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My dentist’s office is changing billing procedure. I should note that my dentist is not part of an insurance network. It may be a cliché, but I have heard people who say that any dentist who aligns his office with insurance carriers is one you want to avoid. That doesn’t mean that I have to pay the full cost of my visits; my insurance (currently Aetna with COBRA through my former employer) still covers almost all of what my dentist charges for semi-annual maintenance. I haven’t had any problems come up, but the insurance company would cover most of that cost, as well.

As long as I have been a patient of my current dentist, the office calculates what it expects my insurance to cover before I leave the office. They submit the bill to my insurance company, and I pay the estimated remainder. It’s often not much. Occasionally, the estimate is off, and the dentist credits my account or bills me for their underestimation of the insurance company’s reimbursement. This system has worked well, at least for me. It’s less money out of my pocket than if I had to pay the full bill myself and submit the claim to my insurance company after the fact.

Starting with my next visit, approaching within the next few months, this will be the new procedure. The office has decided that rather dealing with the insurance companies directly for payment, this will be the patients’ responsibility. Before leaving the office, I will need to pay the full amount on the bill, and when I get home, I’ll need to submit a claim to my insurance company. I’m not particularly happy about the change.

I’ll need to pay more out of pocket. While the dentist office has claimed that insurance payments come within just a couple weeks, now that payments are going to a patient rather than the dentist, the claims could take longer to process. If there are any disputes, I may have less leverage than a dentist, though I have more motivation to pursue the case. I don’t like the idea that more paperwork will be my responsibility, but it’s always my responsibility to ensure I’m paying no more than I need to.

I was reminded of my dentist’s procedural change by Cameron Huddleston’s article in Kipligner. She received a bill from her doctor that was higher than she expected. She called the office to confirm that the doctor did not submit a claim to her insurance. I would imagine that some patients blindly pay any bill they receive from their doctor’s office, assuming the amount listed is what they owe after the insurance company has already covered part of the bill. It’s good to be aware of the costs of services and to review the bills.

Kiplinger

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This is part of an on-going series about my life after salary — my thoughts and concerns pertaining to my resignation from my day job to focus full-time (and more) mainly to the website I created in 2003 and has grown into a business with a life of its own. I’ve previously looked at structure and motivation, to which this article can be seen as a sequel, as well as financial considerations like health insurance, retirement savings, and my expenses. Here’s an overview of the entire “Life After Salary” series.

It struck me the other day that I have been gone from my former day job for slightly over five months now. Six months ago I was trying to negotiate a leave of absence, and as it wasn’t working out, I was getting ready to give my boss my two weeks’ notice. That time frame hardly seems correct, but it’s true according to the calendar. I was asked recently if I’ve regretted leaving the job yet. I haven’t regretted it, even for a moment. The only regret I have is not doing it sooner.

There were circumstances that made the jump risky — and it still was risky when I did tender my resignation — and I don’t fault myself for waiting. The longer I were to wait, the less perfect the timing would continue to be; as it was in December 2010, I was still young, not married, and the only mouth I had to feed other than my own was my cat’s. That’s the perfect time to take a risk and say goodbye to the guaranteed paycheck.

Don’t get me wrong — I really liked my co-workers, and the company was a good company to work for. Although my bosses throughout my nearly nine years there seemed to like me, I wasn’t heading anywhere with it. It’s a huge corporation, and the corporate world was never for me. I don’t work well with conformity. In addition, my time was better spent working on my own projects than climbing a corporate ladder that didn’t really lead anywhere.

I can’t believe it’s been five months because I’ve perceived the passage of time at a rate that seems too fast. When I embarked on this journey, I assumed my days would feel longer because I’d be working almost completely alone, spending my days and nights in the same location without much variation in scenery. I thought I’d have free time to spend on other projects in addition to increased focus on Consumerism Commentary. I figured I may travel more and work from remote locations when the lack of variation bugged me.

None of this has been true. I’ve found that I’ve spent about the same amount of time writing for Consumerism Commentary as I did while I was still working at my “primary” job, but more of my time has been devoted to behind-the-scenes aspects of running the website, including dealing with technical issues (the growth of the site has forced me to move to a new web hosting solution that should be flexible as the site grows further), answering more emails, communicating more with media and press, faking my way through marketing and public relations, and brainstorming ways to build the community. I’m relieved that while I’ve been doing all of this, I’ve had invaluable help dealing with advertisers. It’s time to bring some more help in; I’m looking for a community manager to assist with many of the tasks I work on now when my time could be better spent writing.

