Again.”
Those aren’t good articles. Financially–while paying off debt is disturbingly exciting–my life is very repetitive. That’s the hardest part about paying off a lot of debt. It’s good, it’s necessary, it’s boring. My wins have been spaced out by several years lately, and I haven’t been creatively frugal. Screw frugal. If you can afford some conveniences and luxuries, frugal sucks.
Anything new happening in my world that would apply to this site would make it read like an accountant’s ledger book. $100,000 minus $1500 plus $10,000 minus $300, ad nauseum.
Instead of inflicting boring accountancy on you, I’ve been absent.
What next? Who knows. I enjoy writing. I enjoy writing here. I’ve started writing a novel.
What would you like to see here?
Make Yourself Accountable
Everybody knows the reputation New Year’s resolutions get for being abandoned in under a month. Following through with your saving and budget goals can be difficult. There are thousands of strategies for keeping your resolutions, but I’ve found that the best goal-keeping mechanism is to make yourself accountable. There are several ways to accomplish this.
Make Firm Goals. If your goals are open to interpretation, it’s easy to interpret them in a way that lets you off the hook. Make the goals concrete and immune to interpretation, and that can’t happen. “Get up earlier” may mean five minutes, which is technically meeting the goal, but not really. “Get up at 5am” is clear and concrete.
Get a “Goal Buddy”. When I am out shopping, if I’m struck by the impulse to buy something I probably don’t need, I call my wife. She’s more than happy to encourage me to put the movie or game back on the shelf. I have a friend who will call me up if he’s thinking about buying a new gadget so I can talk him down. Friends don’t let friends mortgage their futures.
Go Public. As you may have noticed, I’m being as open as possible with my goals for the year. I have laid out clear goals and I provide fairly frequent updates through both this site and twitter. If I fail, I fail in front of an audience. That’s strong encouragement to succeed. Tell your family, friends and coworkers. Announce your goals on the internet. Make it as difficult as possible to fail gracefully.
Punish Yourself. I have a line item in my budget called “In the hole“. If I go over budget one month, the overage is entered as an expense the following month. This serves the double purpose of getting the budget back on track and forcing me to sacrifice something the next month to make that happen. Another option may be to write out a check to a charity you hate, and drop it in the mail if you miss your goal. Anything unpleasant can work as your punishment.
How do you keep your goals?
