Does medical debt affect your credit score? (2024)

Medical debt is a prevalent issue in the U.S. An estimated 41% of Americans have some sort of healthcare debt, according to a 2022 report from the Kaiser Family Foundation. If you also belong to this group, you may worry about the effect your medical bills can have on your credit.

Fortunately, healthcare debt doesn't carry as much weight as other types of debt and it usually doesn't affect your credit unless it's sent to a collection agency. CNBC Select explains how medical bills can influence your credit score and what you can do if you're dealing with this type of debt.

Do medical bills affect your credit?

  • How medical debt can affect your credit score
  • How to check for medical debt on your credit report
  • What to do if you have medical debt
  • Bottom line

How medical debt can impact your credit score

Fortunately, your healthcare bills won't harm your credit, as long as you don't wait too long to settle them. Most of the time, you're dealing with the medical provider directly and they aren't likely to report your payment activity (or lack thereof) to the credit bureaus. This means that while you owe the provider, your credit report won't reflect this debt.

Of course, the provider won't wait for you to pay forever. If your bill becomes significantly past due, they're likely to sell it to a debt collector. When this happens can vary and depends on the healthcare office's practices. Generally, you can expect your bill to go to collections after 90 days of non-payment. That said, some providers will only give you 60 days, while others will wait 180 days before turning your debt over to a collector.

Even after that, not every unpaid medical debt will end up on your credit report. Effective April 2023, the three credit bureaus — Experian, TransUnion and Equifax — removed all unpaid medical debt that had an initial balance below $500 from credit reports. Any new medical collections under $500 also won't appear on credit reports as well.

If your medical debt is over $500, you still have time. Specifically, the credit bureaus provide a 365-day waiting period before unpaid medical collections appear on a consumer's credit record. This grace period offers an opportunity to resolve the issue by working with an insurance company or figuring out other means to pay. Paid medical collections don't appear on credit reports.

Once the waiting period is over, the collection account will pop up on your credit profile. Unless you pay the collectors, it will stay there for seven years and can negatively affect your scores.

How to check for medical debt on your credit report

If you're worried you may have medical debt on your credit record, don't wait to have your fears confirmed by a debt collector.

By law, you're entitled to a free copy of your credit report from each bureau once a year. And currently, you can get free weekly credit reports at AnnualCreditReport.com.

Alternatively, you can use a free credit monitoring service. CNBC Select recommends CreditWise® from Capital One which allows you to check accounts and balances on your TransUnion credit report, including closed accounts and collections. Note that you don't have to be a Capital One cardholder to use the service.

Experian Dark Web Scan + Credit Monitoring is another excellent option. It's also free and you get an updated Experian credit report every 30 days.

Experian Dark Web Scan + Credit Monitoring

On Experian's secure site

  • Cost

    Free

  • Credit bureaus monitored

    Experian

  • Credit scoring model used

    FICO®

  • Dark web scan

    Yes, one-time only

  • Identity insurance

    No

Terms apply.

If you see medical collections on your credit report, first make sure they belong there. Anything under $500 and less than one year old shouldn't appear on your record. If you find any inaccurately reported medical debt, you can dispute the debt and (hopefully) get it removed.

But if the debt legitimately belongs on your report, the only way to deal with it is to pay it off.

What to do if you have medical debt

Whether you've just received a bill you can't afford or it's already made its way to collections and your credit file, you have options to get your finances back on track.

  • Discuss a payment plan. Before you let your bill go to collections, talk with your healthcare provider and ask if it's possible to set up a payment plan.
  • Hire a medical billing advocate. These professionals work with insurance companies and healthcare providers to negotiate your medical bills on your behalf — for a charge. Still, paying for this service can save you thousands of dollars if you're working with a reputable advocate.
  • Look into financial assistance. Some providers offer income-driven hardship plans. You also might be able to qualify for help from federal, state or local programs or help from non-profit organizations.
  • Negotiate your debt. Your healthcare provider might agree to work with you by offering a discount for paying in full. They might also let you make a down payment and pay the remaining balance over time. Or, if your bill is already in collections, you can negotiate with the collection agency since they most likely bought the debt for pennies on the dollar.
  • Look into a 0% APR credit card. This type of card allows you to carry a balance without accruing interest for a certain period (after which you'll be charged the card's standard APR). If you go down this road, make sure you have a foolproof plan to pay off the debt in time, because you'll be turning your medical debt into regular debt, meaning it will immediately start affecting your credit scores.

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Bottom line

Medical debt can get extremely expensive, putting your financial well-being at risk. While you usually have some more time to settle your medical debt before it starts harming your credit, you don't want to let the situation spiral out of control. Work with your healthcare provider on any possible payment plans, and if things get desperate, consider using a 0% APR credit card to help settle your debt.

Why trust CNBC Select?

At CNBC Select, our mission is to provide our readers with high-quality service journalism and comprehensive consumer advice so they can make informed decisions with their money. Every credit guide is based on rigorous reporting by our team of expert writers and editors with extensive knowledge of credit monitoring products. While CNBC Select earns a commission from affiliate partners on many offers and links, we create all our content without input from our commercial team or any outside third parties, and we pride ourselves on our journalistic standards and ethics.

