I Can’t Afford Medical Insurance – Short Term Strategies

You’ve cut the cable and the lattes. You haven’t been to the mall or a restaurant or to a movie theater since – you can’t remember when. But still there is no way you can afford your health insurance.

If you are self-employed, unemployed or your employer does not offer benefits; you may be facing this dilemma. What can you do?

Our long-term goal is to find a way to get adequate coverage in place (we will talk about this in another post). Our goal today is to do the very best we can with what we have.

Some is better than None

You may be able to afford a high deductible, no office visit plan. Do not assume you can’t afford it based on what someone else told you. Most major companies have temporary plans if you are between jobs and almost all of them let you price plans on line — just be aware if you have pre-existing conditions or  if you are over weight, the online price or plan may not be available to you.

If you cannot cover yourself (existing conditions make you ineligible or even the high deductible plans are unaffordable), get a quote for just your spouse and kids.

Here are some Providers that offer on-line Quotes:

Aetna
Assurant
BlueCross BlueShield
Cigna
Humana
UnitedHealthcare

Cover the Kids

Most states have some type of coverage available through their welfare agency. In Florida, we have Medicaid and KidCare – for those that make too much to qualify for Medicaid. At this time, Kidcare has a sliding scale premium based on income; even if you earn more than 200% above the poverty income level, you can purchase Kidcare for the full premium. Most colleges offer Student Health Insurance and some will offer financial aid to help cover the premium.

Stay Healthy

We can all do a lot to improve our chances against future health problems. This means dump the weight; get some exercise, stop with the junk food, booze and cigarettes.

Some of the factors that raise your health care premium are within your control (weight, smoking) and some are not (pre-existing conditions). Fix the things you can. It can absolutely make the difference between qualifying for an affordable plan or being ineligible for any individual coverage.

Move On

Our healthcare system is broken. You know it, I know it, the doc’s, the government and the insurance companies know it. We have all heard the heart-breaking stories of astronomical premiums and denials of coverage. If you are without coverage, the inequities of the system cannot be your focus. Accept that the situation sucks and pour your energy into getting the best you can for your family today.

Will You Do the Work ?

Living with debt or inadequate savings is more an indication of the lies we were sold, rather than a reflection of our character.

That is until revelation day. Revelation day happens when the bank surprisingly turns you down for additional credit or when you lose your job or the first time you cannot pay all your bills. My revelation day happened when I heard Dave Ramsey tell me I was a fool.

After that day, it is all about character. Will you stick your head back in the sand and pretend you don’t know or will you do the work required to change your behavior?

I have a very dear friend that recently achieved her totally debt free goal; a real cause for celebration. It was not long ago that she was stuck in too much house. No matter how much she cut the budget, her expenses exceeded her income. She was eating ramen, never turning on the heat, barely running the ac, just paying minimum on her debt and even then; the taxes and insurance on that beautiful pink elephant were slowly pulling her under. She spent years losing the fight against the incoming tide.

This woman is a professional; she’s bright, educated and her high heels always match her dress. Unlike me, she knows which fork to use and is totally at ease at fancy smancy social events. She is no spring chicken either, with a kid in college; she is well past the days where it’s easy to burn the candle at both ends.

Once she truly and sincerely declared war on her debt, my friend found a night job cleaning an office. Four nights a week and on Saturdays she vacuumed and dusted and mopped and scrubbed toilets – after putting in 50 hours at her regular job. And, she still ate ramen.

At first, I believe she was embarrassed to be working a second job and embarrassed that the job was cleaning. I know she had to be tired and often discouraged; nevertheless, she persevered.  She did this for seven months and the only thing the extra income allowed her do was stay afloat. But, that was enough. When the too much house finally sold, she was free to start her new debt free life.

I could not be more proud of her.

What sacrifice are you willing to make to win?

Safety Rules

We’ve been doing some boat work around here for the past several days. It’s hot, dirty, hard work that is sometimes dangerous. When working with heavy stuff under load it’s very important to follow several safety rules:

Never exceed the safe working load of a line

Never work in the bight of a line under load

Never try to control a loaded line with your hands, take a couple of turns on a winch or cleat

Always have an exit strategy

It occurs to me that this same thinking should apply to your money.

The real heart of these safety rules is Anticipate and Plan for the Worst.

We don’t seem to have a problem doing this when it comes to our physical safety, we wear seat belts and bike helmets and tread carefully on wet floors; but when it comes to our money and our life, most people I meet are unrealistic optimists.

If you are spending money on Baby Einstein DVD’s but do not have adequate term life coverage in place, you are an unrealistic optimist. I don’t care how bright your 4-year old is, she won’t be able to support herself should something happen to you.

