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Apache is functioning normally

November 23, 2023 by Brett Tams

The average rate of return on 401(k)s is typically between 5% and 8%, depending on specific market conditions in a given year. Keep in mind that returns will vary depending on the individual investor’s portfolio, and that those numbers are a general benchmark.

While not everyone has access to a 401(k) plan, those who do may wonder if it’s an effective investment vehicle that can help them reach their goals. The answer is, generally, yes, but there are a lot of things to take into consideration. There are also alternatives out there, too.

Key Points

•   The average rate of return on 401(k)s is typically between 5% and 8%, depending on market conditions and individual portfolios.

•   401(k) plans offer benefits such as potential employer matches, tax advantages, and federal protections under ERISA.

•   Fees, vesting schedules, and early withdrawal penalties are important considerations for 401(k) investors.

•   401(k) plans offer limited investment options, typically focused on stocks, bonds, and mutual funds.

•   Asset allocation and individual risk tolerance play a significant role in determining 401(k) returns and investment strategies.

Some 401(k) Basics

To understand what a 401(k) has to offer, it helps to know exactly what it is. The IRS defines a 401(k) as “a feature of a qualified profit-sharing plan that allows employees to contribute a portion of their wages to individual accounts.”

In other words, employees can choose to delegate a portion of their pay to an investment account set up through their employer. Because participants put the money from their paychecks into their 401(k) account on a pre-tax basis, those contributions reduce their annual taxable income.

Taxes on the contributions and their growth in a 401(k) account are deferred until the money is withdrawn (unless it’s an after-tax Roth 401(k)).

A 401(k) is a “defined-contribution” plan, which means the participant’s balance is determined by regular contributions made to the plan and by the performance of the investments the participant chooses.

This is different from a “defined-benefit” plan, or pension. A defined-benefit plan guarantees the employee a defined monthly income in retirement, putting any investment risk on the plan provider rather than the employee.

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Benefits of a 401(k)

There are a lot of benefits that come with a 401(k) account, and some good reasons to consider using one to save for retirement.

Potential Employer Match

Employers aren’t required to make contributions to employee 401(k) plans, but many do. Typically, an employer might offer to match a certain percentage of an employee’s contributions.

Tax Advantages

As mentioned, most 401(k)s are tax-deferred. This means that the full amount of the contributions can be invested until you’re ready to withdraw funds. And you may be in a lower tax bracket when you do start withdrawing and have to pay taxes on your withdrawals.

Federal Protections

One of the less-talked about benefits of 401(k) plans is that they’re protected by federal law. The Employee Retirement Security Act of 1974 (ERISA) sets minimum standards for any employers that set up retirement plans and for the administrators who manage them.

Those protections include a claims and appeals process to make sure employees get the benefits they have coming. Those include the right to sue for benefits and breaches of fiduciary duty if the plan is mismanaged, that certain benefits are paid if the participant becomes unemployed, and that plan features and funding are properly disclosed. ERISA-qualified accounts are also protected from creditors.

💡 Quick Tip: Before opening an investment account, know your investment objectives, time horizon, and risk tolerance. These fundamentals will help keep your strategy on track and with the aim of meeting your goals.

Boost your retirement contributions with a 1% match.

SoFi IRAs now get a 1% match on every dollar you deposit, up to the annual contribution limits. Open an account today and get started.

Only offers made via ACH are eligible for the match. ACATs, wires, and rollovers are not included. Offer ends 12/31/23.

401(k) Fees, Vesting, and Penalties

There can be some downsides for some 401(k) investors as well. It’s a good idea to be aware of them before you decide whether to open an account.

Fees

The typical 401(k) plan charges a fee of around 1% of assets under management. That means an investor who has $100,000 in a 401(k) could pay $1,000 or more. And as that participant’s savings grow over the years, the fees could add up to thousands of dollars.

Fees eat into your returns and make saving harder — and there are companies that don’t charge management fees on their investment accounts. If you’re unsure about what you’re paying, you should be able to find out from your plan provider or your employer’s HR department, or you can do your own research on various 401(k) plans.

Vesting

Although any contributions you make belong to you 100% from the get-go, that may not be true for your employer’s contributions. In some cases, a vesting schedule may dictate the degree of ownership you have of the money your employer puts in your account.

Early Withdrawal Penalties

Don’t forget, when you start withdrawing retirement funds, some of the money in your tax-deferred retirement account will finally go toward taxes. That means it’s in Uncle Sam’s interest to keep your 401(k) savings growing.

So, if you decide to take money out of a 401(k) account before age 59 ½, in addition to any other taxes due when there’s a withdrawal, you’ll usually have to pay a 10% penalty. (Although there are some exceptions.) And at age 73, you’re required to take minimum distributions from your tax-deferred retirement accounts.

Potentially Limited Investment Options

One more thing to consider when you think about signing up for a 401(k) is what kind of investing you’d like to do. Employers are required to offer at least three basic options: a stock investment option, a bond option, and cash or stable value option. Many offer more than that minimum, but they stick mostly to mutual funds. That’s meant to streamline the decision-making. But if you’re looking to diversify outside the basic asset classes, it can be limiting.

How Do 401(k) Returns Hold Up?

Life might be easier if we could know the average rate of return to expect from a 401(k). But the unsatisfying answer is that it depends.

Several factors contribute to overall performance, including the investments your particular plan offers you to choose from and the individual portfolio you create. And of course, it also depends on what the market is doing from day to day and year to year.

Despite the many variables, you may often hear an annual return that ranges from 5% to 8% cited as what you can expect. But that doesn’t mean an investor will always be in that range. Sometimes you may have double-digit returns. Sometimes your return might drop down to negative numbers.

Issues With Looking Up Average Returns As a Metric

It’s good to keep in mind, too, that looking up average returns can create some issues. Specifically, averages don’t often tell the whole story, and can skew a data set. For instance, if a billionaire walks into a diner with five other people, on average, every single person in the diner would probably be a multi-millionaire — though that wouldn’t necessarily be true.

It can be a good idea to do some reading about averages and medians, and try to determine whether aiming for an average return is feasible or realistic in a given circumstance.

Some Common Approaches to 401(k) Investing

There are many different ways to manage your 401(k) account, and none of them comes with a guaranteed return. But here are a few popular strategies.

60/40 Asset Allocation

One technique sometimes used to try to maintain balance in a portfolio as the market fluctuates is a basic 60/40 mix. That means the account allocates 60% to equities (stocks) and 40% to bonds. The intention is to minimize risk while generating a consistent rate of return over time — even when the market is experiencing periods of volatility.

Target-Date Funds

As a retirement plan participant, you can figure out your preferred mix of investments on your own, with the help of a financial advisor, or by opting for a target-date fund — a mutual fund that bases asset allocations on when you expect to retire.

A 2050 target-date fund will likely be more aggressive. It might have more stocks than bonds, and it will typically have a higher rate of return. A 2025 target-date fund will lean more toward safety. It will likely be designed to protect an investor who’s nearer to retirement, so it might be invested mostly in bonds. (Again, the actual returns an investor will see may be affected by the whims of the market.)

Most 401(k) plans offer target-date funds, and they make investing easy for hands-off investors. But if that’s not what you’re looking for, and your 401(k) plan makes an advisor available to you, you may be able to get more specific advice. Or, if you want more help, you could hire a financial professional to work with you on your overall plan as it relates to your long- and short-term goals.

