Friday, December 8, 2017
Thursday, December 7, 2017
The casserole was made early this morning, and placed in the fridge until just now, when I popped it into the counter top, mini convection toaster oven. Tonight's supper got 4 things out of the pantry, 1 out of the freezer, used 2 leftover refrigerator items-a win-win in my book. There should be planned overs for lunches as well as it's dinner for 2 tonight.
Sunday, December 3, 2017
Meatball stew recipe
Goal accomplished, now to start amassing some serious savings for 2018 Spring/Summer improvements and paying down CC debt.
Saturday, December 2, 2017
With the second order of my $$$$ RX, my second deductible is quickly getting eaten down. My insurance leaves me on the hook for the first $2500 incurred (medical and RX) annually, and then I move to a second deductible with a 30% co-pay system until I hit a maximum OOP of $6600 (going up to $7800 in Jan). I now have a remaining $1085.09 to go until the end of Dec. I will be ordering my $$$$ Rx on Dec 20th, which equates approx. 30% of the charge to insurance (approx $3200/month). The drug manufacturer will pay up to $3250/30 day supply or $6500/90 day supply (won't apply to my situation as my new ins. will ONLY fill a 30 day for this drug while my other RX's they will do 90 day) or a max. of $9000/year on the behalf of patients, so I am left with $0 OOP while my deductible IS credited. Phew! My former insurance company also did the same.
So how is this frugal?
-While I have a $6600 OOP max for this plan year (joined late in the game, so my year is actually the 4 months from 9-12/17), I have incurred actual OOP costs for the following (well woman care, vacinations, annual physical is covered at 100% and doesn't go towards my deductibles): Sept: $824.91, Oct: 862.83, Nov (to date: $54.97 plus estimated charges for PT @ $456.09, allergy shot @ $14.92) so call it approx. $525.98. December will bring a MD appointment co-pay estimated @ $ 58 before I have my last order of the aforementioned $$$$ RX which will blow through the rest of my co-pay deductible aka the second deductible with $0 OOP thanks to the aforementioned drug co-pay assistance program. So, my projections for actual OOP for my new insurance for this new plan (yet) short year is: $2271.72. My worse case scenario was $6600, so in the end I will have shaved off 66% of what COULD have been my OOP expenses for this short term "year."
-I have been proactive with this new insurance reality, front loading a separate savings account by depositing $500/month into it, reserving these funds (and transferring electronically as needed) to cover my actual OOP expenses. I have deposited funds since the end of August (I get paid at the end of each month). Come Dec 31, I will have deposited $2500 into this account, yet only used $2271.72 (estimated).
-outside of RX charges, since medical bills have to first clear insurance, by the time the EOB comes, it takes a few weeks to a month before the service provider actually mails me a bill, buying me some time. I pay the bills off in full, using a CC that I pay off in full monthly, transferring the amount needed for the medical bills from my savings account. This is keeping my cash flow in the black.
-knowing that timing is everything as I navigate this insurance circus, once I order and subsequently receive my $$$$ RX around Christmas (they Fed X overnight it to me), I will then order all of my maintenance medications at 90 day supply to get me through into the new year, which will also be a new, this time 12 month long, plan year.
-with the new year, I already have some appointments and lab work scheduled (the meters reset for my 2 deductibles), but anticipate ordering the $$$$ RX (approx $3200/month)around Jan 9th, which will blow thru the bulk of the initial $2500 deductible, keeping my cash flow intact for the most part. It's a matter of timing of when the MD's and hospital lab submits a claim to my insurance. If it's before 1/9 (doubt it will be that fast), then yes, I will have to pay OOP all charges. If it's after 1/9, then it will be @ 30% of costs for the aforementioned MD appointments and lab work.
-The new year means that besides my premiums going up, I have a significant increase in my second OOP deductible co-pay: an additional $1200. Working the system as I expect to, with the drug company co-pay assistance, I should be able to blow through that pretty quickly once again. I await the actual EOB from my November 9th $$$$ RX order to see the actual amount broken down as to what the insurance paid @ 70%, what my co-pay card paid @ $30 %. I have an approximation of $1067. So using that figure, my second 2018 order will take place at the end of Jan for another $1067 towards the $7800. ($7800-$2500 initial OOP deductible =$5300. With the orders occurring roughly twice a month ($9000 cap on the assistance program/year), approx $2134/month will be credited to my co-pay deductible every month. I anticipate that by mid March (time to order all, 90 day maintenance RXs again), I will have blown through the $5300 quite easily, with 5 orders of the 2018 $$$$ monthly RX. I can then easily order all of my additional RX's (both the expensive monthly RX as well as all of my maintenance meds), do all lab work, attend any MD appointments and really have no additional OOP costs from mid March thru to Dec 31. 2018. Caveat, like with my former insurance, is to be sure to use an in plan provider, as my insurance company will NOT pay anything unless it's a unique specialty for which no one else is in the area that is in plan or it's a life saving measure due to an accident.
-life happens, however, as with my sudden back issue (Plan A for Sept-Dec was to minimize medical appointments/costs) and depending upon timing of the submission of claims to insurance, new unanticipated ailments, this may vary but it looks like I've got this.
-I will continue to deposit $500/month into my special savings account which can also serve as an emergency fund, and to save to fund some late Spring 2018 projects .
-I will continue to use additional monthly savings to pay down CC debt from the home remodel