u/44193_Red

Injured shoulder but worried of out of pocket costs/coverage (oscar health). Seeking any advice

Hello all,

My workplace insurance lapsed because I missed the open enrollment emails during a period when I had to lay off a large number of people. Mind wasn't there. Signed up with Oscar at nearly 600 mo.

A few months ago, I injured my shoulder, and all signs seem to point to a rotator cuff issue. I’ve honestly been afraid to get it checked because I’m worried it could cost thousands of dollars. I’m considering waiting until next year when I can get back onto my employer insurance plan.

Do you guys have any advice? I’m pretty worried and feel stuck.

Current Plan Details:

Oscar Bronze Classic (EPO)

Coverage Period: 1/1/2026 to 12/31/2026

Plan Details:

- In-network only, except emergencies and limited urgent care

- Individual deductible: $3,300

- Individual out-of-pocket maximum: $9,300

- Specialist visits: $75 copay after deductible

- MRI / CT scans: 50% coinsurance after deductible

- Outpatient surgery center: 50% coinsurance after deductible

- Surgeon fees: 50% coinsurance after deductible

- Physical therapy: $50 copay after deductible

My concern is that if this ends up requiring imaging, injections, PT, or surgery, I could get hit pretty hard financially under this plan.

At the same time, I’m worried waiting could make the shoulder worse if it actually is a rotator cuff tear.

- Get evaluated now?

- Wait until January for better coverage?

- Go to urgent care?

-Maybe theres a place I can just pay out of pocket for it?

Any advice from people who have dealt with shoulder injuries or these insurance situations is appreciated!

reddit.com
u/44193_Red — 1 day ago

Consolidation of Accounts & Backdoor Conversions

Hello Reddit, i've been reading for what it seems like weeks now, and struggling. Hoping for some advice. Here is my accounts setup and their %s

  1. T. Rowe Price 401(k): ~15% (pre-tax)
  • ~60% Employee Pretax Contributions
  • ~40% Employer Match / Safe Harbor
  • In-Plan Roth: 0%
  1. Fidelity Rollover IRA: ~38% (pre-tax)
  2. Fidelity Brokerage Account: ~3%
  3. Fidelity Roth IRA: <1%
  4. Fidelity Traditional IRA: 0%
  5. Other holdings

Base salary is 200k, age early 40s, so I think thats 24% effective tax rate?

Questions

  1. What investment order should i go with?

I reduced my 401k deposit to 3% (up to match) because at this point I dont even know what i should be doing. Then, I was told its best to invest as much as I can in Traditional IRA (Fidelity) then immediately convert to Roth (Fidelity) with extra cash.

I really hate having funds in diff places, and looked into moving my Fidelity to my T-Row price (work account), but theres a $50/yr fee (and may be other fees and limits)
T.Row price has a brokerage feature too I could potentially use. Does it make sense to consolidate the accounts?

So that all being said... How do I know if or when need to convert anything to roth? I liked the idea of having the roth account to pull from if i needed before retirement (Extended job loss, etc). But I havent racked up any roth. I swear I did invest in roth decades ago, but not really sure where it went through the job changes and rollovers. Im currently at a higher income level (but havent been there for long, and probably wont be for long).

Thoughts?

reddit.com
u/44193_Red — 2 days ago
▲ 2 r/TurboTax+1 crossposts

1099MISC on a prize winning, and deducations, in turbotax and freetax usa

Hi guys, i'm struggling to figure this out. I've got a prize winning, from consistent raffling throughout the year. The prize was 15000 in value.

They issued a 1099-MISC. In Turbotax, they dont allow me to diretly edit the schedule A to put in gambling losses. The only way to do losses is to fill the W2G field, but, I also need to note "didnt recieve W2g" and enter both the income AND deductions.

I am worried if I dont file the 1099-MISC form, it will raise a flag.

I've spoken to Turbotax, and even paid for help with "CPAs" on Fiverr, no one has a answer. Heck, Turbotax said to tie the 1099-MISC to a business (gambling monthly to earn income), and write off a much as i can there.

Anyone know?

reddit.com
u/44193_Red — 6 days ago

1099MISC on a prize winning, and deducations, in turbotax and freetax usa

Hi guys, i'm struggling to figure this out. I've got a prize winning, from consistent raffling throughout the year. The prize was 15000 in value.

They issued a 1099-MISC. In Turbotax, they dont allow me to diretly edit the schedule A to put in gambling losses. The only way to do losses is to fill the W2G field, but, I also need to note "didnt recieve W2g" and enter both the income AND deductions.

I am worried if I dont file the 1099-MISC form, it will raise a flag.

I've spoken to Turbotax, and even paid for help with "CPAs" on Fiverr, no one has a answer. Heck, Turbotax said to tie the 1099-MISC to a business (gambling monthly to earn income), and write off a much as i can there.

Anyone know?

reddit.com
u/44193_Red — 7 days ago

1099MISC on a prize winning, and deducations, in turbotax and freetax usa

Hi guys, i'm struggling to figure this out. I've got a prize winning, from consistent raffling throughout the year. The prize was 15000 in value.

They issued a 1099-MISC. In Turbotax, they dont allow me to diretly edit the schedule A to put in gambling losses. The only way to do losses is to fill the W2G field, but, I also need to note "didnt recieve W2g" and enter both the income AND deductions.

I am worried if I dont file the 1099-MISC form, it will raise a flag.

I've spoken to Turbotax, and even paid for help with "CPAs" on Fiverr, no one has a answer. Heck, Turbotax said to tie the 1099-MISC to a business (gambling monthly to earn income), and write off a much as i can there.

Anyone know?

reddit.com
u/44193_Red — 12 days ago

Win a prize and was issued a 1099-MISC.

Very confused as to whether or not I can use the gambling section in turbotax and enter my prize and losses.
Google search led to a workaround but i dont know if its legit?

  • Advice #1
  • Report the winnings in the gambling section ( so you can enter losses (itemized, capped at winnings).
  • Then enter the 1099-MISC with a negative “other income” adjustment to cancel it out and avoid double counting.
  • End result: winnings show correctly, losses applied, no duplicate income.
  • Advice #2: just delete 1099-MISC and report as gambling directly, but people worry about IRS matching.
  • Advice #3 Turbotax support also recommended entering it as a 1099-MISC+ScheduleC (BUSINESS and deduct the gambling losses there).

Please advise? Nothing makes sense anymore

reddit.com
u/44193_Red — 25 days ago