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Editorial Note: Opinions, analyses, reviews or recommendations expressed in this article are those of the Select editorial staff’s alone, and have not been reviewed, approved or otherwise endorsed by any third party.

Does medical debt affect your credit score? (2024)

FAQs

Does medical debt affect your credit score? ›

If you also belong to this group, you may worry about the effect your medical bills can have on your credit. Fortunately, healthcare debt doesn't carry as much weight as other types of debt and it usually doesn't affect your credit unless it's sent to a collection agency.

Do unpaid medical bills affect your credit score? ›

Most healthcare providers do not report to the three nationwide credit bureaus (Equifax, Experian and TransUnion), which means most medical debt billed directly by physicians, hospitals or other healthcare providers is not typically included on credit reports and does not generally factor into credit scores.

How do I remove medical debt from my credit report? ›

After seven years, medical collections will drop off your credit reports, even if you haven't paid them off. And if you pay them off at any time, they'll be removed from your reports.

Is medical debt considered bad debt? ›

Bad debt in healthcare represents an estimate for a bill that the patient or other payor cannot, or will not, pay. Bad debt is also referred to as uncompensated care. Some healthcare providers will report a bad debt as the difference between what a patient was billed and the amount of the bill that was paid.

What happens when medical debt goes to collections? ›

Debt collectors are allowed to contact you to collect on the bills you owe and are allowed to sue you to recover the money. If they win the lawsuit, they can garnish your wages (taking some of your paycheck every pay period until the debt is paid) or put a lien on your home.

Do unpaid medical bills ever go away? ›

The short answer is that medical debt may disappear from your credit report after seven years, but that doesn't mean you're off the hook. Medical debt never expires.

How long before a medical bill goes to collections? ›

State law traditionally required hospitals to provide 150 days to negotiate a payment plan. However, a new law increased the time hospitals must wait before reporting debts or filing collection actions to 180 days. Not until this period has passed can they send your medical bills to a debt collector.

How long can medical debt stay on credit report? ›

Unpaid medical debt can stay on your credit report for seven years from the original delinquency date.

Should I dispute medical collections? ›

You can take action if a debt collector contacts you about an unexpected out-of-network medical bill, or if you see a surprise medical charge listed as a negative item on your credit report. Reach out to the Consumer Financial Protection Bureau online or by calling 1-855-411-2372.

How do I ask for goodwill deletion? ›

How to write a goodwill letter
  1. Honesty. Be forthcoming about the circ*mstances surrounding your late payment and the request you're making. ...
  2. Modesty. Don't ask for too much. ...
  3. Your efforts to make payments. Explain that you've taken every possible step to make your payments on time.
  4. Basic information.
Jan 18, 2024

Should I worry about medical debt? ›

Once medical bills enter collections, they are often reported to consumer credit reporting companies. Medical debt collections on a credit report can impact your ability to buy or rent a home, raise the price you pay for a car or insurance, and make it more difficult to find a job.

What are the cons of medical debt? ›

Medical debt collections on an individual's credit report can impact their ability to buy or rent a home, raise the price they pay for a car or for insurance, and make it more difficult to find a job.

How much does the average American owe in medical debt? ›

Share and estimated number of adults with medical debt, by the amount of debt they owe, 2021. Table with 3 columns and 8 rows. Note: Percentages may not add to 100% due to rounding. Most of the 20 million adults with medical debt owe over $1,000, and about half (11 million people) owe over $2,000.

What happens if you never pay collections? ›

If you don't pay, the collection agency can sue you to try to collect the debt. If successful, the court may grant them the authority to garnish your wages or bank account or place a lien on your property. You can defend yourself in a debt collection lawsuit or file bankruptcy to stop collection actions.

Can I pay the original creditor instead of the collection agency? ›

Generally, paying the original creditor rather than a debt collector is better. The creditor has more discretion and flexibility in negotiating payment terms with you. And because that company might see you as a former and possibly future customer, it might be more willing to offer you a deal.

Can medical bills under $500 go to collections? ›

Effective April 2023, the three credit bureaus — Experian, TransUnion and Equifax — removed all unpaid medical debt that had an initial balance below $500 from credit reports. Any new medical collections under $500 also won't appear on credit reports as well. If your medical debt is over $500, you still have time.

Do medical collections affect getting a mortgage? ›

Home buyers with medical debt aren't less creditworthy. As Fannie Mae's rules state: “Collection accounts reported as medical collections are not used in the [mortgage approval] assessment.” Freddie Mac and FHA include similar language in their rule books.

Do medical bills accrue interest? ›

Do not use a credit card to pay off medical debt unless you plan on paying the bill in full at the end of the month, because carrying a credit card balance is costly, while unpaid medical bills don't charge interest. "Most medical bills, even if they're delinquent, will not charge an interest rate.

Are medical bills in collections a Hipaa violation? ›

HIPAA and the Fair Debt Collection Practices Act (FDCPA) intersect when medical debt collection is involved. HIPAA restricts the direct sharing of patients' health information with debt collectors.

Why did my credit score drop when I paid off collections? ›

It's possible that you could see your credit scores drop after fulfilling your payment obligations on a loan or credit card debt. Paying off debt might lower your credit scores if removing the debt affects certain factors like your credit mix, the length of your credit history or your credit utilization ratio.

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