Search found 24 matches

by Kidneydoc
Sat Oct 07, 2017 8:34 am
Forum: Personal Consumer Issues
Topic: Medicare versus Medicare Advantage for 2018
Replies: 19
Views: 1871

Re: Medicare versus Medicare Advantage for 2018

As a physician, I would not recommend Medicare Advantage, unless you are of good health and do not anticipate using the healthcare system frequently (an unlikely scenario as you age). The upfront costs of traditional Medigap plan pale compared to the deductible and coinsurance costs of a Medicare (d...
by Kidneydoc
Wed Sep 27, 2017 6:30 am
Forum: Personal Consumer Issues
Topic: The Expert's Dilemma - How can I know I'm getting a good physician without being one myself?
Replies: 125
Views: 8440

Re: The Expert's Dilemma - How can I know I'm getting a good physician without being one myself?

As a physician, I would not trust Castle Connolly or any Top Docs listing. It’s based on popularity amongst a community physician survey and not on clinical outcomes or evidence. Eventually Medicare will release 5 Star physician ratings in the future, like they currently do for hospitals, nursing ho...
by Kidneydoc
Wed Sep 27, 2017 5:56 am
Forum: Personal Finance (Not Investing)
Topic: New HSA provider Lively offers investments for $30/yr fee
Replies: 97
Views: 8359

Re: New HSA provider Lively offers investments for $30/yr fee

What is interest rate in Lively HSA account? Never mentioned on website. Sick of HSA Bank too many fees.
by Kidneydoc
Sun Sep 17, 2017 5:59 pm
Forum: Personal Finance (Not Investing)
Topic: Estate planning advice for young parents in Massachusetts
Replies: 33
Views: 2702

Re: Estate planning advice for young parents in Massachusetts

What I meant was that a revocable living trust would keep trust titled assets private unlike regular assets.
by Kidneydoc
Sun Sep 17, 2017 3:42 pm
Forum: Personal Finance (Not Investing)
Topic: Estate planning advice for young parents in Massachusetts
Replies: 33
Views: 2702

Re: Estate planning advice for young parents in Massachusetts

My wife and I are both physicians. After the birth of our twins in 2003, we both got revocable living trusts, in addition to the basic will/advance directive/POA documents, plus we got Irrevocable Life Insurance Trust (ILIT) when the federal estate tax threshold was roughly $1 million. It cost rough...
by Kidneydoc
Sun Sep 17, 2017 3:03 pm
Forum: Personal Finance (Not Investing)
Topic: A bit of estate planning
Replies: 10
Views: 1140

Re: A bit of estate planning

1. 529 accounts are under your control not your adult children's control for the benefit of grandchildren's education. If your grandchild is a dropout, you can always change the beneficiary of the 529. 2. UTMA/UGMA minor's accounts are under your control until they reach age of majority in your stat...
by Kidneydoc
Sun Sep 17, 2017 10:47 am
Forum: Personal Finance (Not Investing)
Topic: Do you have an umbrella policy?
Replies: 141
Views: 15997

Re: Do you have an umbrella policy?

Umbrella insurance $3M for $620 annually with GEICO. Thinking of upping coverage to $4M next year as assets growing. I am thinking of getting another insurance quote for home/auto/umbrella with Chubb given their reputation for paying out claims.
by Kidneydoc
Sat Sep 16, 2017 2:52 pm
Forum: Investing - Help with Personal Investments
Topic: New attending physician, what to do next?
Replies: 17
Views: 1787

Re: New attending physician, what to do next?

I would recommend paying off your highest interest loans, but aim to 1. Contribute to the maximum 401k contributions. ($18,000) 2. Contribute to the maximum to HSA for double tax benefit (tax deductible and tax free distributions). I usually keep $5-10,000 cash in HSA bank as part of my emergency fu...
by Kidneydoc
Sun Jun 19, 2016 4:41 pm
Forum: Investing - Help with Personal Investments
Topic: What to put in my taxable account?
Replies: 19
Views: 2855

Re: What to put in my taxable account?

