Health Care ~ It’s Annoying ~ Update

Last year when I wrote about our Health Care issues,  I was seriously wondering what we (my husband and I) would do.  I had no idea that there was a way we could and would be able to pay for the health care under the new and revised plans available through the government marketplace.  Our  company premiums were prohibitive since the change and the coverages were not any better.  So we had no choice but to cancel our company policy and no longer provide health care to our employees.

But, in the end, we may be the only people you know of who are benefiting from the health care reform.  HEALTH2And for those who think no one has benefited, I will relate our story.

As I might have mentioned previously (Original Post) for the last 29 years we provided 100% healthcare to our employees, everyone qualified and everyone received it at “no cost” to them. Our company paid all of the premium. Not one employee had to pay one cent for their coverage and we always got the best plan we could afford to cover them.

As the years rolled on, the economy tanked, our employee numbers tumbled, our average age increased, and our premiums increased  — we were only able to keep them in check by lessening the coverages overall, for everyone.  We got to the point we had $2500 deductibles, and that meant every cent of the first $2500 had to be paid before you were able to even do a co pay or have some help with your tests or medications.  It wasn’t ideal, it was the only way we could still provide 100% coverage without asking for a contribution from the employees.  None of my employees ever complained about their coverage, even though many of them went from amazingly great coverage to simply adequate coverage over the years.

So the decision was made and the company plan was cancelled.  Leaving everyone to fend for themselves.

My husband and I used the government marketplace to find a plan and also check to see if we were eligible for a subsidy.  We were!  We now both have coverage (because of our subsidy) that costs us a lot less than our coverage with the company plan.  The coverage we were able to obtain has a LOW deductible, LOW out of pocket costs, and pays for many standard things with 0% copay as long as you stay in network.   We might never had even had a plan this good in all the years of having a company plan — and our out of pocket costs are lots less than before.

I almost hesitated signing up.  I mean it was “too good to be true” and you know you should always be careful if something works out that way.  But we are now into that new coverage, I have had to use it and it has been amazing.

If I told you the amount we have to pay – you too would be amazed!   The amount you pay and the plans you are offered are affected by many factors. The state and the county you live in, the amount of money you make, your ages and other factors all play into what type of subsidy you might get (not everyone qualifies).  We happen to hit the sweet spot in all the categories.  We are still not planning on making many Dr. visits this year — but at least we know – if we need to, we can afford to get just about anything done we need — as long as we make sure we stay in network.

If you are out there wondering if you would benefit from this … there are rules and qualifications.  We had to cancel our company plan before we could even look into this as an alternative for us.  So if you have a plan available to you, even though you have to contribute to it, you won’t qualify.   If you make too much money, don’t have enough of an offset with dependents, etc. as well as other issues not mentioned here —  all of those things can affect your results…..  but if you don’t have a plan, you shouldn’t hesitate to go check out your options.  You can do it on the government website without actually signing up — there are several “estimators” you can use to check what might be available to you.  And don’t forget to check to see if you qualify for a subsidy — for us it really worked out!

Disclosure: I was not paid by anyone to write this article. The information contained here reflects our personal experience and does not presume to know or be able to advise you on yours.

Finding Deals at Harris Teeter

For the last few months, I had stopped shopping at Harris Teeter. I usually want to find a bargain and stretch our dollars as far as they will go…. and the deals – for me – were elsewhere. I always like to use up my pantry items too… so it was a slow shopping period overall.

Harris Teeter this week has what they call Super Double Coupons… where they will double up to a $2.00 coupon. Yes, that means that a $2.00 coupon will double to $4.00 off! No one else around here even doubles the $1.00 ones, so it’s usually a great “event” for me to participate in! There are limitations, and rules, of course — there always are!

But even I skipped the last two Super Double Events — because usually to make the best deals, the items need to be on sale (already reduced in price) and then the coupon matches and doubles — kind of like a double play. This week they are already out of some of their sale items, and if they are, I always ask for a rain check — hoping somewhere down the line to use them. Their rain checks as far as I know, don’t expire!

This week however I spent yesterday (the day I found out they were offering the Super Doubles) checking and looking through all my coupons. Reading what was on sale and checking with the sites on the web that list what’s on sale each week at the different supermarket chains. From reading all of that, I made my list and organized my coupons. The rules at Harris Teeter include the fact, that you can only use 3 of one type of regular coupon, or 2 of any internet printed coupons per trip, with a limit of 20 coupons per day. You can use more that won’t or can’t double, but the limit for doubling them is 20.