Multiple Retirement Accounts

Another possibility might be to go with the basic choices in your workplace 401(k), but also open a separate investing account with which you could take a more hands-on approach. You could try a traditional IRA if you’re still looking for tax advantages, a Roth IRA (read more about what Roth IRAs are) if you want to limit your tax burden in retirement, or an account that lets you invest in what you love, one stock at a time.

There are some important things to know, though, before deciding between a 401(k) vs. an IRA.
💡 Quick Tip: Can you save for retirement with an automated investment portfolio? Yes. In fact, automated portfolios, or robo advisors, can be used within taxable accounts as well as tax-advantaged retirement accounts.

How Asset Allocation Can Make a Difference

How an investor allocates their resources can make a difference in terms of their ultimate returns. Generally speaking, riskier investments tend to have higher potential returns — and higher potential losses. Stocks also tend to be riskier investments than bonds, so if an investor were to construct a portfolio that’s stock-heavy relative to bonds, they’d probably have a better chance of seeing bigger returns.

But also, a bigger chance of seeing a negative return.

With that in mind, it’s going to come down to an investor’s individual appetite for risk, and how much time they have to reach their financial goals. While there are seemingly infinite ways to allocate your investments, the chart below offers a very simple look at how asset allocation associates with risks and returns.

Asset Allocations and Associated Risk/Return

Asset Allocation Risk/Return
75% Stock-25% Bonds Higher risk, higher potential returns
50% Stock-50% Bonds Medium risk, variable potential returns
25% Stock-75% Bonds Lower risk, lower potential returns

Ways to Make the Most of Investment Options

It’s up to you to manage your employer-sponsored 401(k) in a way that makes good use of the options available. Here are some pointers.

Understand the Match

One way to start is by familiarizing yourself with the rules on how to maximize the company match. Is it a dollar-for-dollar match up to a certain percentage of your salary, a 50% match, or some other calculation? It also helps to know the policy regarding vesting and what happens to those matching contributions if you leave your job before you’re fully vested.

Consider Your Investments

With or without help, taking a little time to assess the investments in your plan could boost your bottom line. It may also allow you to tailor your portfolio to better accomplish your financial goals. Checking past returns can provide some information when choosing investments and strategies, but looking to the future also can be useful.

Plan for Your Whole Life

If you have a career plan (will you stay with this employer for years or be out the door in two?) and/or a personal plan (do you want to buy a house, have kids, start your own business?), factor those into your investment plans. Doing so may help you decide how much to invest and where to invest it.

Find Your Lost 401(k)s

Have you lost track of the 401(k) plans or accounts you left behind at past employers? It may make sense to roll them into your current employer’s plan, or to roll them into an IRA separate from your workplace account. You might also want to review and update your portfolio mix, and you might be able to eliminate some fees.

Know the Maximum Contributions for Retirement Accounts

Keep in mind that there are different contribution limits for 401(k)s and IRAs. For those under age 50, the 2023 contribution limit is $22,500 for 401(k)s and $6,500 for IRAs. For those 50 or older, the 2023 contribution limit is $30,000 for 401(k)s and $7,500 for IRAs. Other rules and restrictions may also apply.

Learn How to Calculate Your 401(k) Rate of Return

This information can be useful as you assess your retirement saving strategy, and the math isn’t too difficult.

For this calculation, you’ll need to figure out your total contributions and your total gains for a specific period of time (let’s say a calendar year).

You can find your contributions on your 401(k) statements or your pay stubs. Add up the total for the year.

Your gains may be listed on your 401(k) statements as well. If not, you can take the ending balance of your account for the year and subtract the total of your contributions and the account balance at the beginning of the year. That will give you your total gains.

Once you have those factors, divide your gains by your ending balance and multiply by 100 to get your rate of return.

Here’s an example. Let’s say you have a beginning balance of $10,000. Your total contributions for the year are $6,000. Your ending balance is $17,600. So your gains equal $1,600. To get your rate of return, the calculation is:

(Gains / ending balance) X 100 =

($1,600 / $17,600) X 100 = 9%

Savings Potential From a 401(k) Potential by Age

It can be difficult to really get a feel for how your 401(k) savings or investments can grow over time, but using some of the math above, and assuming that you keep making contributions over the years, you’ll very likely end up with a sizable nest egg when you reach retirement age.

This all depends, of course, on when you start, and how the markets trend in the subsequent years. But for an example, we can make some assumptions to see how this might play out. For simplicity’s sake, assume that you start contributing to a 401(k) at age 20, with plans to start taking distributions at age 70. You also contribute $10,000 per year (with no employer match, and no inflation), at an average return of 5% per year.

Here’s how that might look over time:

401(k) Savings Over Time

Age 401(k) Balance
20 $10,000
30 $128,923
40 $338,926
50 $680,998
60 $1,238,198
70 $2,145,817

Using time and investment returns to supercharge your savings, you could end up with more than $2 million through dutiful saving and investing in your 401(k). Again, there are no guarantees, and the chart above makes a lot of oversimplified assumptions, but this should give you an idea of how things can add up.

Alternatives to 401(k) Plans

While 401(k) plans can be powerful financial tools, not everyone has access to them. Or, they may be looking for alternatives for whatever reason. Here are some options.

Roth IRA

Roth IRAs are IRAs that allow for the contribution of after-tax dollars. Accordingly, the money contained within can then be withdrawn tax-free during retirement. They differ from traditional IRAs in a few key ways, the biggest and most notable of which being that traditional IRAs are tax-deferred accounts (contributions are made pre-tax).

Learn more about what IRAs are, and what they are not.

Traditional IRA

As discussed, a traditional IRA is a tax-deferred retirement account. Contributions are made using pre-tax funds, so investors pay taxes on distributions once they retire.

HSA

HSAs, or health savings accounts, are another vehicle that can be used to save or invest money. HSAs have triple tax benefits, in that account holders can contribute pre-tax dollars to them, allow that money to grow tax-free, and then use the holdings on qualified medical expenses — also tax-free.

Retirement Investment

Typical returns on 401(k)s may vary, but looking for an average of between 5% and 8% would likely be a good target range. Of course, that doesn’t mean that there won’t be up or down years, and averages, themselves, can be a bit misleading.

While your annual return on your 401(k) may vary, the good news is that, as an investor, you have options about how you save for the future. The choices you make can be as aggressive or as conservative as you want, as you choose the investment mix that best suits your timeline and financial goals.

Ready to invest in your goals? It’s easy to get started when you open an investment account with SoFi Invest. You can invest in stocks, exchange-traded funds (ETFs), and more. SoFi doesn’t charge commissions, but other fees apply (full fee disclosure here).

For a limited time, opening and funding an Active Invest account gives you the opportunity to get up to $1,000 in the stock of your choice.

FAQ

What is the typical 401(k) return over 20 years?

The typical return for 401(k)s over 20 years is between 5% and 8%, assuming a portfolio sticks to an asset mix of roughly 60% stocks and 40% bonds. There’s also no guarantee that returns will fall within that range.

What is the typical 401(k) return over 10 years?

Again, the average rate of return for 401(k)s tends to land between 5% and 8%, with some years providing higher returns, and some years providing lower, or even negative returns.

What was the typical 401(k) return for 2022?

The average 401(k) lost roughly 20% of its value during 2022, as increasing interest rates and shifting economic conditions over the course of the year (largely due to increasing inflation) caused the economy to sputter.


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Apache is functioning normally

November 20, 2023 by Brett Tams

Whether you’re purchasing a new pair of eyeglasses, stocking up on over-the-counter medications, or paying for your child’s daycare, there may be certain expenses your health insurance plan doesn’t cover.

