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Medical Tracking ?



Question:

1. I'm thinking separate categories are needed for medical, dentist, and vision. Hopefully, this will allow me to evaluate, at year end, if the benefits received (or probably total expenses) exceed the cost of the plan. This evaluation is really only be needed for the vision plan/expenses since the medical and dental plans definitely pay for themselves.

2. Would you use expN category for the $5-15 (not reimbursed) you pay to see the family doctor?

3. I'd like to keep track of expenses on an individual basis because the insurance reimbursements are on an individual basis but don't know if this is too much work. I guess my choices are multiple accounts, Classes, and entering the individual's name in the memo field. I haven't used Classes yet. By the way, all 8 of us go to the dentist at the same time (we fill their waiting room and take half of their morning!) so the service date is the same.

4. Why have two categories for 80% and 100%? Is this just a method to check the insurance reimbursement for the correct percentage?


Answer:

9! Boggles my mind. I have an account for each doctor/patient. When I get a statement from Doctor Bones for my spouse, I look at the registor for the account Bones-Spouse to see if I agree with the statement. What do you plan to do when you receive a statement? If you say "run a report", then you can't make new entries from the statement. Seems to me that an account for each doctor/patient would still be easiest, even given 9 people. I do combine infrequent doctors, so each person might have a "MedicalMisc" account in addition the other accounts. Vision, dental, tend to be all done by the same provider.

WIth accounts for each provider, categories are not need as you've described. You can total medical by totaling the medical providers, dentist by the dental providers, etc.

The "N" relates to Non-taxable. My categories are structured

exp|ins, N|T, [080|100|var]

the last being insurance percentage.

expT080 is expense, tax deductable, 80%insurance expected expN is expense, non-deductable, no insurance

When you write "$5 you pay to see the family doctor" it sounds like a co-pay. If that was a 20% payment of a $25 charge, I'd make two entries when seeing the doctor and making that co-pay

expT080 $25 [checking] 5

When I see that insurance has been paid to the doctor (either on an EOB or the doctor's statement) I make another entry

insT080 20

The balance for this service date is now zero, paid in full. When I run total for exp.080 and ins.080, if these were the only such payments included, then the total insurance is 80% of the total expense and I know all insurance payments have been made.

Think I've already answered this. It may be a little more work to enter in individual acounts, but it's then easiest to process provider's statements. And it means you won't need additional categories to distinguish medical from dental from vision.

Right. Easy to run a report

rows: payee columns: 80% expense categories and 80 insurance categories

If the total insurance isn't 80% of expense then I know there are outstanding claims and I know which doctors those claims are for. Some doctors (offices) need prompting.

If all vision services are with a single provider and an account is created for that provider, then separate Expense and Insurance Reimbursement categories would not be needed. The Vision account should contain the information to know if the Vision plan should be taken the following (next) year. Even if there are multiple accounts, just the Vision accounts could be selected in a report. So, I think I've talked myself out of creating separate categories for Medical, Dental, and Vision services. Opinions are welcome.

With our limited number of trips for medical, dental, and vision services, creating a Child1 (actual name of child), Child2, etc Classes seemed to work very well. A report on the dentist service provider's account subtotaled by Class was very nice.

New Question. If I use Child1, Child2, etc in multiple accounts (and not just for medical, dental, and vision accounts), then, when using reports, is there any advantage to having different types of Classes for each type of account or "function/purpose/expense/income"? For example, Medical, Dental, and Vision services could use MedChild1, MedChild1, etc Classes, personal expenses (non-medical related) for each child (or adult) could use PerChild1, PerChild2, etc Classes, and separate cell phone bills (which we don't actually have) could use CellChild1, CellChild2, etc Classes. I'm not really sure what reports are needed/wanted so I'm struggling knowing how to categorize and classify things. Comments?

Expense and Insurance categories are useful only if there are insurance payments and you want to track insurance payments to provider (necessary, I think, so that you know provider has been paid and that there is not an outstanding balance that the provider might bill you).

In my case the vision plan covers only a fixed set of services and we have additional expenses, and insurance payments, with the eye clinic.

Again, think about data entry. What are your source documents, what do you have on the screen when looking at the source, when do you key in new entries? And how do you verify provider's statments (and how are provider's statements organized)?

Don't combine medical, dental, or vision into the same account and you won't need to identify such on the transactions.


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