Search found 1057 matches

by southerndoc
Mon Nov 11, 2019 1:22 pm
Forum: Personal Finance (Not Investing)
Topic: EMS Pension - Effects of Solo 401(k) and Possible Defined Benefit Plan
Replies: 1
Views: 147

EMS Pension - Effects of Solo 401(k) and Possible Defined Benefit Plan

Georgia is in the process of establishing an EMS pension fund. Although I work as an emergency physician, I still serve as an EMS medical director and still maintain my paramedic license. Therefore, I will be eligible to participate in it. Monthly contributions will be around $35/month. What effects...
by southerndoc
Sat Nov 09, 2019 11:19 pm
Forum: Personal Finance (Not Investing)
Topic: Where to Purchase Defined Benefit Plan
Replies: 15
Views: 2000

Re: Where to Purchase Defined Benefit Plan

I'm looking for other ways to put away retirement savings for tax deduction. I'm already maxing out a Solo 401(k) with both employee and employer contributions and plan to start a backdoor Roth this year. I was looking into defined benefit plans. I was going to get a quote from Vanguard, but I saw ...
by southerndoc
Sat Nov 09, 2019 11:07 pm
Forum: Personal Consumer Issues
Topic: FirstNet by AT&T
Replies: 14
Views: 1098

Re: FirstNet by AT&T

We are about to adopt it at the fire department where I am medical director. However, it will be used to supplement our communications system and not replace it. @9liner, FirstNet has dropped a lot of the requirements. They are now considering emergency nurses and physicians as eligible to sign up f...
by southerndoc
Sat Nov 09, 2019 2:39 pm
Forum: Personal Consumer Issues
Topic: FirstNet by AT&T
Replies: 14
Views: 1098

Re: FirstNet by AT&T

FirstNet is not fully deployed yet. It is developed for mission critical communications. Radios can often get bogged down and may not travel more than a few miles without robust repeater systems. Not every incident is limited to communication within the area of the incident. Frequently calls must be...
by southerndoc
Mon Oct 28, 2019 8:53 pm
Forum: Personal Consumer Issues
Topic: Vanguard Web Site Interface
Replies: 15
Views: 1275

Re: Vanguard Web Site Interface

Looks like it's back to normal on my end now.
by southerndoc
Mon Oct 28, 2019 7:49 pm
Forum: Personal Consumer Issues
Topic: Vanguard Web Site Interface
Replies: 15
Views: 1275

Re: Vanguard Web Site Interface

Probably just a glitch. Likely will be back to normal tomorrow.
by southerndoc
Mon Oct 28, 2019 7:36 pm
Forum: Personal Finance (Not Investing)
Topic: Medical billing vent
Replies: 9
Views: 1156

Re: Medical billing vent

I am just bewildered at this system we have... My son just had surgery the surgeons fees were bill as $8,000, but accepted fee was less then $2,000. MY portion 20%. The surgery center billed over $10K but the accepted fee was $650, again my portion was 20%. From $10K down to $650. I have no clue on...
by southerndoc
Wed Oct 23, 2019 10:21 pm
Forum: Personal Consumer Issues
Topic: Urgent Care Billing Question: what's a "long" doctor's visit?
Replies: 25
Views: 2834

Re: Urgent Care Billing Question: what's a "long" doctor's visit?

Billed on a 1-5 code. Has nothing to do with time spent. Most urgent care would be a 3 however if we order any tests, cxr, flu swab, strep testing they may bill for level 4. It would be a very rare level 5 chart. In the ER level 3 around $150 doctors charge, level 5 somewhere around $450. You're qu...
by southerndoc
Tue Oct 22, 2019 9:17 pm
Forum: Personal Consumer Issues
Topic: Urgent Care Billing Question: what's a "long" doctor's visit?
Replies: 25
Views: 2834

Re: Urgent Care Billing Question: what's a "long" doctor's visit?