DSC03267Here’s what I was able to get –  3 Bottles of Shampoo or Conditioner (Garnier Fructis), 6 cans of Iams Cat Food, 2 Star Kist Creations, 3 Think Thin Bars, 8 Packages of McCormick Taco Seasoning (this is the only one I have found that uses Potato Starch instead of CORN products… that’s important to me because I am allergic to corn), One InkJoy Pens, 6 Yakisobi Noodles, 3 Containers of Chock Full of Nuts Coffee and one can of Chicken of the Sea Tuna.   Can you guess how much my total was? 

DSC03270YES… that’s right, even with the tax, it was $3.89.  (.82 cents of which was tax!!).  I do have to add a caveat though…  I had a $5.00 credit applied to my Harris Teeter account from a previous error during my last shopping trip.  AND so, maybe because of that….  the cash register wouldn’t accept 2 of my coupons, and I think if it would have, I would have been about the same or less (there was one $2.00 and one $1.00) it just would not take them, and since I was very happy with the overall total, I didn’t press the issue (plus I can use those two tomorrow). 

I want to just say Thank You to Mary over at Sweepingme for encouraging me with all her great CVS shops! I really enjoy reading about her trips and seeing how she stretches her dollars!  I am planning on making a few trips to CVS myself to see if I can do as well!

 

Are you a Cheapskate?

If  just reading the title of this article makes you on edge,  and has you thinking about whether you could be, read on!

I can tell you, although some like to sugar coat being a cheapskate, there are others that defy human understanding when it comes to the term.  I recently watched the “Extreme Cheapstakes” program on TV and had to turn it off because I really couldn’t deal with some of their extreme ways.  I cannot fathom not using toilet paper (one gal didn’t) and I can’t count the times I flush (so I can pay my share of the water bill), or lock up my food so my husband doesn’t get any.  And while in some of those (loosely called) households it was a competition to see who could save the most, or live “happily” without – that’s way beyond my personal comprehension.

All of us could be in one way or another considered a cheapskate at some level – but certainly the majority of us deserve a nicer term to describe the ways we save money on everyday necessities.   And while some of us don’t mind spending whatever it takes on food, cars or movies – but hate spending money on clothes, shoes or dental work, that doesn’t make us a cheapskate at all.

I mention the things in the last paragraph to try and take advantage of hitting a nerve with one or two of you reading this piece.  Thinking about it you might just know that you’d buy the $200 shoes, and forget the 6 month dental cleaning.   Or you’d water down the milk and juice in your house so that you could actually get a 6 pack to take to the Super Bowl party without going over your food budget.  But would you dumpster dive for food at fancy restaurants instead of buying any food,  or would you serve that food to guests?  Some extreme cheapskates would! 

If you ever want to feel better about the crazy things you do, day in and day out to save a few dollars – your hard earned dollars by the way, to use on something else – just watch the show once.  I already feel better about reusing things around here.  And while I thought I did it “to save the environment” or for some other noble reason, I realize I do it because constantly buying new costs more than I want to spend.

And so, even though, I do reuse, repurpose, take things people have given me and use them till there is no life left in them – I now realize I am definitely not a cheapskate.  Are you?

Our Story about Refinancing a Commerical Property

One of the things we really needed to do a while back was to refinance our commercial property. 

Why?  Our current loan had a couple of years left, but the balance of the loan (because of the way the original one was set up) wasn’t taking down the balance of the loan at a fast enough rate.  And while we understand why it had to be written that way at the time – 100% benefiting the lender, there comes a time when you know you are in a better negotiating position and need to move on it.  My family is debt adverse.  We don’t like debt and getting rid of it is very important in the scheme of things.  It doesn’t mean we don’t use it — but we just don’t abuse it.

The reason we took the original loan was because at the time, it was the best (as new investors) we could do, based on what the marketplace was offering, what was needed on the property in question to make it function, and our financial situation.  We were putting 35% down, and it was in a prime location – otherwise we might not have even been considered.

When we approached this refinancing task – the reason was two-fold.  For one, our debt on the property was not going down as fast as we wanted, and we saw that the advantage to the bank was way more than it needed to be.   Second, we had a 10 year commitment on that loan and no matter what – would have to do something in the next few years.  So we took the initiative, and started shopping for a new loan.

There were so many variables to make this deal happen – more than I expected.  I really tried to get to the bottom of those variables with our bank, but it just wasn’t happening.   Suffice it to say, there are secrets that only the select few officers of the bank know and understand. The commercial loan people are not always forthcoming with the “details” and when you think you are ready to sign, some “issue” arises that seems always to be in their favor and is going to cost you extra money. Why does it have to be this way? Why not outline the “obvious” issues upfront and in full before the process gets started…. and why drag your feet on a modification of a loan you already hold?