If you are mindlessly accepting student loans for your private school degree in Underwater Basket Weaving, you too are an unrealistic optimist. I have no argument with the degree – only the fact that you are going into debt without any realistic plan of how you will repay it.

If you buy a house with no savings, less than 20% down, or mortgage to the hilt the home you already own; what is you exit strategy should you need to move?

If you are loading up the future you with consumer debt so you can have the latest gadget or car today, how do you know that in the future you will have the money to pay those bills?

Buying life insurance will not cause you to die. Planning for a layoff will not get you fired. It is not morbid or pessimistic to anticipate the worst; it is adult.

Is it time for you to grow up?

The Worst Person to Borrow From

Sometimes it’s the same thing said just a little different that causes that light bulb to come on.

This post, The Really Obvious Thing We All Forget When Borrowing Money says it just different enough that might help flip that switch for you.

The post asks: Who is really lending you money when you borrow?

This is really important! Is it Citibank or American Express or Ford Motor Credit loaning you that money? No, they are not. These credit companies are merely the vehicle.

You are borrowing that money from your future self.

When you use credit, you are guaranteeing you will have less – later. Not only will your future self need to repay the loan, your future self will pay interest on that loan as well. This is the opposite of Dave’s, “Live like no one else so later you can live like no one else”.

You’re really sticking it to your future self by borrowing. You’ll be poorer, less able to live within your means, further from financial freedom – and probably lumbered with an old PC that needs to be replaced.

If you have had exceptionally easy life up to this point, let me clue you in. Sometime in the future, there will be hard times and when there are, it will feel like the whole word is sticking it to you. Don’t pile on. Give the future you a break by not borrowing today.

And The Rich get Richer

Hating “rich” people because they are rich is almost a national sport these days. Those that are not rich love to see them fall, love to hear of their misery, love to gossip of their shortcomings.

Of course, it’s ridiculous to judge someone’s character based on his or her net worth. I have known many mean, greedy people who happen to be poor; as well as many compassionate, generous people who are also wealthy – and so have you.

Are there unethical and dishonest rich people? Of course there are. But, in Thomas Stanley’s,The Millionaire Next Door: Surprising Secrets of America’s Wealthy millionaires rated integrity [being honest with all people] as the number one factor that explains their economic success, ahead of wise investing or working hard.

Paul Sullivan of the Herald –Tribune recently wrote Financial Advice Gleaned From a Day in the Hot Seat about  his opportunity to participate in a “carefrontation” hosted by the Tiger 21 club. Tiger 21 members have a net worth of at least $10 million. They meet regularly to discuss investments and encourage one another to think about everything in their lives affected by their wealth. The “carefrontations” put one member on the hot seat to defend their current financial decisions. Sullivan thought he was doing well but the group encouraged him to dump his vacation condominium saying he needed to be more liquid. “If something bad happens, it’s easy to get rid of a dog walker; it’s hard to get rid of a house in Naples.” They also beat on him about the levels of life and disability insurance he and his wife are carrying.

Let’s Recap:

  • Your disdain for wealthy people will make it difficult for you to increase your wealth; so knock it off. Feel free to dislike mean people or dishonest people but don’t hate people because they are successful.
  • Many Millionaires cite “honesty” as the number one factor influencing their success. You can be honest, right?
  • Wealthy people deliberately set aside time to regularly review their finances, not just by themselves, but with trusted peers. You can start this today. Calculate your net worth monthly. Review your budget and investments regularly, find some like minded people to discuss money matters with.

It is time you give up your ridiculous prejudices against the rich. Most of us wish we had more money; more to give, more to help others or more to spend on travel or stuff. Resenting and demonizing the wealthy makes it nearly impossible for you to learn anything from their successes. And really, who do you want to listen to for money advice, someone who’s got some or your broke brother-in-law?

Waging Personal Peace

Contrary to what you learned from “Leave it to Beaver” or “The Brady Bunch” family peace is not something that naturally occurs.  If you want peace for yourself and your family, you have to fight for it.

One of the core requirements for peace is security. If you are currently living on more then you make, have debt, or have inadequate savings, you have no security. There is no peace while waiting for the consequences of your bad money behavior to catch up with you.

I meet people all the time who know their financial situation is precarious. They know they are one illness, one car repair, one temporary job loss away from disaster – but they act as if they are ok with it. In conversation, I hear that they know they should do something, but it sounds as if they just do not want to do the work.

Are they too lazy, self-indulgent, or stupid to make the changes necessary to give their families security?  No, they are none of these things. They are scared and they have lost hope. The debt looks insurmountable, the gap between income and expense too wide, the shame of facing their own failure too painful. So, their response is to quickly stick their heads back in the sand.