Billed on a 1-5 code. Has nothing to do with time spent. Most urgent care would be a 3 however if we order any tests, cxr, flu swab, strep testing they may bill for level 4. It would be a very rare level 5 chart. In the ER level 3 around $150 doctors charge, level 5 somewhere around $450. You're qu...
by southerndoc
Tue Oct 22, 2019 5:30 pm
Forum: Personal Consumer Issues
Topic: Urgent Care Billing Question: what's a "long" doctor's visit?
Replies: 25
Views: 2834

Re: Urgent Care Billing Question: what's a "long" doctor's visit?

5 or 10 minutes sounds like a long office visit. You can probably double the amount of time he/she spent with you to get a total time involved in "patient care" that includes reviewing prior records, nursing notes, and documenting everything.
by southerndoc
Tue Oct 22, 2019 3:20 am
Forum: Personal Consumer Issues
Topic: BCBS wont pay lab bill...
Replies: 44
Views: 4108

Re: BCBS wont pay lab bill...

Physicians always know if a test they order will be reimbursed by the insurance company and specifically by the patients insurance company. This is normal every day practice. You just can't have a doctor send an esoteric/experimental test without explaining to the parents/patient that this test mak...
by southerndoc
Sat Oct 12, 2019 9:36 pm
Forum: Investing - Theory, News & General
Topic: Do You Think Vanguard Will Join The No Commission Party?
Replies: 40
Views: 4803

Re: Do You Think Vanguard Will Join The No Commission Party?

I would think that most people who use Vanguard are more Bogleheaded. If they do purchase individual stocks, I'm pretty sure they are more likely to be in them for the long haul as compared to other brokerages. I could be wrong, but that's my opinion.
by southerndoc
Sat Oct 12, 2019 9:35 pm
Forum: Personal Finance (Not Investing)
Topic: Solo 401(k) 2018 Roth Contributions for Account moved to Vanguard in 2019?
Replies: 13
Views: 554

Re: Solo 401(k) 2018 Roth Contributions for Account moved to Vanguard in 2019?

Even though I think I'm knowledgeable about Solo 401(k)'s, there is still a lot that I do not know or am uncertain about. Solo 401(k)'s are definitely more regulated than SEP-IRA's.
by southerndoc
Sat Oct 12, 2019 8:47 pm
Forum: Personal Finance (Not Investing)
Topic: Solo 401(k) 2018 Roth Contributions for Account moved to Vanguard in 2019?
Replies: 13
Views: 554

Re: Solo 401(k) 2018 Roth Contributions for Account moved to Vanguard in 2019?

Sweet. I was worried I was going to have to file additional paperwork and have to figure out how to recharacterize the contributions. Although if I'm not mistaken, employer contributions are reported by year of contribution and not designated tax year. I have to claim it on my taxes. So if I designa...
by southerndoc
Sat Oct 12, 2019 6:22 pm
Forum: Personal Finance (Not Investing)
Topic: Solo 401(k) 2018 Roth Contributions for Account moved to Vanguard in 2019?
Replies: 13
Views: 554

Re: Solo 401(k) 2018 Roth Contributions for Account moved to Vanguard in 2019?

I think I was trying to say that I amended my plan opened in 2018 at Fidelity to Vanguard in 2019. The amendment had a Roth portion. I filed an extension and just recently made employer/profit sharing contributions to Vanguard for tax year 2018. Since they are not Roth contributions, are these prior...
by southerndoc
Sat Oct 12, 2019 3:39 pm
Forum: Personal Finance (Not Investing)
Topic: Solo 401(k) 2018 Roth Contributions for Account moved to Vanguard in 2019?
Replies: 13
Views: 554

Re: Solo 401(k) 2018 Roth Contributions for Account moved to Vanguard in 2019?

