Post Employment Health Insurance

We have been financially secure for Mr. ODA to quit working for years. In fact, the plan was that after he met the requirements for his paternity leave taken (which was essentially work the number of hours you took as leave), he would quit. That goal was met back in early 2023. The hold up for him quitting was always health insurance. Him working wasn’t a huge detriment to our life and things we wanted to do, and he was getting most of his health insurance cost covered by his employer.

Well, at the beginning of 2025, the deferred resignation program was introduced. While the first round was very questionable, our life was greatly affected by his employment and the government over the next few weeks, so it was a no-brainer to take the program during the second round. His last day of work was at the end of April, but he was considered employed and paid through September 30th.

As part of his separation, his health insurance was covered for about another month. He had the option to extend his current insurance for another 18 months after that, and that he’d be responsible for paying the full premium. At the time, it was about $1700, and the 2026 premium is $1900 per month.

MRS. ODA’S INSURANCE OPTION

Meanwhile (just coincidental timing), my current employer was investigating a new insurance policy for their employees across 4 offices. They were originating their insurance through the Ohio office. It was a really expensive policy for them. For the 5 people who were taking advantage of that insurance policy, they could have covered 23 employees on this new policy. We learned that Ohio is one of the most expensive states to originate insurance out of it, so we moved the policy to Kentucky.

Anyway, through that process, the insurance sales person was completely incapable of answering basic insurance type questions. Mr. ODA asked for the brochure of benefits. He said, “I emailed you the summary of benefits.” Mr. ODA pointed out that the summary of benefits was a summary of a much larger document, and we wanted those details. He said that didn’t exist. Mr. ODA called the actual insurance company, and that lady laughed and said they definitely have that.

The policy also required a gap coverage policy. The information given to me did not make me feel like it was going to be a smooth process. It sounded like the doctor’s office would submit the claim to my main insurance company. Once it was processed, I’d have to take my bill and EOB and submit it to the gap coverage company for payment. So I’d have to manage the paperwork processing and the payments between everyone.

Their quote for the family policy was about $1750. I told Mr. ODA that it wasn’t worth all that extra effort and the concern that this insurance policy would even work right (because this sales person was not able to answer questions or quell concerns), just to save about $150.

FINAL DECISION

So in the end, we decided to keep the enemy we know. All of our doctors are now solidly in place since we’ve been in Lexington for 3.5 years. I didn’t want to risk needing to switch to a different doctors office because of eligibility and coverage. I didn’t want to risk the coverage being a fight even more than my current policy creates. But mostly, in case something did end up going awry with this new policy option, we couldn’t get our old policy back. So while adding $1900 to our monthly expenses while losing Mr. ODA’s income isn’t the most ideal situation, this is where we’re at in life.

July Financial Update

Well, we started the month with way too many things hitting the credit card: 2 insurance policy renewals, a new insurance policy, air conditioning fix at a rental, and bathroom replacement at a rental. That eventually led to a $1500 charge for bat removal at another rental.

PERSONAL

My big news this month was handling my HOA’s annual meeting. We’ve been working so hard for the last year, and I tried really hard this year to increase communication between the Board and community. I think I did a good job because there wasn’t any contentious point of this meeting and there were very little questions. I received nice feedback on how I presented the budget and that I did a good job throughout the year. It was a welcomed win since there was a lot of heat in the previous couple of years.

The family’s big news is getting passports for a trip this Fall. The parents already have theirs, but we got the kids their pictures and submitted their application. So our credit card balance is higher than normal because we paid for flights and the cruise itself.

It took us until the last week of June to meet our deductible on our health insurance. It’s only $3,300, so that’s quite the impressive feat. I’d point out that my March surgery took until then to get processed correctly, but at least we eventually got there. I have very little faith that it’s all processed correctly though, so it’s on my to do list to verify that we’re not overpaying into that deductible, which they don’t make easy because they don’t show me prescription fills clearly.

We went on a trip for a long weekend to visit Mr. ODA’s aunt in WV. They have a vacation house there, so we didn’t pay for lodging. Unexpectedly, they provided all our meals. I bought them a gift card and some beer. So between that gift, gas, and the meals on either end of the trip, we spent about $200 for a trip, and it was one of the best vacations I’ve been on.

Two of the kids spent this past week at camps. One was 3 hours per day at a dance studio, and the other was 9.5 hours of all outdoor time for the week. He had a blast, and I’m kind of jealous that he got to play all those games and have a great week.

RENTALS

This month, I received an email from Rent App that a tenant was paying their rent. She didn’t give me a heads up, so I wanted to verify things with her. She said this app pays me in full, but it takes the first half of the payment from her account at the beginning of the month and then the second half of the payment in the middle of the month. They’ve lived with me for for 8 years, so I’m surprised she sought out this option instead of talking to me about a payment plan. The program was extremely sketchy and I didn’t feel good about a single step of it. I gave up the registration process at the point that it required untethered access to my phone, but I wish I would have followed my gut at the first personal information step, as if it wasn’t bad enough I had to give my bank account details for the transfer to happen. The payment eventually came through on the 10th, but I didn’t feel good about it.

