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How to Pay Off Your Medical Charges 6 Options to Pay Off Medical Bills

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How to Pay off Your Medical Costs: 6 Options
Do you need a way to pay your medical bills? Ask for a payment plan, use a medical credit card , or engage an advocate for medical bills.
Written by Sean Pyles Senior Writer | Personal finance and financial debt Sean Pyles leads podcasting at NerdWallet as the producer and host of NerdWallet's "Smart Money" podcast. In "Smart Money" Sean talks with Nerds on the NerdWallet Content team to answer the listeners' questions about personal finance. With a particular focus on sensible and actionable money advice, Sean provides real-world guidance that can help consumers better their financial lives. In addition to answering listeners' financial questions on "Smart Money" Sean also interviews guests outside of NerdWallet and also creates special segments to explore topics such as the racial gap in wealth, how to start investing, and the history of college loans.
Before Sean took over podcasting at NerdWallet, he covered topics related to consumer debt. His work has appeared throughout the media including USA Today, The New York Times and other publications. When Sean isn't writing about personal finance, Sean can be found playing in his garden, going for runs , and taking his dog for long walks. He lives at Ocean Shores, Washington.





Jan 13 2023


Editor: Kathy Hinson Lead Assigning Editor Personal finances, credit scoring financial management and debt Kathy Hinson leads the core personal finance team at NerdWallet. Previously, she spent 18 years at The Oregonian in Portland in positions such as copy desk chief and team editor and designer. Previous experience included news and copy editing for a variety of Southern California newspapers, including the Los Angeles Times. She earned a bachelor's degree in mass communications and journalism in the University of Iowa.







A majority of the products we feature are from our partners who pay us. This affects the products we write about as well as the place and way the product appears on a page. However, this does not affect our assessments. Our opinions are our own. Here's a list and .



Nerdy Tip
Big changes have come to the way medical debt is reported by the three major U.S. credit bureaus. Since July 1st, 2022: Consumers are likely to see their medical debt removed from their credit reports, and the time until medical debt that is unpaid appears on credit reports has increased from six months to a year. In mid-2023, medical debt less than $500 is likely to no longer appear on credit reports. VantageScore anticipates that it will remove all medical debt regardless of how much is owed or the length of time the debt is in collections -- starting from 3.0 or 4.0 score calculations at the at the end of January 2023.


Repaying medical debts isn't as simple as settling issues with a loan or credit card. There's generally more flexibility to negotiate terms of repayment -- or even cut the amount you owe. You may also have an additional recourse conferred by the .
To start, look over your medical bill and then compare it to the explanation of benefits you received, in case you are covered by insurance. Determine what you're required to pay, but don't make the mistake of assuming that you can't. attempt to negotiate the total cost first.
When you work with your provider Be upfront about the amount you are able to pay. If you don't have insurance, you'll likely be paid more than someone with insurance. Knowing there's a price disparity can help you negotiate.
"That can be useful for negotiation when you actually have to pay the bill," says Chi Chi Wu Chi Chi Wu, a staff attorney at the National Consumer Law Center. "Tell them that you'll be paying what BlueCross or Medicaid would pay."
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Payment plan

Many medical providers, like dentists, doctors and hospitals, can work out an interest-free or low-interest payment plan for your bills. This is among the most straightforward and popular ways to resolve an unpaid bill with one payment.
The minimum amount you can pay in the payment plan will be contingent on your bill amount and the terms you agree to. You generally break the bill into equal installments in a couple of months, until the entire amount is paid.
TIP: Ask whether there are charges for billing or other charges associated with the payment plan, so you can assess the affordability.
Medical credit cards

Providers may also offer to help you apply for . Although medical credit cards typically offer a no-interest period of six to 12 months, you can be hit with a that can make your debt significantly more expensive if you don't complete the payment during that time. A further risk attached to credit cards is that late payment or late payments could negatively impact your credit score.
Tip: Know what extra expenses you'll face if faced with deferred interest and fully understand whether medical credit cards make sense.
Unsecured credit options

Personal loans
The A program can assist you to manage medical costs or pay for urgent as well as planned medical procedures.
A personal loan could be the best option when you've exhausted all other options, such as a payment plan or medical credit card, but there are also risks of additional interest, fees and negative effects on credit scores if you miss payments. The loan amounts vary from $1000 to $100,000.
Tip: Be sure to shop around to compare rates, fees, and repayment conditions.
Credit card with 0% interest
A credit card could be a great option for you if you're not suitable for a credit card health or payment card. You'll need good or excellent credit score to be eligible, however. Be sure to pay off your balance prior to the promotional interest period expires and the interest rate starts to take effect. Paying late can affect your credit score.
Tips: Make sure to dedicate the card only to medical bills if you do opt for this option. Otherwise it'll be harder to keep track of expenses for tax deductions or a medical savings account.
Medical bill advocate

If you've experienced an prolonged stay in the hospital or a lengthy procedure, you're likely to face a mountain of medical bills.
You can hire an advocate for medical bills to negotiate on your behalf. Advocates are experts in medical billing, who are able to read health care bills and know the typical costs for various procedures. They can spot possible errors or overcharging, and assist you to reduce the amount you owe.
Organizations like Medical Billing Advocates of America can connect you with an advocate. Be cautious when choosing the right billing advocate as there are also predators in the world who claim to be advocates but are stealing your money or your identity. Make sure you know whom you're talking to and how they operate before divulging any of your details.
Tip: Make sure the fees charged by an advocate for medical bills are not outweighed by savings prior to signing to a plan.
Income-driven hardship plan

If you have low income and high medical bills, you may be eligible to be a part of an income-driven hardship plan.
Like a traditional payment plan one that is income-driven can break up the total amount owed into affordable, regular payments or even erase the debt entirely. Contact your provider to determine if it offers such a plan; all non-profit hospitals offer some form of charitable care.
Tip: You may have to apply for before being eligible.
Costs that you negotiate on your own

If you are a patient or believe that you are able to take on the duties of an advocate for medical bills, you may be able to bargain down the price on your medical expenses on your own.
For medical bills that are in collections, remember that debt collectors typically purchase debts at pennies on the dollar. This gives you a lot of leverage to negotiate.
If you believe you could haggle with your provider, you may be able to take the work of an advocate for medical bills into your own hands. Examine your medical bills and note any charges that are deemed to be wrong or overpriced, then keep in touch with customer service representatives.
Tip: Don't be afraid to talk to your provider. You must be sure that you can afford the amount you're agreeing to. There is a possibility of choosing of a cash lump-sum or a payment plan.
Summary of medical debt payoff options

What not to do

It is tempting to take a shot at a quick fix for your medical debt -- or just ignore it completely. This will cost you more in interest and could put your at risk. A smart approach to pay off your medical bills can help avoid delinquent , even with recent changes.
The idea of putting medical debt on one of your credit cards is a good instance. This will satisfy the office of your doctor, but you typically will face an interest rate of double-digits in the event that you aren't able to pay the full amount when your statement for the card arrives.
If you're worried that you'll be able to pay the medical expenses and are confronted with debt that is overwhelming or you are having to make a choice between housing, food and the payment of debt, you should look into or even .


About the author: Sean Pyles is the executive producer and host of NerdWallet's Smart Money podcast. His work has appeared on The New York Times, USA Today and elsewhere.







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