Can one can still make 2018 employer contributions? If not, then I'll have to amend my return and figure out how to recharacterize the contributions. I moved my account from Fidelity to Vanguard in May 2019.
by southerndoc
Thu Oct 10, 2019 1:47 am
Forum: Personal Consumer Issues
Topic: Apple iPhone iOS 13 Discussion
Replies: 77
Views: 8692

Re: Apple iPhone iOS 13 Discussion

I'm very pleased with the call silencing feature that you can enable for all those spam calls. I like not being awoken in the morning with those calls. That's a start. But why not go further? I'm hoping in future iOS releases there's an option to not even see the "missed call" notification. Just sh...
by southerndoc
Sun Oct 06, 2019 4:31 pm
Forum: Personal Consumer Issues
Topic: replacing Smoke Detectors (not just batteries)
Replies: 30
Views: 1968

Re: replacing Smoke Detectors (not just batteries)

Many times you can find a contractor pack of 6 or 8 at a slightly reduced price. Cut the circuit breaker off and have at it. Is it true that newer houses don't have circuit breakers for the smoke detectors? Someone said it's code where I live. Seems a safety risk in itself to not have a breaker for...
by southerndoc
Sun Oct 06, 2019 4:30 pm
Forum: Personal Consumer Issues
Topic: replacing Smoke Detectors (not just batteries)
Replies: 30
Views: 1968

Re: replacing Smoke Detectors (not just batteries)

I think it's preferable to replace them all at once with the same model. Otherwise you have to keep track of when to replace the two older detectors. Replacing them all at once also lets you picker a newer brand/model. Different smoke alarm brands may not interconnect with other brands. Not worth t...
by southerndoc
Thu Sep 26, 2019 11:25 pm
Forum: Personal Finance (Not Investing)
Topic: Protection From Catastrophic Medical Costs When Fully Insured
Replies: 109
Views: 4982

Re: Protection From Catastrophic Medical Costs When Fully Insured

This is how insurance works in this country. A lot of people like to blame the medical provider or hospital for this, but the problem lies with the insurance company failing to fulfill an obligation it has with its consumer that pays for protection. I think there is culpability all around. What can...
by southerndoc
Thu Sep 26, 2019 11:16 pm
Forum: Personal Finance (Not Investing)
Topic: Protection From Catastrophic Medical Costs When Fully Insured
Replies: 109
Views: 4982

Re: Protection From Catastrophic Medical Costs When Fully Insured

Hi all, I have a relative who went to an emergency room at an "in network" hospital, he was fully insured at work. He has a bill for $550K, in which his insurance paid $7K "out of network" (what they deemed reasonable). His out of pocket max was around $20K. Yet, apparently, he has to pay the balan...
by southerndoc
Thu Sep 26, 2019 11:12 pm
Forum: Personal Finance (Not Investing)
Topic: Protection From Catastrophic Medical Costs When Fully Insured
Replies: 109
Views: 4982

Re: Protection From Catastrophic Medical Costs When Fully Insured

This is how insurance works in this country. A lot of people like to blame the medical provider or hospital for this, but the problem lies with the insurance company failing to fulfill an obligation it has with its consumer that pays for protection. Regarding requiring providers at an in-network fac...
by southerndoc
Tue Sep 17, 2019 7:12 pm
Forum: Personal Consumer Issues
Topic: International Medical emergency story [travel to Canada, no insurance]
Replies: 58
Views: 4161

Re: International Medical emergency story [travel to Canada, no insurance]

I'm assuming Canada does not have something similar to US EMTALA laws.
by southerndoc
Tue Sep 17, 2019 9:32 am
Forum: Personal Consumer Issues
Topic: Do You Tip At Counter Service Restaurants?
Replies: 145
Views: 9404

Re: Do You Tip At Counter Service Restaurants?

I've definitely fallen sucker to the tip suggestions on the pay pads (iPads?). The 15%, 20%, 25% buttons make me feel guilty to click other. I tip pretty well at dine-in restaurants where food is served to me, they clean the table, etc. Usually 30%, sometimes even more. After seeing the discussion o...
by southerndoc
Mon Sep 16, 2019 10:19 pm
Forum: Personal Finance (Not Investing)
Topic: Can I transfer part of a Solo 401(k)?
Replies: 17
Views: 1079

Re: Can I transfer part of a Solo 401(k)?

