ChaosCoati

Well damn, I was hoping it was for a good (happy) reason. I’ll make sure to keep an eye out for signs of OE in my native flower garden

Do you have a source for the monarchs not needing more milkweed planted? I’m hoping I missed some great news.

Last I heard the advice was still to plant more milkweed because we’re below the level needed to try and grow the population - since it’s being considered for protection under the Endangered Species Act and milkweed is the only plant the caterpillars can survive on. If we got that done or found a better way that’s awesome

$0.13213 per kWh plus a $0.58915 per day “customer charge”

Good luck!

Congratulations!

Thanks for the quick reply. My peas and bee balm have been hit hard this year after the same mild winter

I like summer squash! That would be really weird though, I’ve never planted summer squash or zucchini in the 10+ years we’ve lived here. Squirrels must be stealing from the neighbors

This sounds delicious, thanks for sharing!

What did you spray for the mildew?

I don’t know the actual answer. My theory is it’s this confusing so it’s hard for the general population to catch the mistakes. This allows insurance companies get out of paying as much as they’re supposed to. And hospitals don’t really care who does the paying, as long as they get paid

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.