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If you're struggling to pay medical bills, you're not alone. Over 60% of personal bankruptcies in the US are due to medical debt.
Medical bills can be overwhelming, but there are steps you can take to manage your debt. One option is to negotiate with your healthcare provider to reduce the amount you owe.
According to the National Foundation for Credit Counseling, patients who negotiate their medical bills can often get a reduction of 30-50% off the original amount.
Don't wait to seek help; the longer you put off addressing your debt, the more difficult it becomes to get back on track.
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Get Help
You're facing a tough situation and can't pay your medical bills. Government programs can help pay for medical care, including Medicaid, Children's Health Insurance Program (CHIP), Medicare, and The Affordable Care Act (ACA) / Health Insurance Marketplace. These programs may also cover vision and dental care.
To qualify, your income, age, employment status, and health issues will be considered. You can learn more about these programs and apply through the relevant websites or by contacting a local social services office.
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Even if you're already receiving coverage from one of these programs, you may still be eligible for additional support. Medicare Savings Programs can help with Part A and Part B premiums, deductibles, coinsurance, and copayments. Medicare Extra Help can assist with Part D prescription drug costs.
Charity care programs may also be available if you're struggling to pay the remaining costs after insurance payments have been applied. You can usually apply for charity care through your doctor or hospital.
If you're having trouble paying your medical bills, you may want to consider a debt management plan. This involves working with a credit counselor to develop a payment schedule that fits your situation. You may be able to get lower interest rates and certain fees waived.
Another option is to negotiate your bill directly with your healthcare provider's medical billing manager. Be sure to speak with them as soon as you receive your bill and verify its accuracy. If you're experiencing financial hardship, request hardship assistance and see if hospital charity care is available.
You can also get outside help from medical billing advocates, debt negotiators, or medical caseworkers. These professionals can help decipher and lower your bills by looking for errors, negotiating balances due, and appealing excessive charges.
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Here are some resources to consider:
- Medical billing advocates: You can find advocates who charge an hourly rate, which can be around $100 or as much as $400 or $500.
- Caseworkers: You can ask to speak with a caseworker from your hospital or insurance company to help understand your bills and resolve payment issues.
- Nonprofit organizations: Organizations like the PAN Foundation and CancerCare offer medical bill help, and some states have COVID-19 resource pages that list federal and state programs that offer assistance.
In extreme cases, a medical provider may forgive the debt if you can provide tax returns and written documentation that proves you're unable to pay.
Managing Medical Debt
Managing medical debt can be overwhelming, but there are steps you can take to reduce what you owe. First, try setting up a payment plan with your medical provider, which can break down your bill into manageable payments over a few months.
If you're struggling to pay your medical bills, explore other credit options, such as personal loans or a 0% interest credit card, but be aware that these come with risks of additional interest and fees. You can also consider an income-driven hardship plan, which may forgive your debt altogether.
Here are some organizations that may be able to help you tackle your medical bills: USA.gov for medical and health care benefits.State Health Insurance Assistance Program (SHIP) for help navigating Medicare.The Healthwell Foundation, the Patient Access Network (PAN) Foundation and UnitedHealthcare Children’s Foundation for help with things not covered by insurance, or help finding grants.NeedyMeds for help finding prescription assistance programs and drug coupons.
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Payment Plan Setup
Setting up a payment plan can be a great way to tackle medical debt. You can work with your medical provider to come up with a plan that works for you.
Many medical providers can offer no- or low-interest payment plans. This means you can pay off your bill over time without breaking the bank.
You'll need to negotiate the terms of your payment plan with your provider. This will determine how much you'll pay each month and how long it'll take to pay off the bill.
The minimum monthly payment will depend on your bill amount and the terms you negotiate. You'll typically break the bill into multiple equal payments over a few months.
It's a good idea to ask about any billing charges or fees associated with the payment plan. This will help you understand the total cost and whether the plan is affordable for you.
Here are some key things to keep in mind when setting up a payment plan:
- The payment plan can break up the total amount you owe into more manageable, regular payments.
- You may be eligible for an income-driven hardship plan if you have low income and high medical bills.
- Nonprofit hospitals often offer some form of charity care, which can help with medical debt.
Remember to talk with your provider about your options and ask about any income-driven hardship plans they may offer.
Using Credit Cards to Pay
Using credit cards to pay medical bills can be a double-edged sword. Credit cards have compounding interest, which can make debt issues worse if the balance isn't paid off quickly. If you do choose to use a credit card, make sure you know the APR and when the grace period ends.
Before making a decision, consider whether you can make payments quickly and pay off the balance. Delinquent credit card debt stays on a credit report for seven years, while medical debt doesn't once it's paid off.
If you're struggling to pay medical bills, you may be able to explore other credit options. Personal loans, for example, can help you consolidate medical expenses, but be aware of the risks of additional interest, fees, and negative credit score impact if you miss payments.
A 0% interest credit card could be a good option, but you'll need good to excellent credit to qualify. Be sure to pay off your balance before the promotional interest period ends.
Here are some credit options to consider:
- Personal loans: typically range from $1,000 to $100,000
- 0% interest credit cards: require good to excellent credit
- Medical credit cards: designed exclusively for medical expenses, but may have high interest rates after the initial promotional period ends
Filing for Bankruptcy
Filing for bankruptcy is a serious step, but it's a common solution for those overwhelmed by medical debt.
Only 3% of those with unpaid medical debt actually file for bankruptcy, despite 50% fearing they'll have to.
The process is complicated and expensive, with the average cost of a Chapter 7 bankruptcy being $1,250.