In those cases, having a flexible spending account, or FSA, could help you save money. This special savings account lets you set aside pretax dollars to pay for eligible out-of-pocket healthcare expenses, which in turn can lower your taxable income.

Let’s take a look at how these accounts work.

What Is an FSA?

An FSA is an employer-sponsored savings account you can use to pay for certain health care and dependent costs. It’s commonly included as part of a benefits package, so if you purchased a plan on the Health Insurance Marketplace, or have Medicaid or Medicare, you may no longer qualify for a FSA.
There are three types of FSA accounts:

•   Health care FSAs, which can be used to pay for eligible medical and dental expenses.

•   Dependent care FSAs, which can be used to pay for eligible child and adult care expenses, such as preschool, summer camp, and home health care.

•   Limited expense health care FSA, which can be used to pay for dental and vision expenses. This type of account is available to those who have a high-deductible health plan with a health savings account.

How Do You Fund an FSA?

If you opt into an FSA, you’ll need to decide on how much to regularly contribute throughout the year. Those contribution amounts will be automatically deducted from your paychecks and placed into the account. Whatever money you put into an FSA isn’t taxed, which means you can keep more of what you earn.

Your employer may also throw some money into your FSA account, but they are under no legal obligation to do so.

You can use your FSA throughout the year to either reimburse yourself or to help pay for eligible expenses for you, your spouse, and your dependents (more on that in a minute). Typically, you’ll be required to submit a claim through your employer and include proof of the expense (usually a receipt), along with a statement that says that your regular health insurance does not cover that cost.

Some employers offer an FSA debit card or checkbook, which you can use to pay for qualifying medical purchases without having to file a reimbursement claim through your employer.
💡 Quick Tip: When you have questions about what you can and can’t afford, a spending tracker app can show you the answer. With no guilt trip or hourly fee.

What Items Qualify for FSA Reimbursement?

The IRS decides which expenses qualify for FSA reimbursement, and the list is extensive. Here’s a look at some of what’s included — you can see the full list on the IRS’ website.

•   Health plan co-payments and deductibles (but not insurance premiums)

•   Prescription eyeglasses or contact lenses

•   Dental and vision expenses

•   Prescription medications

•   Over-the-counter medicines

•   First aid supplies

•   Menstrual care items

•   Birth control

•   Sunscreen

•   Home health care items, like thermometers, crutches, and medical alert devices

•   Medical diagnostic products, like cholesterol monitors, home EKG devices, and home blood pressure monitors

•   Home health care

•   Day care

•   Summer camp

Are There Any FSA Limits?

For 2023, health care FSA and limited health care FSA contributions are limited to $3,050 per year, per employer. Your spouse can also contribute $3,050 to their FSA account as well.

Meanwhile, dependent care FSA contributions are limited to $5,000 per household, or $2,500 if you’re married and filing separately.

Does an FSA Roll Over Each Year?

In general, you’ll need to use the money in an FSA within a plan year. Any unspent money will be lost. However, the IRS has changed the use-it-or-lose-it rule to allow a little more flexibility.

Now, your employer may be able to offer you a couple of options to use up any unspent money in an FSA:

•   A “grace period” of no more than 2½ extra months to spend whatever is left in your account

•   Rolling over up to $610 to use in the following plan year. (In 2024, that amount increases to $640.)

Note that your employer may be able to offer one of these options, but not both.

One way to avoid scrambling to spend down your FSA before the end of the year or the grace period is to plan ahead. Calculate all deductibles, copayments, coinsurance, prescription drugs, and other possible costs for the coming year, and only contribute what you think you’ll actually need.

Recommended: Flexible Spending Accounts: Rules, Regulations, and Uses

How Can You Use Up Your FSA?

You can consider some of these strategies to get the most out of your FSA:

•   Buy non-prescription items. Certain items are FSA-eligible without needing a prescription (but save your receipt for the paperwork!). These items may include first-aid kits, bandages, thermometers, blood pressure monitors, ice packs, and heating pads. Check out the FSA Store to find out which items may be covered.

•   Get your glasses (or contacts). You may be able to use your FSA to cover the cost of prescription eyeglasses, contact lenses, and sunglasses as well as reading glasses. Contact lens solution and eye drops may also be covered.

•   Keep family planning in mind. FSA-eligible items can include condoms, pregnancy tests, baby monitors, fertility kits. If you have a prescription for them, female contraceptives may also be covered.

•   Don’t forget your dentist. Unfortunately, toothpaste and cosmetic procedures are not covered by your FSA, but dental checkups and associated costs might be. These could include copays, deductibles, cleanings, fillings, X-rays, and even braces. Mouthguards and cleaning solutions for your retainers and dentures may be FSA-eligible as well.
💡 Quick Tip: Income, expenses, and life circumstances can change. Consider reviewing your budget a few times a year and making any adjustments if needed.

Flexible Savings Account (FSA) vs. Health Savings Account (HSA)

You may have heard of a health savings account (HSA). It’s easy to confuse it with an FSA, as they share some similarities.

Both types of accounts:

•   Offer some tax advantages

•   Can be used to pay for co-payments, deductibles, and eligible medical expenses

•   Can be funded through employee-payroll deductions, employer contributions, or individual deductions

•   Have a maximum contribution amount. In 2023, people with individual coverage can contribute up to $3,850 per year, while those with family coverage can cset aside up to $7,750 per year.

That said, there are some key differences between HSAs and FSAs:

•   You must be enrolled in a high deductible health plan in order to qualify for an HSA.

•   HSAs do not have a use-it-or-lose-it rule. Once you put money in the account, it’s yours.

•   If you quit or are fired from your job, your HSA can go with you. This happens even if your employer contributed money to the account.

•   If you’re 55 or older, you can contribute an additional $1,000 to your HSA as a catch-up contribution — similar to the catch-up contributions allowed with an IRA.

•   If you withdraw money from your HSA for a non-qualified expense before the age of 65, you’ll pay taxes on it plus a 20% penalty.

•   If you withdraw money from your HSA for any type of expense after age 65, you don’t pay a penalty. However, the withdrawal will be taxed like regular income.

Recommended: Benefits of Health Savings Accounts

The Takeaway

Flexible spending accounts are offered by employers and can be a useful tool for paying for health care- or dependent-related expenses. Notably, you fund the account with pretax dollars taken from your paycheck, which can lower your taxable income and help you save money.

You typically need to spend your FSA money within a plan year, though your employer may give you the option to either roll over a portion of the balance into the next year or use it during a grace period. There are also guidelines around what you can spend the FSA funds on and how much you can contribute to your account.

Take control of your finances with the SoFi Insights money tracker app. Connect all of your accounts in one convenient dashboard. From there, you can see your various balances, spending breakdowns, and credit score. Plus you can easily set up budgets and discover valuable financial insights — all at no cost.

SoFi helps you stay on top of your finances.


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Financial Tips & Strategies: The tips provided on this website are of a general nature and do not take into account your specific objectives, financial situation, and needs. You should always consider their appropriateness given your own circumstances.

SORL1023031

Source: sofi.com

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Apache is functioning normally

November 5, 2023 by Brett Tams

If you feel that your cost for health insurance is too high, you’re definitely not alone: A recent analysis from the National Health Interview Survey (NHIS) found that 7% of Americans did not have health insurance in the first three months of 2023. 