Consider adding I Bonds in a TreasuryDirect account (inflation adjusted, interest tax deferred until cashed out), or state specific municipal bond fund (I use Vanguard NJ Long Term Tax Exempt Municipal Bond Fund). I use both as an emergency fund, and as part of my bond allocation.
by Kidneydoc
Wed Oct 08, 2014 11:26 pm
Forum: Investing - Help with Personal Investments
Topic: Sell or hold "Sequoia" and "Oakmark Equity and Income"
Replies: 9
Views: 1751

Re: Sell or hold "Sequoia" and "Oakmark Equity and Income"

Sequoia Fund Pros: Well regarded value fund that historically outperformed indexes (past performance is no indication of future performance). Historically the fund that Warren Buffett recommended his investors go to when his old partnership closed shop. Relatively low turnover last time I looked at ...
by Kidneydoc
Sat Sep 27, 2014 10:48 am
Forum: Personal Finance (Not Investing)
Topic: Answer to Most Physician/High Income Job Questions:
Replies: 50
Views: 7715

Re: Answer to Most Physician/High Net Worth Questions:

There is no limit how much to accumulate in HSA technically, but it is likely to limited by HSA contribution limits and your investments. I keep mine at HSA Bank linked to TD Ameritrade brokerage account. However a good rule of thumb is to expect healthcare expenses in retirement to approach $250,00...
by Kidneydoc
Sat Sep 27, 2014 9:45 am
Forum: Investing - Help with Personal Investments
Topic: New Trustee of 6M estate trusts... Lots of Q's
Replies: 15
Views: 2947

Re: New Trustee of 6M estate trusts... Lots of Q's

My wife and I recently set up an irrevocable trust for our children. Hopefully your example, we can learn from. It's probably fine to micromanage my personal account (individual stocks, active mutual funds), but for trusts for my children (or for that matter 529s and UTMA) or in this case your mothe...
by Kidneydoc
Sat Sep 27, 2014 9:24 am
Forum: Investing - Help with Personal Investments
Topic: Vanguard ETF and fund
Replies: 19
Views: 1437

Re: Vanguard ETF and fund

My 401k and Profit Sharing Plan is at TD Ameritrade (not my choice). The only way I have access to low cost Vanguard is through ETFs, which are commission free for select ETFs (including major Vanguard ETFs but not all). Otherwise I am dollar cost averaging into mutual funds in my taxable accounts.
by Kidneydoc
Sat Sep 27, 2014 9:14 am
Forum: Personal Finance (Not Investing)
Topic: Answer to Most Physician/High Income Job Questions:
Replies: 50
Views: 7715

Re: Answer to Most Physician/High Net Worth Questions:

I would also add tax free HSA account or so called stealth IRA (roughly up $6500 line item tax deduction with tax free withdrawal for healthcare expenses) if you have a qualified healthcare insurance plan. I would not recommend a HSA qualified for most people with limited means or chronic illnesses ...
by Kidneydoc
Sun Sep 21, 2014 8:59 am
Forum: Investing - Help with Personal Investments
Topic: Best way to invest for a small child/baby?
Replies: 7
Views: 1262

Re: Best way to invest for a small child/baby?

I am considering opening a UTMA account and investing in Lifestrategy 2060 ($1000 minimum) each for my twins. I want to teach then the importance of investing early with compounding). Their 529s are already well funded.
by Kidneydoc
Sun Sep 07, 2014 6:31 pm
Forum: Personal Consumer Issues
Topic: The Great Courses.com
Replies: 23
Views: 3904

Re: The Great Courses.com

Bill Gates, Microsoft founder, uses Great Courses:

http://www.nytimes.com/2014/09/07/magaz ... f=magazine

I have severe courses. Not bad. But too busy with work (I'm a physician) to complete them so far.
by Kidneydoc
Sun Jul 06, 2014 1:10 pm
Forum: Investing - Help with Personal Investments
Topic: I think I might have too much saved in a 401k
Replies: 40
Views: 5317