So a person can’t have one solo 401k for one sole proprietorship, and another for a LLC? Thinking of bonus transfers here. If the businesses are both owned by you these are a controlled group and treated as a single employer for retirement plan purposes. Congress and the IRS are way ahead of you he...
by southerndoc
Sat Sep 14, 2019 12:12 pm
Forum: Personal Finance (Not Investing)
Topic: 3rd Quarter Federal Estimate Early
Replies: 8
Views: 517

Re: 3rd Quarter Federal Estimate Early

Checks are for us old guys. :)

Oddly enough, I transferred my Solo 401(k) from Fidelity to Vanguard because Fidelity doesn't allow online contributions. I hated mailing them checks because one was lost for 3 weeks. I hate paying the IRS electronically and prefer to mail them checks.
by southerndoc
Sat Sep 14, 2019 12:11 pm
Forum: Personal Finance (Not Investing)
Topic: Filing Taxes and Contributing to Solo 401(k) After Filing
Replies: 5
Views: 394

Filing Taxes and Contributing to Solo 401(k) After Filing

Just curious, must a Solo 401(k) employer contribution be made before taxes are filed, or with an extension are you allowed to file up until 15 October even if you file taxes earlier? I was planning on going ahead and filing now since I have received my K-1, but wasn't planning on making my 2018 emp...
by southerndoc
Sat Sep 14, 2019 12:08 pm
Forum: Personal Investments
Topic: Indiv Roth 401k "Employee Salary Deferral"?
Replies: 5
Views: 471

Re: Indiv Roth 401k "Employee Salary Deferral"?

As a sole proprietor, less record keeping. As an S-corp, he probably pays himself a wage and has to keep more records, pay taxes as he pays himself as an employee, etc.
by southerndoc
Sat Sep 14, 2019 12:06 pm
Forum: Personal Finance (Not Investing)
Topic: 3rd Quarter Federal Estimate Early
Replies: 8
Views: 517

Re: 3rd Quarter Federal Estimate Early

Charged? How were you charged? I send in paper checks.
by southerndoc
Sat Sep 14, 2019 9:19 am
Forum: Investing - Theory, News & General
Topic: Fidelity beating vanguard now? switch to Fidelity?
Replies: 121
Views: 6212

Re: Vanguard is Falling Behind Compared to Fidelity

I feel like Vanguard and Fidelity have an equal iOS app. Fidelity's website offers more features (particularly stock research). I like that Vanguard offers Yubikey login security. The only reason I use Vanguard is because of the Roth i401(k) option in addition to online contributions. Fidelity requi...
by southerndoc
Sat Sep 14, 2019 8:18 am
Forum: Personal Investments
Topic: Indiv Roth 401k "Employee Salary Deferral"?
Replies: 5
Views: 471

Re: Indiv Roth 401k "Employee Salary Deferral"?

All Roth contributions are made as employee deferrals. You will have to pay taxes on the deferrals. The employer cannot make Roth contributions. Basically, you (employee) will decide what deferrals to make. Up to $19,000 (plus catch-up contributions if eligible) can be made however you please. All $...
by southerndoc
Mon Sep 09, 2019 10:39 pm
Forum: Investing - Theory, News & General
Topic: New Vanguard Security Code Requirement [2FA: Two-factor authentication]
Replies: 204
Views: 21200

Re: New Vanguard Security Code Requirement [2FA: Two-factor authentication]

I've been using a Yubikey and love it. I wish there was a way to eliminate any other backup method so I would be forced to call if I lose my Yubikey. The inconvenience to me is well worth the security. I do not want to sign in one day to see my retirement account zero'd out. I understand the frustra...
by southerndoc
Sun Sep 08, 2019 4:10 pm
Forum: Personal Consumer Issues
Topic: Danger of mail order drugs, recent television report
Replies: 26
Views: 2745