To help offset the costs and help Americans avoid crippling medical debt, the federal government offers tax relief for those with high-deductible plans if they choose to open a Health Savings Account to set aside funds to pay for medical costs. A Health Savings Account (HSA) might be just the thing to help alleviate your financial pain, but you’ll first need to qualify for the program.

What Is an HSA?

An HSA is a dedicated savings account created in 2003 to help people with high-deductible health insurance plans afford their medical bills. It is not the same thing as a Flexible Spending Account (FSA), an employee benefit that allows you to set aside pre-tax dollars to cover medical spending. Notably, an FSA is a “use it or lose it” plan: If you don’t spend the funds you had deducted from your paycheck by the end of the plan year, you forfeit the money.

An HSA, on the other hand, can be set up by an individual or by an employer, and the money you contribute is yours to keep for life. Like FSAs, HSAs provide tax benefits; however, HSAs are not available to everyone.

Who Is Eligible for an HSA?

HSAs are available exclusively to people who are insured under a high-deductible health plan. These plans may be offered by their employers or purchased individually. As of tax year 2015, IRS rules state that a high deductible must be at least $1,300 for individual coverage or $2,600 for a family plan. If your deductible meets those minimums, you can open an HSA.

Are HSA Contributions Tax Deductible?

Yes. Contributions to your HSA can be deducted from your taxes, even if you opt for the standard deduction instead of itemizing. This will reduce the amount of money you need to pay taxes on and will either lower your overall tax bill or increase your refund. If your employer takes HSA contributions directly out of your paycheck, those funds are considered pre-tax dollars and result in the same tax savings.

Are Distributions From an HSA Taxable?

Maybe. When you use funds from your HSA to pay for qualified medical expenses, you will not pay taxes on the money you withdraw. You may use the funds immediately or wait for years before dipping into your HSA account to pay your doctor’s bills. You will also not pay taxes on any interest earned in your HSA account if it is used to pay medical expenses.

Once you reach age 65, you may withdraw funds without penalty to pay for anything. If you use the money for non-medical expenses, however, you’ll be expected to pay income tax on the money. For many people, this will still result in tax savings, as most retirees are in a lower tax bracket than they were while they were working, and won’t be charged as much on the money as they would have been in their prime earning years.

Are There Limits to HSA Contributions?

Yes. For tax year 2023, savers with an individual health plan can contribute a maximum of $3,850. Those increase in 2024 to $4,150. Those with a family plan can contribute up to $7,750 for the year and $8,300 in 2024. 

Are HSAs Connected to the Affordable Care Act?

Not exactly. HSAs were first offered in 2003 under President George W. Bush. Although each year changes are made to the contribution limits and deductible requirements, changes in the Affordable Care Act (also known as “Obamacare”) would not necessarily have an impact on these accounts.

How Does an Individual Open an HSA?

If your employer doesn’t offer an HSA plan as part of your benefits package, or if you buy insurance on your own, you can open an HSA with any HSA bank as long as your health plan qualifies. It’s always a good idea to shop around for the best interest rates and lowest fees to make the most of your investment.

Source: credit.com

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Apache is functioning normally

October 21, 2023 by Brett Tams
Apache is functioning normally

Open enrollment is no one’s idea of a good time, but health coverage is a crucial part of your financial health. Whether you’re getting insurance through an employer or the Affordable Care Act marketplace, it’s important to ask the right questions before you choose a health plan for 2024.

“Open enrollment is a great time to do a personal health audit,” says certified public accountant Charlene Rhinehart, a personal finance editor at drug savings site GoodRx. “Understanding your current and anticipated health care needs will help you decide which plan is the best fit.”

Here’s how to weigh your options.

Are your doctors in network?

Plan networks change from year to year. If you love your doctor or specialist, make sure they’re still in the network of the plan you’re considering for 2024.

You should also consider whether you want the option to go out of the network — which you can usually do in a preferred provider organization, or PPO, plan, although it will cost more. Health maintenance organizations, or HMOs, tend to be cheaper but lack the out-of-network flexibility.

Are your medications covered?

If you’re on prescription medications, check plan formularies to make sure you understand how your drugs will be covered in 2024. Drug coverage can change from year to year, even if you stick with the same plan.

“Even if you were in an Aetna plan before, and you say, ‘Well, I’ll stay with Aetna again,’ you still want to look and make sure the medication you’re taking is still on the formulary,” says Abbie Leibowitz, chief medical officer and co-founder of Health Advocate, which provides integrated health advocacy and health benefits programs.

What are the out-of-pocket costs?

Every plan has set costs, like the monthly premiums, plus the costs of care, which include the deductible and any copays and coinsurance. Comparing plans means estimating how much health care you’ll use next year.

On the one hand, you have the costs you’d pay if you don’t use the plan much beyond preventive care. On the other hand, you have the maximum amount you could pay in each plan if you’re a heavy health care user. You can easily compare these situations.

There’s a squishy middle ground, however, where the best plan for you depends on the amount and type of care you’ll need next year.

“The tricky part is we never really know how much we’re going to spend in a given year if we’re in the middle,” says Adam Rosenfeld, a health care benefits expert and president of employee benefits company Rubicon Benefits. The best thing, he says, is to look at your current claims information and imagine that the next year will be identical. On which plan would you be better off?

“It’s the best predictive modeling you can do at this point,” Rosenfeld says.

Is a high-deductible plan right for you?

A high-deductible health plan, or HDHP, in 2024 is defined as a plan with a deductible of at least $1,600 for individual coverage or $3,200 for family coverage, with out-of-pocket maximums of no more than $8,050 or $16,100, respectively. HDHPs usually have lower premiums, and sometimes companies kick in a contribution to a health savings account, or HSA, to help cover the deductible.

An HDHP can be an appropriate plan for people in a variety of health situations, as long as they’re prepared to pay the deductible if they need health care.

“The question is, ‘Can you afford it?’” says Adria Gross, an insurance broker, consultant and founder of MedWise Insurance Advocacy, which helps clients and attorneys with medical claims issues. If you’re healthy, Gross says, go for the HDHP. But in the case of a bad accident, you’ll want to make sure you have the means to pay the full deductible.

Can you stack benefits?

You might have access to voluntary benefits through your employer that can help cover costs that your insurance doesn’t cover. For example, Aflac policies can help pay expenses if you have an accident or get cancer.

You may find that you can get a high-deductible health plan plus a supplemental plan that would help you cover your deductible for less than the cost of a traditional health plan. “It can be a lot less than moving to the next tier where the deductible is lower,” Leibowitz says.

Do you have special care needs?

Some insurance plans cover things like weight loss surgery or infertility treatments — but some don’t, and the exclusion can make a huge difference if it’s a procedure you’re considering. You might find that one insurance company covers a certain surgery or test while another views it as investigational and not medically necessary.

“I call them the fringes,” Leibowitz says. “They’re beyond the typical medical and surgery coverage.” The focus is narrow, he says, but the coverage can be important.

The underlying message, he says, is that just because it looks like the same plan from the same company you were with this year, don’t assume that it hasn’t changed in ways that are important to you. “Network, formulary, benefits,” Leibowitz says, “you have to do your homework.”

This article was written by NerdWallet and was originally published by The Associated Press. 

Source: nerdwallet.com

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Apache is functioning normally

September 7, 2023 by Brett Tams

While tax planning is a year-round task, real estate agents can take some specific actions before the New Year to significantly cut their taxable income. Use these seven strategies to avoid overpaying taxes, save money, and better manage your business. 

