What happens if you don't pay medical bills?

What happens if you don't pay medical bills?

Unpaid medical bills can lead to debt collection, lawsuits, wage garnishment, and damage to your credit score. However, there are options to manage or reduce medical debt, including negotiating with providers, seeking financial assistance, and creating a payment plan. Addressing medical bills as soon as possible and understanding your rights can help prevent more serious financial consequences.

Consequences of Not Paying Medical Bills Over Time

Failing to pay medical bills over time can lead to serious financial consequences, including late fees, damage to your credit score, wage garnishment, and even lawsuits. To avoid these outcomes, it is important to address medical bills early by negotiating payment plans, applying for financial assistance, or seeking help from charity care programs if possible.

If you are unable to pay your medical bills, it is wise to take proactive steps that can prevent the situation from escalating and protect your financial well-being.

Impact on credit score

Unpaid medical bills can hurt your credit, but there are important details and protections you should be aware of. First, medical providers don’t directly report unpaid bills to credit bureaus but if you do not pay your medical bills, the provider may eventually send the debt to a collection agency, which will report the unpaid debt to the credit bureaus.

Credit bureaus must wait 180 days before adding unpaid medical bills to your credit report after the debt goes to collections. This grace period gives you time to work out payment with the medical provider or your insurance company.

The new models treat medical debt less harshly than other types of debt, meaning that medical collections will have a smaller impact on your credit score compared to credit card bills or personal loans, but they can still lower your score.

It’s also important to know that once the medical debt is paid off, the credit bureaus will remove it from your credit report. Medical debt is treated differently than other debts that can stay on your report for seven years, which helps improve your credit score faster.

Debt collection

Debt collection can occur when a medical provider (such as a hospital or doctor's office) transfers or sells unpaid medical bills to a collection agency after they have gone unpaid for a certain period. Once the debt is in collections, the agency will take steps to recover the amount owed, which may include contacting you, reporting the debt to credit bureaus, and even taking legal action in some cases.

Legal action

If medical debt remains unpaid for an extended period of time, the collection agency may file a lawsuit to recover the debt. If they win the lawsuit, they could obtain a court judgment that allows them to garnish your wages or seize assets.

How to deal with debt collection?

How to deal with debt collection?

If your medical debt has been sent to collections, you should first verify that the debt is valid before paying anything. You can ask the collection agency to verify the debt and provide proof that the debt is yours and that they have the right to collect the debt. You should then carefully check to see the amount owed is correct and confirm that your insurance has paid its share. You have the right to dispute any charges that are incorrect or should have been covered by insurance.

Every state has a statute of limitations on debt, which limits how long a creditor or collection agency can sue you to collect the debt. This period typically ranges from three to six years, depending on the state. If the statute of limitations has expired, the collection agency cannot sue you, but they can still attempt to collect the debt, and it may remain on your credit report for up to seven years from the date of the original delinquency.

If you believe a debt collector is violating your rights or harassing you, you have the right to file a complaint with the Consumer Financial Protection Bureau, the Attorney General of your state, and/or the Federal Trade Commission.

Given the complexity of medical debt collection, it is advisable to consult with an experienced consumer protection attorney who can help you understand your rights and options.

Debt settlement

You may be able to negotiate to pay a reduced amount than what is owed. If you cannot pay the debt in full, ask for a payment plan that breaks down the total into more manageable monthly payments.

Negotiate with creditors

Collection agencies frequently accept lower amounts since they buy debts at a discount. Don’t be afraid to negotiate with creditors directly. You or your attorney may be able to negotiate terms that are much more favorable.

Can Medical Debt Be Forgiven?

Yes, medical debt can sometimes be forgiven, but it typically requires taking proactive steps such as applying for charity care, negotiating with healthcare providers, or seeking help through government and nonprofit programs.

In some cases, bankruptcy can also provide relief from medical debt. The key is to explore all available options based on your financial situation.

What to Do If You Can’t Pay Your Medical Bills?

What to Do If You Can’t Pay Your Medical Bills?

If you are unable to pay your medical bills, you may be able to receive financial aid to help you. Many hospitals and medical providers offer financial assistance programs to help low-income patients with medical bills. If you’re eligible, these programs could reduce or eliminate your medical debt. Additionally, nonprofit hospitals are legally required to provide charity care to patients who meet certain income requirements, so always inquire about these options.

If you do not qualify for assistance, you should still receive the medical care you need regardless of your ability to pay.

If your medical debt has become unmanageable and you are unable to resolve it through negotiation or payment plans, bankruptcy may be the best option. With Chapter 7 bankruptcy, medical debt is dischargeable, meaning you may be able to eliminate it entirely. With Chapter 13, you can include medical debt in your repayment plan, which allows you to pay off a portion of the debt over three to five years, with the remaining debt being discharged once the repayment period is completed.

Patrick Semrad
About the author

Patrick Semrad

Principal · Chicago, Illinois

Pat is the Managing Partner of The Semrad Law Firm, which does business as DebtStoppers, the largest consumer law firm in the United States. Patrick concentrates on providing access to affordable legal representation to bankruptcy clients regardless of their income. Since 2004, the firm has grown from four attorneys in Chicago to over 85 attorneys in five states with offices in Europe as well.

Practicing consumer bankruptcy law is a privilege for Pat. He knows of no other area of law that empowers an attorney to make such an immediate positive impact on his clients’ lives. It has been Pat’s mission to foster a team of attorneys and staff who are as passionate about helping individuals and families that are facing financial hardship. In this, Pat views his position as Managing Partner to be a support role dedicated to providing resources and professional development to every employee at DebtStoppers.

Pat periodically volunteers legal services through the North Suburban Legal Aid Clinic and the Together for Childhood Network in Lake County. He advises The Balance Project, a local not-for-profit founded by his wife, Agi, which supports mental health throughout the community.

Pat is a member of the Illinois Bar, Florida Bar, and General Bar for the U.S. District Court for the Northern District of Illinois. Mr. Semrad graduated magna cum laude from DePaul College of Law, where he was a member of the DePaul Law Review. He also received his Bachelor’s degree in Finance from DePaul.

Outside of his professional activities, Pat is an active member of the Windy City Chapter of YPO. He is also an active community member in Highland Park and regularly participates in local events and political campaigns. He enjoys woodworking, sailing, and playing terrible paddle. He is also a member for the Union League Club of Chicago.

Education: J.D., DePaul College of Law · B.S., Finance, DePaul University, 2001

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