If you are one of these people, I want to give you hope. You really can change your future. I guarantee I have seen bigger mistakes; heck, I probably made bigger mistakes.

All you need to do right now is to get mad. Decide that this is not how you want to live and definitely, not how you want to teach your children to live. Make the commitment to Wage Peace for yourself and your family.

I loved this recent tweet by DaveRamsey, this is how you do it! “Get all Braveheart on your debt. Go crazy, paint yourself blue and charge into the chaos with fierceness.”

If you have successfully waged peace in your home but you have family or friends that have not, send them this post. Preface it with your story; give them the gift of hope.

If you know you need to do better but are not sure what to do, contact me and I’d be happy to get you started.

Other People and Your Money

Most of my failures with money had to do with me. My intentional inattention to the future consequences of today’s money choices cost me lots of money, but my worst choices were always reserved for choices involving others.

It is easy to make particularly poor money decisions when it comes to people we care about. When asked by a friend or family member for help, we want to do whatever we can. Unfortunately, many times the choice we make not only hurts our own financial situation, it also causes much harm to the relationship.

To avoid trashing your own financial goals and ruining your relationships, it is important to set some hard and fast family rules about other people and your money.

Cash Only Living recently posted their list of 10 Rules for Dealing with People Problems. This is an excellent starting point for your family to adopt their own rules:

  1. We never co-sign for anything for any one.

  2. We treat people how we would like to be treated, namely, with honor, respect, patience, humor, and firm parameters so as to avoid miscommunications and other inter-personal issues. We expect the same in return.

  3. We don’t take sides and we don’t like drama.

  4. We do keep a separate emergency fund to help others if needed.

  5. We don’t loan money to anyone for anything.

  6. We don’t bail people out of jail.

  7. We won’t buy from your MLM business; go to a presentation that is trying to sell us something; or become one of your MLM “downlinks”.

  8. I won’t enter into a business partnership with anyone.

  9. The hubby and I freely provide: someone to vent to/talk to, a free meal if you stop by the house, a place to sleep in an emergency, a free ride if you have been drinking, moral support, useful information, help with a wide variety of problems/projects  and provide other non-financial assistance whenever possible.

  10. We won’t sell you anything on credit.

Having these rules in place before you need them is key. Without predetermined rules, you are bound to find yourself in a long drawn out conversation of all your legitimate reasons for not helping someone you care about. Somewhere early in this conversion, all they can hear is that you don’t care.

It is so much easier on both parties if you are to say with confidence “I’m sorry, our family has a rule against co-signing” .

What are your rules about other people and your money?

Teach Your Children Well

Jim Collins over at jlcollinsnh recently lamented how he is fearful that he has failed his daughter because she is not greatly interested in managing her money.

I’m with you, Jim, I often worry I failed my son in the same way. Although it sounds like you did everything right to instill financial savvy, I know I did a lot wrong.

While you, Jim:

I started her early.  Allowance.  Envelopes for spending, saving and charity.  “The Richest Man in Babylon.”  Checking account.  Saving account.  Mutual fund.  Endless conversations (ok lectures) on the subject.  What child wouldn’t love this stuff?

I, in my son’s formative years, saved too little, spent too much and invested almost no time or effort in learning or teaching sound financial principals.

Disinterest in financial matters is absolutely the norm. We spend 40 hours a week making money and another 20 spending it. But most of us would prefer not to spend any time thinking about it. The 9 basic concepts you spelled out for your daughter are definitely worth consideration.

JLCollinssnh-The simple path to wealth

It starts with nine basics.

  1. Avoid fiscally irresponsible people.  Never marry one or otherwise give him access to your money. (Wow, this is a great point. Do everything else right except this and you still may end up with nothing!)
  2. Avoid money managers.  It’s your money and no one will care for it better than you.
  3. Avoid debt.
  4. Save a portion of every dollar you get.
  5. The greater the percent of your income you save and invest, the sooner you’ll have F-You money.  Try 50%.  With no debt, this is perfectly doable.
  6. Put this money in the Vanguard Total Stock Market Index Fund (VTSAX)   This is the fund you already own, so just keep adding to it.
  7. Realize the market and the value of your shares will sometimes drop dramatically.  People all around you will panic.  They’ll be screaming Sell, Sell, Sell.  Ignore this.  Even better:  Buy more shares.
  8. When you can live off the dividends VTSAX provides, you are financially free.
  9. The less you need, the more free you are.

Since my son left home, I thankfully have learned to live without debt and I’m freer (but not yet free) from the shackles of consumerism.