1. Identify business deductions

Every business has ordinary and necessary costs, such as office equipment, marketing, accounting, and insurance, that are tax-deductible. If you don’t flag them throughout the year, take the time to identify them now so you’ll have less work to do later. 

Run reports to double-check that you’ve categorized costs correctly and adjust if needed. Note that tax-deductible business expenses can change from year to year. So, familiarize yourself with the list of allowable deductions in Publication 535, Business Expenses. 

2. Claim the home office deduction

In addition to deductible business expenses, you can claim the home office deduction if you primarily run your business from a dedicated home office. Many entrepreneurs don’t realize that even if you have a day job and run a part-time business from home, you qualify to claim the deduction whether you’re a homeowner or renter. 

Your home office doesn’t have to be the only place you work or meet customers to qualify for the deduction. For instance, you might also work at a coffee shop, co-working space, and meet clients in their homes.

Direct expenses for your office area, such as flooring, furniture, window treatments, or an additional phone line, are 100% deductible. However, exterior improvements, such as landscaping or installing a pool, typically aren’t deductible. 

You may also deduct a portion of expenses for your home, such as rent, mortgage interest, property taxes, insurance, cleaning, and utilities, known as indirect office expenses. They’re partially deductible based on your home office size and calculation method. 

The standard method requires you to calculate the size of your office as a percentage of your home and apply it to your expenses. For example, if your office is 10% of your home, you can attribute 10% of qualifying expenses (such as your homeowners insurance and power bill) to business use.

Or, you might choose the simplified method, which allows you to claim $5 per square foot of your office area, up to 300 square feet. It eliminates having to keep detailed records but won’t give you the largest deduction if your office exceeds 300 square feet.

If you’re eligible to claim the home office deduction, it’s a terrific way to make certain personal expenses partially deductible. Use Form 8829, Expenses for Business Use of Your Home, to determine the allowable costs and enter them on Schedule C, Profit or Loss From Business, when you file taxes. See Publication 587, Business Use of Your Home, for more details.

3. Claim business vehicle use

Most real estate professionals use their personal vehicle for business, allowing you to deduct expenses based on mileage. That means keeping detailed records to allocate business versus personal miles driven. However, if your vehicle is used exclusively for business, you can deduct all its costs.

Your deduction depends on your chosen calculation method, using actual expenses or a standard mileage rate. Generally, the more expensive your vehicle is to operate, the higher your deduction will be using the actual cost method. 

For 2023, the rate for business use is 65.5 cents per mile. For instance, if you drove 1,000 miles annually for business purposes, your vehicle deduction would be $655 (1,000 x $0.655). You may come out ahead for more economical cars using the standard mileage deduction.

Check out Publication 463, Travel, Entertainment, Gift, and Car Expenses, for more information on vehicle deductions.

4. Contribute to a retirement account

If you haven’t opened a retirement account, such as an IRA, SEP-IRA, or solo 401(k), don’t miss the opportunity to cut taxes and start building wealth before year-end. The benefit depends on how much you contribute and your account type.

For 2023, the maximum IRA contribution is $6,500 or $7,500 if you’re over 50. If you contribute $6,500 to a traditional IRA by your tax filing deadline (mid-April or mid-October if you file an extension), you reduce your taxable income by that amount. 

Self-employed retirement accounts, such as a SEP-IRA and solo 401(k), allow contributions of up to 25% of your net business earnings up to $66,000. That gives you a much larger potential tax deduction. 

5. Max out a health savings account (HSA)

If you have a high deductible, HSA-qualified health plan purchased on your own or through your or a spouse’s employer, you can open an HSA. Like a traditional IRA, HSA contributions made by your tax filing deadline are deductible for the current year. 

What’s terrific about an HSA is that your funds can be invested for tax-free growth. Plus, when you spend it on qualified healthcare costs, your withdrawals are entirely tax-free. That significantly cuts the long list of medical expenses you’ll find in Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans.

6. Buy business equipment

If you’ve been considering buying equipment for your business, such as a computer, machinery, or vehicle, consider doing it before the end of the year. In some cases, you may be able to deduct the entire cost this year instead of depreciating it over several years.

Review Publication 946, How to Depreciate Property, and consult with a certified tax accountant if you purchased business assets or are considering them. 

7. Time your business income and expenses 

Timing your income and expenses involves legitimately moving them from one year to another to pay the least in taxes. For instance, if you defer business income until January, you reduce earnings in the current year. 

To reduce your taxable income, you might accelerate or prepay certain business expenses before the New Year–such as real estate continuing education, memberships, and auto insurance. If you mail payments or make credit card charges in the current year, you can deduct them.

A wise strategy for cutting taxes before the year-end is getting guidance from a certified tax professional. Their advice can pay off in the long run if it helps you get organized and reduce your taxable income for the year. It’s up to you (and your tax pro) to make smart moves now to avoid potential tax mistakes and save as much money as possible.

Laura Adams is the author and host of the Money Girl podcast.

This content should not be considered accounting or legal advice. You should consult your local tax or legal professional in your state for appropriate strategies.

This column does not necessarily reflect the opinion of RealTrends’ editorial department and its owners.

To contact the author of this story:
Laura Adams at [email protected]

To contact the editor responsible for this story:
Tracey Velt at [email protected]

Source: housingwire.com

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Apache is functioning normally

August 22, 2023 by Brett Tams

Your tax return is due April 18, but you’ll want to get a head start by gathering up your income sources, savings and dividends, business expenses, and HSA reimbursements. You can then file yourself by using IRS Free File or tax filing software, or get some help with a tax professional.

Source: moneyunder30.com

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Apache is functioning normally

August 19, 2023 by Brett Tams

The investing information provided on this page is for educational purposes only. NerdWallet, Inc. does not offer advisory or brokerage services, nor does it recommend or advise investors to buy or sell particular stocks, securities or other investments.

Some people collect luxury goods such as investment pieces. Think of a Birkin bag, art by the legendary Jean-Michel Basquiat or a Rolex. Anything considered timeless or high-quality and that appreciates in value can be called an investment piece.

The luxury market tends to be more resilient than other sectors during economic instability because of high demand, among other factors. That said, is this inflationary period a good time to invest in luxury goods?

Buying luxury goods amid inflation

The U.S. Federal Reserve has raised interest rates 11 times since March 2022 in an attempt to cool inflation. Interest rates are the highest they’ve been in 22 years, and consequently, we’ve seen the cost of borrowing increase and spending on nonessential goods decrease.

While Americans have cut back on spending, the demand for luxury goods is still strong. Research by J.P. Morgan shows a 7% year-over-year increase in the luxury goods market in the fourth quarter of 2022, despite significant price hikes.

Luxury brands raised the prices of their products by almost 17% in 2020 and early 2021 in response to lower sales during COVID-19, according to a 2022 study by KPMG International. This change is significant considering typical price increases are 5% to 10%. These price increases didn’t only benefit luxury brands; people who invested in these goods in prior years may have also seen gains.

Gloria H. Gill, a retiree who we spoke to on Facebook Messenger, said the value of her large classic Chanel bag has more than doubled in about seven years. Gill purchased the bag for $4,800 in Paris in 2016. It now has a market value of around $10,000.

“I have sold bags before, but I doubt I’ll sell this one,” Gill said. “It’s listed in my will, and my sons are aware of its high value.”

Luxury goods can sometimes hedge against inflation when they appreciate in value, says William Huston, founder of Bay Street Capital Holdings, which has offices in Los Angeles, New York and Fremont, California.