Re: Danger of mail order drugs, recent television report

The keyword to mention is "adulterated" when you call for a replacement. If you say that it's been exposed to extreme heat/cold and you think it's now adulterated, most pharmacies will replace it free of charge. The FDA strictly prohibits them from dispensing an adulterated drug, and usually the FD...
by southerndoc
Sun Sep 08, 2019 11:28 am
Forum: Personal Consumer Issues
Topic: Danger of mail order drugs, recent television report
Replies: 26
Views: 2745

Re: Danger of mail order drugs, recent television report

The keyword to mention is "adulterated" when you call for a replacement. If you say that it's been exposed to extreme heat/cold and you think it's now adulterated, most pharmacies will replace it free of charge. The FDA strictly prohibits them from dispensing an adulterated drug, and usually the FD...
by southerndoc
Fri Sep 06, 2019 9:38 pm
Forum: Personal Consumer Issues
Topic: Danger of mail order drugs, recent television report
Replies: 26
Views: 2745

Re: Danger of mail order drugs, recent television report

The difference between mail order and shipping to the local pharmacy is that temperature controls are usually in place until the last mile of the delivery. Warehouses rarely have extremes of heat or cold. Packages loaded on a UPS truck are stored in the warehouse (the truck is in the warehouse) at m...
by southerndoc
Tue Sep 03, 2019 12:43 pm
Forum: Personal Consumer Issues
Topic: Flu shot timing
Replies: 5
Views: 739

Re: Flu shot timing

I've already seen several cases of flu in August. Saw a case in mid-July of flu B.

Our health system usually recommends last week of September/first two weeks of October.
by southerndoc
Tue Sep 03, 2019 3:55 am
Forum: Personal Consumer Issues
Topic: Water alarm just saved me a lot of $$$. Do you have them?
Replies: 62
Views: 6916

Re: Water alarm just saved me a lot of $$$. Do you have them?

Anyone have experience with the Moen Flo? www.meetflo.com

Will alert you when a leak is detected and can automatically shut off the water supply.
by southerndoc
Mon Sep 02, 2019 12:44 am
Forum: Personal Finance (Not Investing)
Topic: Vanguard Transfer: How Long to Remove Track Your Transfer Link
Replies: 7
Views: 1047

Re: Vanguard Transfer: How Long to Remove Track Your Transfer Link

Still showing 100 days after the transfer. Guess I'll call again on Tuesday. The small biz rep said she would take care of it, but then later said it would automatically drop after 90 days. So much for that.
by southerndoc
Mon Aug 26, 2019 11:40 pm
Forum: Personal Finance (Not Investing)
Topic: Comcast Grievance - How to get their attention?!
Replies: 43
Views: 3307

Re: Comcast Grievance - How to get their attention?!

Some of my friends have signed up for Comcast Business service (even though it's a residential address). What I've heard they had stellar customer service there and support staff that can actually diagnose the issue. It's more expensive than residential service but not insanely. It's about 3-5 time...
by southerndoc
Mon Aug 26, 2019 11:33 pm
Forum: Personal Consumer Issues
Topic: out of network emergency visits. Huge bill!!!
Replies: 156
Views: 13846

Re: out of network emergency visits. Huge bill!!!

It can be anywhere from 20-50% of the bill. You are probably better off doing that rather than bothering with insurance. And *that* right there is why we know the health care system pricing is smoke and mirrors. If you can cut a bill by 20-50% with a five minute phone call, there's definitely more ...
by southerndoc
Mon Aug 26, 2019 9:53 pm
Forum: Personal Consumer Issues
Topic: out of network emergency visits. Huge bill!!!
Replies: 156
Views: 13846

Re: out of network emergency visits. Huge bill!!!

