1. Understand what you owe
Don’t assume that the bill you get from your provider is accurate. Medical bills may contain errors. These can include double billing, mistakes in medical billing codes, and charges for services not listed in your medical record.2 Call your providers—not the billing company—if you suspect an error. Ask for an itemized bill, which can alert you to mistakes like double billing.
If you feel overwhelmed by the process, you may have several options for help.
Check with your provider or employer
Some hospitals or clinics employ social workers to help. They can help you interpret your medical bills and might be able to file claims with your insurance company. You can access their services for free. The Patient Advocate Foundation, for example, offers free one-on-one help sorting out medical bills and negotiating with providers for people undergoing treatment for serious medical conditions. In some cases, employers may be able to help you find a medical assistance program or billing advocate.
Contact a credit advisor
If you can’t make headway on your own, consider working with a medical-billing advocate or other credit advisor. Nonprofits such as the National Federation for Credit Counseling may assist you with your overall debt. Those specializing in medical issues can help comb through your medical bills to find errors, duplicate charges, unreasonable charges, or even fraud. They may also help get denied claims reversed by your insurance company.
Consider a billing advocate
For big medical bills or complex issues, you might consider turning to an independent billing advocate. Be sure to understand how they charge and what the rates are. For example, is it an hourly rate or a percentage of what they save you? Hourly rates for such help can vary widely. Umbra Advocacy maintains a national directory of members of the Alliance of Professional Health Advocates.
2. Seek to lower the amount you owe
Even a correct bill might be more than you can afford. Before resigning yourself to an overload of debt, there may be ways you can try to lower your medical bills.
Talk to your provider
Try negotiating a reduced amount directly with your provider. Healthcare providers may have leeway and might be willing to accept less than the amount they billed you. Uninsured patients are often charged higher rates, so providers may be willing to accept the negotiated rate they’d bill insured patients.
Ask about financial assistance
In addition, ask about financial assistance or charitable care. Many hospitals and clinics have such programs but don’t advertise them. Some states require hospitals to screen eligible patients for this type of assistance. This takes the burden off patients to do the research. Programs vary by hospital and state , but patients earning up to two times the federal poverty level—which for a family of four in most of the U.S. was $31,200 in 20243—may be eligible for financial assistance.
3. Focus on a budget for medical debt
Managing any medical expenses you have now is important. No matter what your current situation is, though, it is also crucial to plan ahead.
Save for the future
Medical expenses are a fact of life. Healthcare ate up about 8% of the average family budget in 2023.4 It makes sense to set aside money every month toward this line item. But medical expenses often accumulate suddenly, typically after an unexpected illness or accident. This makes it difficult to budget sufficiently. That’s why it’s important to build up an emergency savings fund to help you deal with unforeseen expenses.
A Health Savings Account (HSA) or Flexible Spending Account (FSA) may help you budget. They provide a way for you to build up a tax-advantaged pool of money for some out-of-pocket healthcare. While this doesn’t lower your expenses, it might make it easier for you to pay medical bills.
If your medical expenses are significant, you might also want to consult with a tax advisor. They can discuss whether you have options to pay off medical bills in a tax-advantaged way.
Be sure to keep your bills current
Keep in mind that if you ignore medical bills long enough, some debt may go to collections and damage your credit score. This could make it difficult or more expensive to borrow in the future. Medical debt can also harm your credit score if it forces you to stop paying your other bills.
In all, 15 million Americans had medical bills on their credit reports in 2023. This includes more than $49 billion in collections.5
The good news is that in 2022 the three nationwide credit reporting agencies began removing paid medical debt from credit reports. In addition, they will not report unpaid medical debt unless it has been in collections for 12 months. And medical-collection debt with an initial reported balance of under $500 was removed from U.S. consumer credit reports beginning in 2023.6
While that’s a welcome development, significant medical debt can still be a burden. Nearly one-third (30%) of Americans cited debt as a cause of financial stress in our survey.* You don’t want to let medical expenses add to that stress.