From a business perspective, I haven’t had a chance to diversify sources of income as much as I’d like, mostly because of the way my time has been spent over the past few months. While I expected to have more “free” time to fulfill other creative outlets, I’ve fallen far short of participating in two photography shoots each month as I hoped for in my goals for 2011. My exercise routine, also a goal for the year, broke down after one month when the weather was bad, and I’ve yet to return to the habit.

I had hoped by now I would have fallen into more of a routine that involves everything I need to do each day, but it hasn’t worked out as perfectly as I would like. There are some constants. I wake up and I check my email. I see if there are any issues I have to deal with from the overnight hours. I write an article or two. I research the news for more topics to cover. I might have some breakfast in there in the form of a cereal or granola bar, or I might not. I respond to emails to line up podcast guests, answer inquiries from the media, collaborate with other bloggers, answer readers’ questions. I ensure the Consumerism Commentary Facebook and Twitter accounts are up-to-date. Somewhere in there, I make myself lunch. I write more, usually something for the future, and do more research and administrative tasks. Somewhere in there, there’s dinner.

At night, usually stretching into the later hours, I catch up on things that I’ve missed and often write an article for the following day, like this one. This is my routine, but it isn’t as organized as it sounds. Emails go unanswered because I can’t keep up with the volume. Posts don’t get completed because halfway through I decide I don’t like the idea. Something occurs that requires immediate attention, pulling me away from whatever I’m working on. While the plan sounds good, it doesn’t usually work out smoothly in real life.

I’m not an organized person, which makes the idea of running my own business that much more difficult. I used to try to improve my organizational skills, but at some point, after not making much headway, I decided I should focus on my strengths and accept certain weaknesses that were not going to be fixed anytime soon. While some people thrive in a self-motivated environment, it is something I struggle with, though I prefer it immensely to working for someone else.

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The Health Insurance Reform Bill was signed into law a year ago. It’s already having an effect on the state of the medical profession. Thanks to some incentives, general practitioners or family doctors, typically the best choices when one is selecting a primary care physician, are becoming attractive jobs. It’s easy to see why, for a long time, early doctors choosing their residencies haven’t been attracted to these jobs.

Graduating from medical school, a student is likely to be in a significant amount of debt. With that in mind, consider the options. The student could choose to focus on family medicine and earn $150,000 to $180,000 or choose a specialization and earn twice that amount. The choice from a financial perspective is obvious. While many young people decide to become doctors not because of the salary, the financial reality is hard to ignore.

Choosing a high-paying first job can set the pattern for earning a higher income throughout your life. Many people believe that they will take a high-paying job first, until they pay off debt and become financially comfortable, and then shift gears to a lower-paying job about which they’re passionate, fulfills a deeper need, or provides meaning to their lives. That shift, if it ever happens, will often come later than they expected. Meanwhile, on average, those who choose the lower paying job out of school are often doomed to earn less than they could have throughout their entire lives.

For those who are taking the government’s incentives as the factor that tipped the scales in favor of general practice, and the number of those swayed must be significant considering the increase of family practice residencies this past year, there could be danger. Lawmakers are considering parts of the health insurance reform law.

How should money influence your career choice or initial job choice within a career?

Photo: gwire

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In December 2010, I left the day job where I had worked since 2002. My intent was to focus on Consumerism Commentary, the blog I started in 2003, and other related projects, without distraction from a nine-to-five day job. By that time, the revenue generated by my projects significantly exceeded my day job salary — including the value of my corporate benefits — and I had put my other fears to rest. I made the jump from employed individual with a side business to full-time business owner.

I’ve been chronicling my thoughts and experiences with my newfound control over my life and time in the “Life After Salary” series here at Consumerism Commentary. Here are the articles included in the series so far.

Structure and Motivation. “Time management has never been my strength. I like working at my own pace, and the certain working structures, like deadlines, tend to annoy me rather than motivate me. It’s no wonder I’m excited about leaving a job with a typical standardized nine-to-five schedule. I allow myself distractions and breaks and often procrastinate.” Read more.

Individual Health Insurance. “Now that I’ll be leaving my corporate job and leaving behind the benefits a salaried position afforded me, I need to begin looking at alternative options for those benefits. One of the first concerns on my list is health insurance. Inside the company, our annual benefits enrollment period was completed only a few weeks ago, so the cost of insurance is fresh in my mind.” Read more.