“These luxury goods, they do protect against inflation, but they don’t outperform the general stock market,” he says.

As with any investment, there are risks. As Huston points out, your money could potentially earn a higher rate of return elsewhere. Also, your item could get lost or destroyed, or it may be difficult to resell.

Assess your financial foundation first

Before investing in anything, assess your financial situation. For instance, is your emergency fund well stocked? Keep in mind that possessions are considered “illiquid assets” — not quickly convertible to cash if you need it in a pinch.

Also, saving for retirement comes before investing in luxury goods, says Dora Meyer, a certified financial planner at WellAcre Global Wealth Advisors in Santa Monica, California.

“Make sure you are taking advantage of any tax-advantaged accounts, so your 401(k), your Roth IRAs, before you look at investing in something like this. [And] your HSA,” she says.

Meyer also advises, “Be careful [with] buying on credit, especially in this environment when interest rates are a little bit higher.” And she recommends buying from a reputable source to avoid knockoffs.

Investing in timeless pieces

Valerie Schwank owns the Fashionista Consignment Boutique in Coconut Grove, Florida, where she buys and sells luxury goods. Schwank has seen a significant boom in her business since the pandemic began and is an advocate for investing in luxury pieces. She recommends buying timeless and high-quality pieces, as they tend to hold their value.

“I always recommend that you buy a staple,” she says. And by staple, Schwank means “the Chanel classic double flap, no-nonsense handbag, which has been around forever.”

Think about factors like the color and materials of items, too. That often differentiates timeless luxury goods from ones that won’t hold as much value over time. Keeping your items in good shape, especially if you plan to resell, is also important, Schwank says.

Calculating your potential returns

Research how an item has historically performed before purchasing to ensure it’s a worthwhile investment. You can go to luxury resale sites such as Vestiaire Collective, The RealReal and Rebag and check how pieces have appreciated over time.

Huston advises having a financial plan before making a luxury investment. “With the financial plan, you’d be able to see, ‘I’m 30 years old, I’m gonna save $300 a month,’” he says, as an example. That plan can give you context to decide, “’That’s a meaningful amount of money to me and I can afford that $300, and it’s better for me to save $300 in my 401(k) than to buy a watch,’” he says.

You can also improve your investment returns by negotiating when it comes to items like art, he adds.

“A lot of this luxury stuff is negotiable because again, it’s illiquid” and not easily converted to cash, he says. “So if you find the right person selling the right thing at the right time, you can get it for a really good value because they just want to get some of their money back.”

This article was written by NerdWallet and was originally published by The Associated Press.

Source: nerdwallet.com

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Apache is functioning normally

August 11, 2023 by Brett Tams

Hey mate! Have you written a post about what happens if you don’t reinvest your dividends? And the difference in account value over many years if you do or don’t reinvest?

-Joel

Awesome question, Joel. I haven’t written that. But after digging into the numbers, it could be a millions of dollar difference. So let’s dive in.

Highlights

  • Dividend reinvestment is a simple idea with huge consequences.
  • A typical investor – like you and me – is likely to see a 6- or 7-figure difference over our investing careers if we ensure we’re always reinvesting our dividends.

What are Dividends?

In May 2022, I wrote a take down of “dividend bros” who irrationally believe that high-dividend stocks are a panacea for investors. Yes, dividends are important. But the dividend bros are still wrong. I won’t beat that horse here, but you can read it for yourself via the link above.

An important stanza from that article will help us define dividends:

The fundamental value proposition in general stock investing is two-fold:

  1. First, we hope a company’s capital value increases. We want them to invent valuable intellectual property, buy land, build factories, earn more cash, etc. All this growth comes from them investing money, including their own earnings, wisely. We can then sell our stocks for capital gains.
  2. Second, we hope a company’s earnings increase. Some of those earnings will flow to us as part-owners of the company. Those payments to shareholders are called dividends. The dividends we receive today, tomorrow, and every day in the future add up to increase the net present value of the company.

Dividends, in short, are the profit payments that we receive as owners of a company. Dividends are one of the two main pillars of wealth creation for stock investors.

How are Dividends Received?

Dividends are typically paid out quarterly, and you might receive your dividends in a few different ways.

In the old days, you would have received a check straight from the company whose stock you owned. That doesn’t happen much anymore. Instead, you’re much more likely to receive a cash deposit straight into your brokerage account or IRA account.

If you own mutual funds or ETFs, the stocks in that fund will pay their dividends to the fund itself, and then you, as a fund owner, will receive your fraction of the dividends from the fund.

When you receive dividends in Taxable accounts, you owe taxes on those payments (recorded on a 1099-DIV tax statement). When you receive dividends in Qualified accounts (IRA, 401k, HSA, etc), you owe no taxes. Nice!

What is Dividend Reinvestment?

Investors have long faced a dilemma when receiving dividends: should they take the cash out of their investment account, or use the cash to buy more shares? This second option is called dividend reinvestment.

Some types of accounts automatically reinvest your dividends for you. Most 401(k) plans, for example, automatically reinvest dividends for their investors. But many IRA accounts and Taxable accounts do not reinvest automatically. Instead, you need to opt in to automatic dividend reinvestment. You might read or hear the term “DRIP” – dividend reinvestment plan – in these conversations. Check your accounts, and make sure you’re enrolled in DRIP (assuming you want to reinvest your dividends automatically).

But why? Why is dividend reinvestment so important? What’s wrong with taking my cash dividends and…ya know…buying that vintage armoire on Facebook Marketplace?

The Power of Dividend Reinvestment

Let’s dive into some data. Let’s look at the difference between two long-term investors (the best kind of investors), one who reinvests their dividends and one who doesn’t. As usual, I’m using the S&P 500 index as a proxy for “the stock market.”

First, some grounding information. From 1950 to today, the S&P 500 price has grown at 7.8% per year, with an additional 3.2% per year paid out as dividend payments. Math majors, you’ll recognize that this sums to 11.0% total return per year. Nice! Of course, we know this 11.0% average belies a far more volatile market. The worst year for total returns was -38% and the best year was +46%. As this favorite-chart-of-mine reminds us: the average is not the actual.

But back to the topic at hand – 7.8% per year in price, plus 3.2% per year in dividends. How would that affect our two investors?

If our first investor invested $1.00 in 1950 and did not reinvest his dividends, his dollar would have grown to $236 in the stock market and he would have earned $68 in dividends, presumably now sitting as cash in his wallet. Not bad, right?

Our second investor, who does reinvest his dividends, would have seen that same dollar grow to $2026 in the stock market. Sure, he doesn’t have $68 in cash. But I think I’d take the $1790 extra in the stock market.

Note…these two charts show exactly the same data. But using a Log scale on the y-axis helps us understand their difference a bit better.

That’s the power of dividend reinvestment. That’s the power of compound interest. Small differences, when magnified over decades, turn into huge differences.

DRIPing and DCA

But here’s the thing: most of us don’t approach investing with an attitude of “here’s $1, let me wait 73 years.” Instead, we make regular contributions to our accounts (a.k.a. dollar-cost averaging, or DCA) and think in terms of a normal lifespan/workspan (e.g. a few decades.)

So how much does dividend reinvestment matter to an investor like that? Like us?

Let’s look at the same data as before – the S&P 500 from 1950 until today – and measure the returns of a two DCA investors, one dividend reinvestor and one not. Let’s assume both of our investors save $10,000 per year. Our non-DRIP investor ends up with a nice stock portfolio and a wad of dividend cash. The DRIP investor has only stocks…but a larger portfolio, we expect.