You'll need the help of a bankruptcy attorney to navigate the process successfully, as the chance of success is greatly reduced without one.
Debts were discharged for 94.6% of those filing Chapter 7 in 2019, making it a potentially effective way to start fresh.
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Is More Common
Medical debt is more common than you think, and it's not just a problem for those who are uninsured. 19% of American households can't afford to pay for medical care they received right away.
Households with children are more likely to have unpaid medical bills than those without. This is likely due to the fact that medical expenses can be unpredictable and unexpected, and families with children may have less financial flexibility to absorb these costs.
A lack of health insurance coverage can quickly turn into an unaffordable financial burden for those who require medical care. An estimated 24.7 million U.S. residents under the age of 65 are uninsured, which is about 9% of the population.
People respond to medical debt in various ways, from delaying vacations to cutting back on household expenses. They may also work more, borrow from friends and family, or tap into retirement or college savings accounts to pay those bills.
Important
If your health care provider doesn't provide you with an itemized bill, don't hesitate to request one. This will allow you to see exactly what services were billed and how much each costs, which can be a huge help in managing your medical debt.
According to Example 5, it's essential to have an itemized bill to understand your medical expenses. This can help you identify areas where you can negotiate or dispute charges.
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In some cases, people may not receive an itemized bill because they're uninsured or underinsured, which can lead to a lack of transparency in medical billing. This is a common issue, especially for those who rely on public programs like Medicaid or Medicare.
For example, Example 2 states that 19% of American households couldn't afford to pay for medical care they received right away. This highlights the importance of having an itemized bill to ensure you're not being charged unfairly.
If you're unsure about how to request an itemized bill, you can start by asking your healthcare provider's customer service department for assistance. They should be able to provide you with a detailed breakdown of your medical expenses.
On a similar theme: Medical Payment Plans
Check for Errors
Checking your medical bills for errors is a crucial step in managing medical debt. Up to 80% of medical bills contain errors.
Start by reviewing your explanation of benefit statements from your insurer as soon as you receive them. Look for duplicate items, services you didn’t receive, services you don’t recognize, and charges that your insurance should have covered.
It's also essential to review your healthcare providers' bills to ensure your insurance has paid them accurately. If you spot any discrepancies, call your insurance company or your provider's billing department to clarify.
Americans covered by the Qualified Medicare Beneficiary (QMB) program should be aware that it's against the law for providers to bill them for services and items covered by Medicare. Contact Medicare at 1-800-MEDICARE if you suspect errors in your billing.
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Financial Assistance
If you're struggling to pay medical bills, there are several options available to help. You may qualify for financial assistance if your income is below 300% of the Federal Poverty Level (FPL), which is $45,180 for a single person and $93,600 for a family of four in 2024.
You can start by asking your hospital about their financial assistance program. Hospitals are required to notify patients about their financial assistance policies and make applications available. However, be aware that financial assistance applications can be hard to obtain and daunting to complete.
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There are also public programs and private organizations that may be able to help you tackle your medical bills. For example, USA.gov offers resources for medical and healthcare benefits, while the State Health Insurance Assistance Program (SHIP) can help you navigate Medicare. You can also contact the Healthwell Foundation, the Patient Access Network (PAN) Foundation, and UnitedHealthcare Children’s Foundation for help with things not covered by insurance or finding grants.
To apply for financial assistance, ask the hospital billing department for a financial assistance application. You can also contact the California Health Advocates (CHA) at 888-614-5400 for help navigating the process. Keep in mind that hospitals cannot ask you for certain documents, such as tax returns, proof of citizenship, or proof of assets, in order to complete your application.
If you're unable to pay your medical bills, you may be eligible for an income-driven hardship plan. This can break up the total amount you owe into more manageable, regular payments or even forgive the debt altogether. Talk with your provider to see if they offer such a plan.
Here are some organizations that may be able to help you find financial assistance:
- USA.gov for medical and healthcare benefits
- State Health Insurance Assistance Program (SHIP) for help navigating Medicare
- The Healthwell Foundation, the Patient Access Network (PAN) Foundation, and UnitedHealthcare Children’s Foundation for help with things not covered by insurance or finding grants
- NeedyMeds for help finding prescription assistance programs and drug coupons
Frequently Asked Questions
Is medical debt being forgiven?
Yes, medical debt is being forgiven through the American Rescue Plan, with an estimated $7 billion in debt canceled for nearly 3 million Americans. This includes up to $2 billion in debt relief for over 1 million Arizonans.
How to get out of paying medical bills?
You can address medical debt by negotiating with your healthcare provider, applying for financial assistance, or seeking help from non-profit organizations that specialize in medical debt relief. Start by exploring these options to find a solution that works for you.
What is the lowest you can pay for medical bills?
There is no minimum monthly payment required for medical bills. Paying less than the full amount due may not be enough to resolve the debt and could lead to further action from the hospital.
What is the law on unpaid medical bills in South Carolina?
In South Carolina, the statute of limitations for most debts, including unpaid medical bills, is three years. After this time period passes, the debt is considered time-barred and can't be legally collected.
Sources
- https://www.usa.gov/help-with-medical-bills
- https://www.nerdwallet.com/article/finance/pay-medical-debt
- https://www.investopedia.com/personal-finance/medical-debt-what-do-when-you-cant-pay/
- https://communityhealthadvocates.org/healthcareqa/resolving-medical-bills/resolving-medical-bills-when-uninsured/
- https://www.debt.org/jobs/unemployment/medical-debt/
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