Previous posters are correct: Many hospitals and physician groups will offer a discount if paid in full. Contact your HR department to see if they can override the insurance ruling. Also, appeal again and request a personal appearance. Some insurers will reverse a denial just to keep from meeting so...
by southerndoc
Sat Aug 24, 2019 5:39 pm
Forum: Personal Consumer Issues
Topic: Physician quality and experience
Replies: 94
Views: 6278

Re: Physician quality and experience

The credentialing process for a new provider at my health system takes 3-6 months.

It can be painfully slow even for someone with no criminal record, clean financial history, etc.
by southerndoc
Sat Aug 24, 2019 5:32 pm
Forum: Personal Consumer Issues
Topic: Asset Protection, IRAs... How much protection?
Replies: 8
Views: 708

Re: Asset Protection, IRAs... How much protection?

IRA protection varies by state. 401(k) plans (not Solo) are ERISA protected and have full federal protection. Here is a link that summarizes IRA protections: https://www.assetprotectionplanners.com/planning/ira-by-state/ Note that a few states (Georgia is one) afford absolutely no protection for Rot...
by southerndoc
Sat Aug 24, 2019 5:24 pm
Forum: Personal Investments
Topic: Vanguard Solo 401K to Roth IRA?
Replies: 2
Views: 190

Re: Vanguard Solo 401K to Roth IRA?

retiredjg is correct. You can transfer out without problems when you close the plan. Please remember, you have to file a 5500 form with the IRS when you close the plan even if your assets don't reach the $250,000 required filing amount. All plans must file a final 5500 form when the plan is terminat...
by southerndoc
Mon Aug 19, 2019 12:37 am
Forum: Personal Finance (Not Investing)
Topic: Emergency medical insurance (Helicopter transport, etc)
Replies: 32
Views: 3167

Re: Emergency medical insurance (Helicopter transport, etc)

Rotor wing transport is expensive. You can't have their constant readiness and have it budget friendly. It costs a lot to maintain the aircraft, flight crew, etc. Insurance companies purposefully refuse to negotiate with them because they can pay a lot less with them being out-of-network. This is n...
by southerndoc
Sun Aug 18, 2019 9:40 pm
Forum: Personal Finance (Not Investing)
Topic: Emergency medical insurance (Helicopter transport, etc)
Replies: 32
Views: 3167

Re: Emergency medical insurance (Helicopter transport, etc)

Travel insurance does not cover domestic rotor wing transports. Most won't cover rotor wing (helicopter) anyhow. They only cover long distance fixed wing transport. "Usual and customary" is not the same as the usual reimbursement rate by most insurers. Remember, insurance companies are also in it fo...
by southerndoc
Sun Aug 18, 2019 8:16 am
Forum: Personal Finance (Not Investing)
Topic: I really do not like using credit cards. Do any of you have a good credit score with no credit cards?
Replies: 247
Views: 7106

Re: Does anyone here have no credit cards? How is that working out for you? Do you have any trouble without them?

There is research that credit/debit cards cause people to spend more. I refuse to not use one because it's just more convenient. However, spending $400 at Target is a lot less painful with the insertion of the chip (swipe of the card) than handing over 4 $100 bills or 20 $20 bills. Counting the cash...
by southerndoc
Tue Aug 13, 2019 9:54 pm
Forum: Personal Consumer Issues
Topic: Do you "lock" computers in your home?
Replies: 77
Views: 5918

Re: Do you "lock" computers in your home?

I do some consulting work for, well, I'll just leave it as sensitive consulting work. The laptop has a FIPS fingerprint reader on it. Before it asks for your password, I have to insert a smart card. I am required to keep it secured in a safe when not using it, and I am strictly forbidden from using ...
by southerndoc
Tue Aug 13, 2019 9:50 pm
Forum: Personal Finance (Not Investing)
Topic: Provider choosing to bill as out of network
Replies: 43
Views: 3726

Re: Provider choosing to bill as out of network

You verified the provider is in-network? There are 2 possible scenarios: 1. Your state has a balance billing law and the out-of-network rate is higher than his/her negotiated in-network rate. 2. He/she is billing a higher amount with an out-of-network rate, accepting an in-network payment amount, an...