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Joined 1 year ago
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Cake day: June 10th, 2023

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  • ChaosCoati@midwest.socialtoADHD@lemmy.worldSpoons vs. Sporks
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    10 days ago

    For kitchen stuff - If it’s not dishwasher safe I don’t get it or don’t keep it (if it was given to me).

    We have a robot vacuum and litter box. I am grateful for them every day.

    Getting myself and my kid out the door in the morning feels like climbing Everest every day. One thing she almost always forgot was to put socks on when she got dressed, so she’d have to go back upstairs. Since she’s also neurodivergent there was a good chance she’d get distracted upstairs and 1. forget to get her socks, 2. lose track of time or 3. both. I put a bin by our shoes and now her clean socks go in there.














  • All very valid points and part of why American health insurance is such a joke

    I had an incident recently where my spouse had to go to the ER because of a life threatening incident. One of those fix it right now or they might die things. (They’re fine now, thank goodness.)

    We went to an in-network hospital and all doctors were also in-network. However the one who actually did the life-saving procedure was a specialist. Under our insurance plan seeing a specialist requires a referral, which of course we didn’t have time to get. So insurance tried to nope out of that doctor’s entire bill.


  • You need to know both your deductible and out of pocket maximum numbers. You’ve said your deductible is $1500. For the sake of this example let’s say your out of pocket max (OOP from now on) is $2500.

    For simplicity, we’ll go with your insurance’s negotiated rate for the procedure is $1000*. Meaning at the end of the day you and your insurance combined will pay the hospital $1000.

    Basically any bills up to $1500 for the year you pay 100%. Between $1500 and $2500 (or your OOP), insurance pays 50% and you pay 50%. Over $2500 insurance pays 100%.

    Some examples to illustrate:

    1. You’ve paid $400 this year so far. You pay the full $1000: $400 + $1000 = $1400 which is less than your deductible of $1500
    2. You’ve paid $1000 so far this year. You pay $750 and insurance pays $250: $500 gets you to the $1500 deductible limit so you have to pay all that, plus you pay 50% of the remaining $500 bill = $250.
    3. You’ve paid $1700 so far. You pay $500 and insurance pays $500. $1700 + $500 = $2200 which is less than your OOP of $2500
    4. You’ve paid $2300 so far. You pay $200 and insurance pays $800. 50% of $1000 = $500 but $500 would put you over your OOP of $2500. $2500 - $2300 = $200. You pay $200 and insurance pays the rest.
    5. You’ve paid $2500 so far. Insurance pays $1000
    • If your insurance’s negotiated rate for the procedure is $1000, this means that’s what the hospital and insurance have agreed to pay. A lot of times you’ll see the hospital “charge” a larger number and then have an insurance “discount” but ignore this. It doesn’t factor into deductible or out of pocket maximum calculations.