Re: I think I might have too much saved in a 401k

If you love living in California, you should not move just for taxes. You clearly have enough assets and thrifty lifestyle to afford living in California. Our family's assets are not dissimilar from yours. I agree with rolling over your old 401k gradually to Roth IRA to fill out your current 28% mar...
by Kidneydoc
Sat Jul 05, 2014 11:47 am
Forum: Investing - Theory, News & General
Topic: Rick Ferri's Emergency Fund
Replies: 29
Views: 10713

Re: Rick Ferri's Emergency Fund

I use a combination of 1. Short duration CD, roughly $6000. 2. iBonds (max $10,000 per year, interest not taxable until redeemed), roughly $10,000 3. Vanguard NJ Tax Free money market and long-term tax exempt municipal bond fund, roughly $28,000 and $76,000 respectively. I plan to contribute $10k an...
by Kidneydoc
Sat May 03, 2014 10:49 pm
Forum: Personal Consumer Issues
Topic: Best Hospice Care Support Forum
Replies: 13
Views: 1500

Re: Best Hospice Care Support Forum

Personally, my experience is that hospice is underused. We as physicians refer patients to hospicelate in their end-of-life, and many are never referred who should have received palliative and/or hospice. Unfortunately, a significant part of the physician community do not believe in palliative or ho...
by Kidneydoc
Sun Apr 27, 2014 8:52 am
Forum: Investing - Help with Personal Investments
Topic: Raytheon Stock [Advice]
Replies: 14
Views: 3479

Re: Raytheon Stock Advise

I purchased RTN at $40, and my stake has grown with dividend reinvestment. I know passive investing a big part of this forum. My stock portfolio makes up 40% of my net worth, but I enjoy keeping track of my stocks. I lean toward a value philosophy: mostly dividend stocks with competitive advantage w...
by Kidneydoc
Sun Apr 13, 2014 10:03 am
Forum: Investing - Help with Personal Investments
Topic: Young doctor, taking over my own investments...
Replies: 24
Views: 3922

Re: young doctor, taking over my own investments...

Also: Max out your IRA, 401k and Keough contributions, fund your emergency stash and pay off your student loans and credit cards ASAP for guaranteed superior 1-2 % return compared to money market account.
by Kidneydoc
Sun Apr 13, 2014 9:53 am
Forum: Investing - Help with Personal Investments
Topic: Young doctor, taking over my own investments...
Replies: 24
Views: 3922

Re: young doctor, taking over my own investments...

Some comments: 1. Too many mutual funds. This is coming from someone who is equally guilty of this. Many people who are much smarter than me advocate as little as three mutual funds/ETFs. 2. Keep the actively manage mutual funds (if you believe in actively managed mutual funds) in your tax deferred ...
by Kidneydoc
Sun Mar 30, 2014 10:50 am
Forum: Investing - Help with Personal Investments
Topic: Should everyone own I Bonds?
Replies: 44
Views: 7398

Re: Should everyone own I Bonds?

I have Vanguard NJ Long Term muni fund and a Treasury Direct account for iBond purchases for my taxable accounts. After I max out my retirement and IRA accounts, I use/fund the muni fund and iBonds as an emergency fund. Of note, you cannot cash iBonds in the first year of purchase and are penalized ...
by Kidneydoc
Sun Mar 30, 2014 10:01 am
Forum: Personal Finance (Not Investing)
Topic: ILIT for term life insurance? [Irrevocable Life Ins. Trust]
Replies: 11
Views: 1297

Re: ILIT for term life insurance?

If you reside in NJ or NY with low state estate tax thresholds, $675,000 and $1 million respectively, an ILIT may be reasonable. NJ estate tax is up to 16% as I recall.