Written By : Catherine J. Byerly
Edited By : Emily Miller
Financially Reviewed By : Michael J. Boyle, M.S.
This page features 4 Cited Research Articles

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Facts on Medical Bills

If you think credit card debt is the biggest debt Americans have, think again. Americans are paying three times as much on medical debt accounts in collections than credit card debts in collections. Even those who have health insurance have struggles with high costs of medical care.

  • Debt collection agencies will contact one in five – or to put it into context, nearly 51 million – Americans about outstanding medical bills.
  • You’re not alone if you’ve received a bill from your insurance company much larger than you anticipated: 63% of Americans report that’s happened to them.
  • Only four percent of people could answer all ten questions about how health insurance works, according to a recent Kaiser Family Foundation Survey.

What Happens When you Don’t Pay Medical Bills

You may want to forget about the medical bills showing up in your mailbox. They may only be reminders of something you’d rather not think about. But ignoring them can have serious implications.

For this reason, paying off medical debt is a legitimate reason for selling payments. The potential damage to your credit score and the possibility of having legal action taken against you far outweigh the loss of income your annuity provides.

Consequences of unpaid medical bills include:
You or Your Spouse Being Sued
When you owe serious money to a health care provider, they can send what you owe to collections, which can possibly lead to wage garnishment, home liens and other further legal actions.
Damage to Credit Score
Not paying money you owe can cause serious damage to your credit score. Low credit scores can end up costing you more money in the form of higher interest rates. Higher interest rates can affect your ability to purchase a car or a home down the line.
Being Denied Future Care
It’s not unheard of for health care providers to have policies in place that deny care to patients who have unpaid bills for previous treatments. Typically this is only for specialists, as hospitals have a legal obligation to treat anyone in an emergency situation.

Preventing Medical Debt

You can be an active part of ensuring medical debt doesn’t pile up. Taking these steps can help your financial health while you work on your physical health.

Talk to your healthcare team about how much your insurance will cover for treatments you receive.

Often, patients can ask questions to negotiate how much they spend on treatment. Patients can also simply ask about the costs upfront. Three-quarters of consumers say they’d make better health decisions if they were informed of medical costs before receiving treatment. Sometimes, for instance, blood work can be done all at once to reduce costs, rather than spread out over months.

Many hospitals are registered as non-profits and, because of that, pay significantly less in taxes.

Their non-profit status is based on them providing free or discounted health services to patients who qualify. More than 70 percent of those with medical debts aren’t offered such assistance outright. If you know you’re in a bind medically, make sure you ask your hospital if you are eligible.

Once you’ve received bills for treatment, examine them and ensure that everything is correct.

A 2012 study from the Institute of Medicine revealed that roughly 30 percent of health spending in 2009 went toward “unnecessary services, excessive administrative costs, fraud, and other problems.” Spending a few minutes performing an audit of your medical bills can save you from overpaying or even paying for procedures and tests that never happened. For instance, sometimes a hospital can charge for a medication, accidentally putting on the bill that they gave it to you three times a day when in reality you only received it once a day.

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Paying off Medical Bills

It’s important to carefully consider your options in paying off medical debt. Medical debt is not reported to the credit reporting agencies until it becomes delinquent. Once in the hands of a third-party collection agency, it begins to impact your credit, and thus your financial future.

If you have an annuity or a structured settlement, you can sell payments to get out of debt.

Some people may look to liquidate assets in order to get out of debt. For example, 11% of Americans have cashed out a retirement account to pay for medical expenses. Credit counselors advice against taking a loan against your home to pay for health care bills. For most Americans, your home is your most valuable asset.

Please seek the advice of a qualified professional before making financial decisions.
Last Modified: July 12, 2021

4 Cited Research Articles

Annuity.org writers adhere to strict sourcing guidelines and use only credible sources of information, including authoritative financial publications, academic organizations, peer-reviewed journals, highly regarded nonprofit organizations, government reports, court records and interviews with qualified experts. You can read more about our commitment to accuracy, fairness and transparency in our editorial guidelines.

  1. Credit.com. (2013, September 18). Medical Bill Nightmares: Medical Expenses & Debt. Retrieved from https://www.credit.com/debt/medical-bill-nightmares/
  2. Institute of Medicine. (2013). Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Retrieved from https://www.nap.edu/catalog/13444/best-care-at-lower-cost-the-path-to-continuously-learning
  3. McNamara, J. (n.d.). Get tips for paying off medical debts. Retrieved from https://www.needhelppayingbills.com/html/tips_to_pay_off_medical_debts.html
  4. Norton, M., Hamel, L. & Brodie, M. (2014, November 11). Assessing Americans’ Familiarity With Health Insurance Terms and Concepts. Retrieved from https://www.kff.org/health-reform/poll-finding/assessing-americans-familiarity-with-health-insurance-terms-and-concepts/