Over the various 30-year periods (e.g. 1950-79, 1951-80, etc.), the DRIP investor outperforms the non-DRIP investor (including both his stocks and his wad of cash dividends) by an average of $703,000, or roughly ~43%.

So yes – dividend reinvestment matters to everyday investors like you and me.

As I wrote earlier, your 401(k) is most likely already reinvesting dividends for you, but it’s worth double-checking. Your other accounts – IRAs, taxable accounts, etc. – might not be reinvesting your dividends. Go fix that! Because while dividend payments might feel like “free money” or a nice bonus income, I’d rather have the extra $703K.

Wouldn’t you?

Thank you for reading! If you enjoyed this article, join 6500+ subscribers who read my 2-minute weekly email, where I send you links to the smartest financial content I find online every week.

-Jesse

Want to learn more about The Best Interest’s back story? Read here.

If you prefer to listen, check out The Best Interest Podcast.

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Apache is functioning normally

August 8, 2023 by Brett Tams
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With all the recent talk about health care policy reform, it’s no surprise that many Americans feel the strain that their health insurance premiums put on their wallets. Many families struggle month to month trying to cover the costs of skyrocketing health insurance that many choose to roll the dice and have no insurance coverage. Studies show that approximately 18 percent of the U.S. population (over 46 million Americans) under the age of 65, simply have no coverage at all. If you are one with no coverage or are looking for a way to find a cheaper health insurance solution, here are three ways to lower your health insurance premiums.

1. Raise Your Deductible

One quick and easy way to lower your health insurance premium is to raise your deductible.  One study showed that by raising the deductible from $2500 to $5000, the premium decreased by 25% ( 35-40% in some areas in the country).  You don’t necessarily have to double your deductible to see a significant change. 

Even lower increases can make a significant difference.  If you raise to $1150 or $2300 for a family policy, you can open a Health Savings Account (HSA) which lets you contribute tax-deductible money and you can use tax-free money for medical expenses in any year.  This can help you stretch your money that much further.

Let’s look at an example of increasing your deductible.  For a family of 3 living in a major metropolitan area:

Deductible Premium Annual Cost
$500 $484/mo $5,808
$5000 $247/mo $2,964

Obviously, you can see the instant savings.  By opting for a higher deductible, that’s an annual savings of $2,844 per year.  But what happens if you have to go to the hospital, does the high deductible plans really work?  If you look at the overall picture and you and your family are generally in good health, the HDHP plan could make sense.  Keep in mind that many of these policies will allow you to have 1 to 2 preventative visits a year.  Be sure to check with your health plan provider to make sure.

Using my own family as an example, we currently pay  $244 per month for a high deductible plan that covers the three of us and we each have a $1500 deductible.  Compare that to a $300 deductible and our monthly premium would jump 56% to $382 per month.  Wow!  Annually, we save about $1,656 by using this method which we contribute to a HSA.

2. Shop Health Insurance Coverage Rates

When looking for cheaper health insurance options, be sure to check several providers to make sure you’re getting the best deal that fits your family’s needs. Ehealthinsurance.com is one of the top leaders of online health insurance issuers. They were one of the first company’s to sell health insurance policies online.

EHealthInsurance has developed partnerships with more than 180 health insurance companies, including the big boys of Aetna, Blue Cross and Humana, Blue Shield, AARP, Coventry Health,  and Kaiser Permanente. Here’s some info from their website:

eHealth, Inc. is the parent company of eHealthInsurance Services Inc., the one of the best online source of health insurance for individuals, families and small businesses. eHealthInsurance presents complex health insurance information in an objective, user-friendly format, enabling the research, analysis, comparison and purchase of health insurance products that best meet consumers’ needs.

Licensed to market and sell health insurance in all 50 states and the District of Columbia, eHealthInsurance has developed partnerships with more than 180 health insurance companies, offering more than 10,000 health insurance products online.

The company’s technology platform is able to communicate electronically with insurance carrier partners, which enables a simpler, more streamlined health insurance application process. This technical connection with the back-office processes of health insurance companies can facilitate rapid approval of applications and real-time communication between carrier and consumer throughout the process.

3.  Have Separate Coverage For the Family

During open enrollment this fall you may notice a few changes in your health care coverage as it pertains to the rest of your family.  One trend that is expected is to see a decrease in the subsidy that is allowed to pay for the family’s coverage in employer health plans. With the sudden spike in cost, it could make sense to keep only yourself on your policy and your employer and put your spouse and kids on their own policy. 

I have many married friends that are both employed and have adopted this strategy.  I wish I had some more specific numbers to share on their money saving tips, but it obviously made sense because they are doing it. 

When you open enrollment period rolls around, don’t take it for granted.  This may be an easy opportunity to save your family thousands of dollars in insurance premiums for the year.

About the Author

Jeff Rose, CFP® is a Certified Financial Planner™, founder of Good Financial Cents, and author of the personal finance book Soldier of Finance. He was a financial planner for 16+ years having founded, Alliance Wealth Management, a SEC Registered Investment Advisory firm, before selling it to focus on his passion – educating the masses on the importance of financial freedom through this blog, his podcast, and YouTube channel.

Jeff holds a Bachelors in Science in Finance and minor in Accounting from Southern Illinois University – Carbondale. In addition to his CFP® designation, he also earned the marks of AAMS® – Accredited Asset Management Specialist – and CRPC® – Chartered Retirement Planning Counselor.

While a practicing financial advisor, Jeff was named to Investopedia’s distinguished list of Top 100 advisors (as high as #6) multiple times and CNBC’s Digital Advisory Council.

Jeff is an Iraqi combat veteran and served 9 years in the Army National Guard. His work is regularly featured in Forbes, Business Insider, Inc.com and Entrepreneur.

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Apache is functioning normally

July 27, 2023 by Brett Tams

When it comes to our health, it is essential to obtain the best quality care possible. For some, employer sponsored health insurance coverage is an option for this. But for others, it is necessary to go out into the market and shop for either an individual or a family health insurance plan.

Because there are many options to choose from, it can be difficult. Therefore, it is important to have a good understanding of how health insurance works, and which options are available to you.

Then, you can determine which may be the best choice for you. We understand that any type of insurance purchase, from finding the best car insurance companies, best life insurance companies, or companies that offer burial insurance for seniors, can be a daunting task, that is why we are here to help you!

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Types of Health Insurance Plans

In its most basic sense, individual health insurance coverage is the alternative to purchasing via one’s employer on a group basis and can be purchased on either an individual or a family basis.

With an individual policy, the individual who is insured is fully responsible for paying the policy’s premiums. Therefore, if the person stops paying, the coverage will typically lapse (following a grace period).

There are several forms that individual health insurance can take:

  • Fee For Service / Indemnity Plans
  • HMO (Health Maintenance Organization)
  • PPO (Preferred Provider Organization)

Fee For Service Plans

A fee for service plan – also referred to as an indemnity plan – is a type of policy where the insured individual pays a predetermined percent of the cost of his or her health care services, and the insurance provider pays the remaining amount.

With this type of coverage, the insurance company does not have any type of contractual agreement with medical providers or hospitals, nor does the insurance company have a “network” of providers that the insured must use in order to obtain benefits.