I still worry if his money decisions will be influenced by my new clearer thinking or by all the times when he was growing up when I was quick to flash that American Express card.

Then I remember he is  smarter, more aware and more self-disciplined than his mom so I think he’ll be fine.

How Much Money Would it Take?

I have a great “get out of debt” story, but I am sometimes reluctant to share the details. When we decided to do this thing, we really did it. Without selling anything significant or inheriting anything or winning the lotto, we paid off $220,000 in debt in just 24 months.

During that period, we had a significant income. I had a great paying job, we had several side hustles and Jim had retirement income.

My reluctance to share the numbers of our story stems from a fear that some will use this as another reason that they can’t win, instead of inspiration that they can. If you hear this and think, if only I made that kind of money I would be debt free and fiscally fit too. Please read on.

People with huge incomes lose all the time, maybe even in similar percentages to those with lesser incomes.

Take for example, NFL players, the minimum salary in 2011 is something like $340K a year yet many of them are considering taking out high fee, high interest loans to get the through the lockout. (Excellent post on the subject, NFL Players, Lockout Loans, and Predatory Lending by Lazy Man and Money). This is despite the fact that the Players Association will pay them $60K over a six-week lockout.

Dang, at least $340K a year and they don’t have any savings to get them through a rough patch even after a $60K payday?  What kind of fools are these guys?

Wait a second, they are the same kind of fool that I was. They spend all, or most of, or more than they make. They build no safety net into their finances. Banks have offered them easy money to buy the glittery stuff that their peers were wearing or driving and they took this to mean they could afford it.

The key principal of financial success is the same whether you make $35K or $340K .

Spend less than you make.

If you need to dump debt – spend significantly less then you make.

If you are like me and you really, really NEED in your heart to be free, find a way to live on the smallest possible percentage of your income.

Mine was 21%.

Fool

You are a self-sabotaging, irrational but often altruistic toad – however I say that with love in my heart. It’s not just me who thinks so; turns out there is a whole science devoted to the “how and why” we make the choices we do. Guess what they discovered – we are all hopelessly irrational.

Behavioral Economics is a rather young science that merges economics with psychology in order to study how real people make choices. When making decisions, we would think people choose the option that maximizes profits and benefits to themselves, right?

Let’s think about it. Are the decisions you make about your money, your health or your future rational?

Have you quit smoking or paid off your debt? Do you exercise and eat right? Are you saving enough for retirement? In short, are you doing the things that you know will lead to your goals?

Smart people behave irrationally (so do dumb people).  It is a scientifically proven fact that we knowingly make decisions in direct conflict with what we want to happen. In addition to choosing poorly, we often sabotage our futures by refusing to choose.

David Laibson, Professor of Economics at Harvard writes; “There’s a fundamental tension, in humans and other animals, between seizing available rewards in the present, and being patient for rewards in the future,” he says. “It’s radically important. People very robustly want instant gratification right now, and want to be patient in the future. If you ask people, ‘Which do you want right now, fruit or chocolate?’ they say, ‘Chocolate!’ But if you ask, ‘Which one a week from now?’ they will say, ‘Fruit.’ Now we want chocolate, cigarettes, and a trashy movie. In the future, we want to eat fruit, to quit smoking, and to watch Bergman films.”

I know Laibson is talking about me. I definitely want to eat better and exercise more – later.

When it comes to our money, we buy stuff on credit even though using credit reduces the amount of stuff  we can buy. We walk away from free money in the form of our employer’s match on our 401k and we fail to make a budget or set aside an emergency fund even though we readily agree that these are all things we want to do.

How do we overcome our irrational desires?

I win with my money not because “I’m oh so smart“, but because I’ve finally accepted that guys like Laibson and Ariely are right. To paraphrase Pogo, “I have seen the enemy and she is me”.

Recognizing that the biggest danger to my financial future is my own irrational decision-making, I have set in place a system of pre-commitments that force me to follow through my rational plan.

Here are things I do that will work for you:

  • Make a budget in ADVANCE of the month and sign off on it with your spouse or accountability partner. Hold each other to the commitment.
  • Don’t give yourself easy access to money or credit. Cut up the credit cards or at least hide them. Make your savings harder – not easier to get to.
  • Make savings automatic – have your savings direct deposited or at least moved automatically as soon as it hits your account.
  • Post the Wish List on the fridge – don’t buy things that aren’t on the list even if you have the money.

Want to learn more about Behavior Economics?

Dan Ariely, Professor of Behavioral Economics at Duke has a podcast at ITunes U called Arming the Donkeys. The segments are really short, interesting and easy to understand. Give it a listen.