Saving for Retirement. “One of the benefits of earning income outside of a day job while not significantly increasing my expenses has been the ability to fully invest in a 401(k) plan. Assuming one can trust the chances of the stock market (and the financial industry) to produce impressive results over the long term, the 401(k) is the vehicle most people will use to provide some stability in retirement. With a 401(k), employees can defer a good portion of their taxes until the future…” Read more.

The Human Connection. “Working in an office on a team with other employees is a social activity. Although there is work to be done and goals to accomplish, and although most of us stare at computer screens all day and spend most of the time in a cubicle or an office, many tasks require communicating with the people around us.” Read more.

COBRA vs. Individual Health Insurance. “Last month, I didn’t know what to expect regarding COBRA coverage. My notice arrived last week, and with the cost in hand, I’m ready to decide whether to continue the same coverage I had from my former employer through COBRA or to seek opening a plan from New Jersey’s list of providers…” Read more.

One Month Without a Paycheck. “I’d love to say that working fully for myself has been perfect, I’m fully acclimated to my new working environment, and I’ve improved my time management skills. Alas, none of that is true…” Read more.

Rolling Over My Pension. “In a country where large employers are offering fewer defined benefit plans, like pensions, and more defined contribution plans, like 401(k)s, it’s surprising I have a pension…” Read more. Added February 10, 2011.

Changes in My Expenses. “Leaving behind a salary and benefits was a tough decision to make, and I wasn’t under the illusion that I’d be able to make up for the lost income solely by saving money. Predicting my future expenses wasn’t difficult. Some expenses would automatically decrease, like travel expenses, while some would likely increase, like heating bills. There was at least one surprise, however.” Read more. Added February 14, 2011.

401(k) Rollover. “It often makes sense to roll over a 401(k) when you leave a job. I’m considering a 401(k) rollover to a discount brokerage to alleviate some of the problems I have with my former employer’s retirement plan. These problems are common among employer plans, even those managed by the same discount brokerages you’d likely consider to receive a rollover.” Read more. Added April 28, 2011.

Structure and Motivation, Five Months Later. “When I embarked on this journey, I assumed my days would feel longer because I’d be working almost completely alone, spending my days and nights in the same location without much variation in scenery. I thought I’d have free time to spend on other projects in addition to increased focus on Consumerism Commentary. I figured I may travel more and work from remote locations when the lack of variation bugged me.” Read more. Added May 27, 2011.

401(k) Rollover Complete. “With one call on June 1 to Vanguard and one conference call with Vanguard to my former employer’s 401(k) department, everything was set into motion.” Read more. Added June 7, 2011.

Selling Company Stock. “Rather than continue waiting for the stock price to rise back to its lifetime maximum, which could take years and is not guaranteed, I put in an order to sell the company stock I purchased between December 2007 and June 2009.” Read more. Added July 1, 2011.

As more articles are added to this series, this page will be updated to include links and excerpts.

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Why You Should Care About Your Wallet and Your Waistline

by Philip Taylor
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This is a guest article by Philip Taylor, the owner of the blog PT Money. Philip created PT Money to share his own experiences with successfully managing his money. It’s no secret that our money and our health are connected. More people want to excel with these two things for their lives more than any ... Continue reading this article…

19 comments Read the full article →

Running in the Snow

by Flexo

One of my goals for 2011, like most people who make New Year’s resolutions, is to lose weight. Earlier this week, I started a training program that will lead me to be able to finish a 5K. To track my progress and to assist with training, I’m using an application for my phone, RunKeeper. RunKeeper ... Continue reading this article…

27 comments Read the full article →

Life After Salary: COBRA vs. Individual Health Insurance

by Flexo
Cobra

One month ago, I notified my boss at the corporation where I worked that I would be leaving. I was headed for the new frontier. Leaving my salary and benefits behind, I looked to the horizon and contemplated what I needed to do in order to keep my life secure. My biggest concerns besides maintaining ... Continue reading this article…

15 comments Read the full article →

Life After Salary: Individual Health Insurance

by Flexo

Now that I’ll be leaving my corporate job and leaving behind the benefits a salaried position afforded me, I need to begin looking at alternative options for those benefits. One of the first concerns on my list is health insurance. Inside the company, our annual benefits enrollment period was completed only a few weeks ago, ... Continue reading this article…

24 comments Read the full article →
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