Understanding HMOs and PPOs

Managed care plans are a different way to obtain health insurance services. These types of plans are able to contain costs by taking certain measures. One way of doing so involves controlling the behavior of the plan participants. This refers to both the members that are covered by the plan, as well as to the medical service providers.

A managed care plan will typically have the following basic characteristics:

  • Controlled access to providers
  • Case management
  • Preventive care
  • Risk sharing with the providers of the services
  • High quality of care

Some types of managed care plans include Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). These plans may also be self-funded, dual choice, or indemnity.

Health Maintenance Organization (HMO)

A health maintenance organization, also referred to as an HMO, is a type of prepaid group health insurance plan that entitles its members to services of participating physicians, hospitals, clinics, and other types of health care providers. The emphasis in an HMO is on preventive care. In an HMO, the members are required to use contracted health care providers that are listed within a certain “network” of providers.

Health Maintenance Organizations represent what is known as “pre-paid” or “capitated” insurance plans in which individuals or their employers pay a fixed monthly fee for services, instead of a separate charge for each visit or service.

The monthly fees will typically remain the same, regardless of the types or levels of services that are provided. The health care services that are provided through an HMO are provided by physicians who are employed by, or under contract with, the HMO. HMOs can vary in design. Depending on the type of HMO, the services may be provided in a central facility or in a physician’s office.

Health Maintenance Organizations are the oldest form of managed care. They were created in the 1980’s as an alternative to indemnity insurance. HMOs are highlighted by their focus on preventive care and efficiency measures. And, HMOs usually offer lower rates on health care services than fee for service type of plans.

Although there are many variations of HMOs, these plans overall will typically allow members to have lower out-of-pocket health care expenses. However, HMOs may offer less flexibility in the choice of physicians or hospitals than other types of health insurance plans. With an HMO, individuals will likely have coverage for a broader range of preventive health care services than they would with another type of plan.

In addition, with an HMO, an individual typically won’t have to submit any of their own claims to the insurance company. It is important to keep in mind, though, that an individual will likely have no coverage at all for services that are rendered by non-network providers or for services that have been rendered without a proper referral from their primary care physician.

Because HMOs focus on preventative care, they seek to reduce health care costs by identifying and treating illness early on, before it becomes a more serious and costly situation. HMO plans usually do a good job of covering routine checkups and vaccinations. In addition, they frequently offer general well-being incentives such as smoking cessation or weight loss programs.

The HMO functions as a health care network. Aside from emergencies, a Primary Care Physician (PCP) serves as the primary and initial point of contact for all health concerns. The Primary Care Physician is oftentimes referred to as being a “gatekeeper.”

The PCP then refers participants to appropriate specialists if they are needed. If an HMO member opts to go to a doctor or hospital that is outside of the HMO network of care providers, they will have to pay the fees on their own. The intent of having a primary care physician is to prevent unnecessary doctor visits, thus saving money for the HMO.

With HMOs, premiums are typically required to be paid monthly. Since HMOs are considered pre-paid health care, participants usually won’t have to pay a deductible, although the plans do vary.

When a person visits a doctor, goes to the hospital, gets a prescription or receives other health services, they will have to make a small co-payment that will typically range from $10-$25 in most cases.

Preferred Provider Organization (PPO)

A preferred provider organization, or PPO, is a network of medical providers who charge on a fee-for-service basis, but that are paid on a negotiated, discounted fee schedule. As a member of a PPO, individuals will be encouraged to use the insurance company’s network of participating doctors and hospitals.

These providers have been contracted to provide services to the plan’s members at a discounted rate. Individuals in a PPO won’t be required to pick a primary care physician and they will typically be able to see doctors and specialists within the network at their own discretion.

The members of a PPO will likely have an annual deductible to pay before the insurance company begins paying their claims in the PPO. Once the deductible has been met, PPO participants will be required to make a co-payment for most doctor visits. Some PPO plans may also require that participants cover a percentage of the total charges for their services that have been rendered.

With a PPO plan, services rendered by an out-of-network physician are typically covered – but at a lower percentage than services that are rendered by a network physician. Seeing an out-of-network provider, then, can become costly.

For example, if an individual visits an out-of-network provider for services that total $500, the PPO plan may cover the charge at only 60% of the amount that a network provider would charge for the same service. If a network doctor would accept $250 as payment in full, this means that the insurance company would pay only $150, and the remaining $350 would come out of the PPO member’s pocket. Additionally, if a person sees a provider outside of the plan’s network, he or she may have to pay the charges up front and then submit their own claim for reimbursement.

PPO plans do offer more flexibility in choosing providers than do HMOs. For example, they do not require an individual to maintain a primary care physician, nor do they require them to use a primary doctor as a gatekeeper to other care. This means that a participant in a PPO can seek care from a specialist without having to first get a referral.

While it is easy to confuse HMOs and PPOs, there are some key differences. For example, PPOs utilize a networking method similar to HMOs, but with a much larger network, and a smaller monetary penalty for seeking care outside the network. As long as the provider is part of the network, the benefits are the same. In addition, in a PPO, the participants are free to use any provider that they choose, but they will likely have to pay more for it.

Point of Service (POS)

A point of service plan (POS) combines the formulas that are used by HMOs and PPOs. Like an HMO, a primary care physician must refer a person to an in-network specialist. When receiving care from a provider that is within the network, the patient is responsible for a small co-payment, but there is no deductible.

When a participant goes outside of their network, a POS plan acts more like a PPO. A POS plan will allow a person to self-refer outside of the network. In this scenario, the participant must first pay the deductible, then a co-insurance amount. In this way, the POS plan offers a strong financial incentive to remain within the network, however, it does not forbid it the way that an HMO would.

Other Ways to Pay for Services

Throughout the years, there have been other ways created to pay for health care services that are not covered by health insurance coverage, but that work in conjunction with health insurance policies. Some examples include Medical Savings Accounts and Flexible Spending Accounts.

Medical Savings Accounts (MSAs)

Medical Savings Accounts (MSAs) were typically combined with a high deductible medical insurance policy. The MSA offers a way to save money on a tax-deferred basis whereby funds in the account can be withdrawn tax-free and used for paying qualified health care expenses that are not covered by the health insurance plan. Withdrawals from an MSA can also be used towards paying the deductible expenses on the employee’s health plan in a given year.

Flexible Spending Accounts / Flexible Spending Arrangements (FSAs)

Flexible Spending Accounts (FSAs), also referred to as flexible spending arrangements, are a type of tax-advantaged financial account that can be set up through a cafeteria plan in the United States, much like a Health Savings Account, or HSA.

An FSA can be set up by an employer for an employee. The account allows the employee to contribute a portion of their regular earnings to pay for qualified expenses such as medical care of dependent care costs.

One of the primary benefits of an FSA is the fact that the funds that are contributed to the account are deducted from the employee’s earnings before they are made subject to payroll taxes. Therefore, the contributions that are made to an FSA can substantially lower an employee’s annual income tax due. There are maximum dollar amount limits as to how much can be contributed to an FSA account each year.

How and Where to Get the Best Quotes

When obtaining health insurance quotes, it is usually best to work with a company that has access to more than just one insurer. This is because you will be able to get many competing quotes – oftentimes on very similar coverage.

If you’re ready to shop for top health insurance providers, you can get you all of the information that you need – directly from your computer. No need to meet in person with an insurance agent or to go through the hassle of the HealthCare.gov website. In order to get the process started, all you have to do is simply use the form on this page.  You can get your quotes and speak with a health insurance specialist about your specific needs.

Source: goodfinancialcents.com

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