Another tenant paid late with the late payment. And another tenant paid late with little to no communication and several follow up conversations. I can’t stand when I have to hunt down money. I’m willing to work with everyone who reaches out. She paid the first one with a (1/3), so clearly she knew the plan. And yet, on the 6th, I had to ask where the rest of the rent was. She said it would be done that day. A partial payment was made on the 7th. Then another partial payment on the 8th to finish it out.

We hired someone to clean out the gutters at two houses. Both houses are inundated with trees over the roof, so it’s something we need to stay on top of because they back up every 6 months. We could add gutter guards, but just didn’t see the point since we could do it. Now we don’t live there. He is also going to cut trees 10′ back from the roof on one of those houses.

And then the bats. One house had a bat show up last Monday. My property manager didn’t think much of it, so we didn’t do anything (I wasn’t even told about it at that point). Another bat showed up on Saturday. The tenant went for rabies shots and got boosters for her dogs. She then took a bat to get tested, which came back negative. She said she wasn’t comfortable staying there, so she stayed with a friend. We had traps set so bats could get out of the attic, but they couldn’t get back in. The pest people will go back next week to check on things.

We have two houses that will be vacant at the end of this month. We were supposed to have one at the end of June and one at the end of July, but the June one asked for an extension. I let them have it, but I’m not thrilled about my timing now. We won’t be able to truly get to work in there until mid-August, and it’s going to require a lot of work (not hard work, just time consuming). Then for the other one vacating at the end of the month, we don’t intend on renting it again. We’re going to let it sit over the winter and sell it in the spring.

NET WORTH

The way that I update our net worth each month involves overwriting the numbers from last year. So I can easily see that we’ve gained over half a million net worth since July 2024’s update. What’s nice about that is that it’s all appreciation, paying down mortgages, and the stock market with continued savings. We didn’t make any large financial moves that would have adjusted our net worth in one large move like buying a house. I had a conversation with someone about our net worth and goals recently. It would be nice to cross the $5 million threshold, but we’re not actively managing our funds in a way that will cause drastic swings outside of market movement. We crossed $4 million in March 2024.

We’re over $200k from last month’s update. Our credit cards are much higher than last month because of trip purchases and rental work that was unexpected, but needed. Here’s to the last month of summer.

Health Insurance EOBs

I’m back to discuss this topic. It all comes down to “protect your money.” You need to pay attention to what you’re being billed for before you pay the bill. I’ll just throw out there that I think I had to make a call to correct an Explanation of Benefits (EOB) twice when I had Blue Cross, but it’s nearly every claim with our current insurance.

I had a minor outpatient surgical procedure in March 2025. The pre-op appointments started in January. That’s important because we have a deductible. I don’t trust this company’s calculation of our deductible, so I was paying very close attention to the EOBs for the first few months of the year.

The number of times that I have been sent to collections on a health balance due to their inability to process things correctly is pretty annoying. Every single time, it’s been because of their processes and the lack of insurance communication. Every single time, I’ve been on top of communicating with them to let them know what’s going on with insurance and received assurance that they had everything under control. Then I find out that I’ve been sent to collections.

In this instance, my insurance was really struggling for the first 2-3 months of the year. They had a data breach that screwed up so much of the processing and everything was delayed. I had multiple appointments in January and March (which was also surgery). There were so many insurance delays in processing that the doctors office sent me my statement dated June 16th. In their infinite wisdom, they counted the date of service as the time that I should have paid instead of the time that they received the EOB, and since the date of service was January, I got sent straight to collections. Wonderful.

I can’t stand that they tell me to check their website for help when I’ve already struggled to get their website to do the basic things it should do. But I spent hours calling these people (and the people they tell me to call because they think they can’t help). I finally got through to someone who could help me and understand what my situation was. It turns out I was in “pre-collections,” so not officially reported yet (on my credit; just that they were going to make an attempt to collect, even though I’d love to actually pay them on time). She let me pay the two EOBs worth of a balance and clear the collection record.

There’s no detailed point here. It’s just simply not to trust the doctor/hospital and insurance company to have your best interest in mind. Don’t assume that the paperwork is going to make its way to you. Pay attention to what’s out there and could be pending and a possible bill owed. But even once a bill gets to you, verify that it was paid by insurance correctly and that the amount you owe is accurate. I’ve seen the doctor’s office bill me for the amount unallowable by insurance. I’ve seen a doctor’s office not apply a payment I had made as a “coinsurance” at time of service, even though I had record. I’ve had doctor’s offices require payment up front of $50, but the actual payment owed ended up being $4.

Protect your money. Pay attention.