We started with our current lender — of course.  But we also made sure we went out and got some offers from others – because now the property is both viable, operating, turning a profit and more valuable.  We needed to negotiate the best rate but we now had time, payment history and higher property values on our side of the equation.

Sudley-interior

Which brings me to the variables part again – can you do 5% 12 years? No 5% 8 years and then an adjustment. We can do 4.5% 6 years and then an adjustment. We can do 5.5% 12 years, or 4% 10 years. Before you are done, you are swimming in numbers and variables.   All of these numbers and variables do affect what you will pay a month, how much you will pay in interest, and how long you will have to pay it for (and in some instances, what will be due as a balloon at the end of the term).

We thought we were all set with the 5% for 12 years, after the first meeting with the bank and were given the impression all was fine but they needed to get a new appraisal.  I understand it might be a government regulated necessity, but they did it with an non certified appraiser and his value came in 400K lower than the tax assessment for the land.  We still had a stellar loan to value ratio (even with the low ball assessment) – but we know the appraisal wasn’t done by someone who knew the values of the properties like ours. We have – several times – been offered much more than the appraised value of our property. It’s a money maker, it’s remodeled and it’s in a desirable and amazing location.

We had options. We could have went to another bank, or lender – we could have written a check against the equity loan we have on our home,  we could have  mortgaged our house and used that money,  or we can just simply write a check to make the loan value lower — but none of that was in the plan for this property.

In the end, we had to get actual offers from other institutions, and basically do some hard negotiations with our current lender.  The business that runs from the property generates an enormous cash flow thru their bank each month.  If we move lenders, we will move the cash flow, and remove some of the other monies that we have in their institution.  These factors, often times are a  part of the larger dollar loan agreements.  This bank above any other, had our history of about 7 years of operation and payments to rely on.  They didn’t want to let us “move on”… and we got what we consider to be a great deal.

This process took at least 6 full months to complete.  But, we were able to modify our old loan to be a 5% fixed rate, 12 year loan which at the end of 12 years will pay off this commercial property in full.  Included in that agreement, was the fact that we use them for our banking and will not remove our deposits from their bank.  That’s do-able! 

 

 

Heathcare – It’s So Annoying

Our first blow was that our health care provider (the one we have for our company) sent us a letter saying they would keep the company insured, if instead of continuing in our current policy,  we renewed “early” at only a 4.76% increase in premium.

Our current policy won’t be renewed when it expires next year (because it likely doesn’t comply with the government minimum requirements)  and they wanted us to be on a calendar year, instead of a fiscal one.  They also stated everyone would lose all the dollars they have spent towards their deductibles this year and would have to start over at zero.  To their credit, I do believe that the increase was to cover the government mandated minimums my current plan didn’t already contain.

At first I thought the letter was a “you do this by 12/1/13” or you have no insurance, a non-negotiable statement of fact.  However after talking with my insurance agent, I was advised they had to keep us till the expiration date of our contract, but at that time did not need to offer our company another years plan or services – and of course, the premium could go up more than the 4.76%.

So after approximately 29 years of providing 100% free health care for myself and my employees – we are now going to have to all fend for ourselves after our policy end date next year.   As a small business the cost of providing this care – in these economic times -has become a hardship to the business…. and while it was never cheap, it was a benefit I proudly gave every single employee.  That ends early in 2014 when we all will have to sign up with a government sponsored plan.

Blow two – came when my doctors office informed us that they have signed up with what is called a “concierge” program and in order to be a patient of theirs you have to pay $1800.00 per person per year.  Yes, you read that right.  That’s not fees for services – it’s just to be their patient.  You will still have to pay for visits, pay your deductibles and every other fee that you had previously — this is in addition to those fees.  

Obviously, this is a way to insure they have a certain amount of dollars coming in at all times.  There could be a lot of patients who sign up — they say you will get more time with the Dr. and more care, but I don’t think that’s really going to happen.   And quite honestly I was never happy with their care but it’s so darn hard to find a doctor who is even taking new patients that we “settled” with them.  We have been with that practice 8-10 years,  but I am not signing up because “they” as doctors decided they needed to pad their pockets with $1800 from each and every patient who wants to stay with them. 

Since we usually only go to the doctor once a year, for our “previously” free physical and medicine renewals –  my husband and I would in essence be paying $1800/each for that one visit.  Surely you can see how for us, it’s not even close to worth it.  I feel bad for some who are so connected with serious illnesses or problems that they feel they have to pay – but we don’t and won’t.  So as of January 1, 2014 – we have no providing physician either!

Could this be a trend to the future?  It might be.  I guess we all will just have to wait and see.

How have you been affected by the new healtcare regulations?  Are you losing your coverage?