A new proposal by the Biden administration would protect Americans from having their credit history cratered by medical bills.
The rule change, announced by the Consumer Financial Protection Bureau (CFPB) on June 11, would prevent almost any medical debt from appearing on credit reports. In a statement, the CFPB said medical bills "have little to no predictive value when it comes to repaying other loans."
In 2022, the three largest credit bureaus — TransUnion, Equifax and Experian — started removing paid medical debts from consumers' credit reports. The following year, they stopped including outstanding balances under $500.
FICO® and VantageScore, the two major credit scoring companies, have also decreased the degree to which medical bills impact credit scores.
Medical debt can still have significant financial consequences, though, leaving you with fewer options for housing, loans and credit cards.
According to the CFPB, approximately 15 million Americans are saddled with medical debt, which has reached $49 billion.
What we'll cover
- How does medical debt work?
- How long does medical debt stay on your credit?
- What would the new rule do to medical debt?
- Tips for tackling medical debt
- FAQs
Shop for a debt relief plan that works for you
How does medical debt work?
Even if you have medical insurance, there are deductibles to meet and copays that need to be covered. In addition, there may be a maximum amount your provider is willing to pay for treatment.
After your health insurance company covers its share, your medical provider will bill you for whatever is left. They may attempt to collect payment through phone calls or letters.
If you still haven't paid the bill after several months, the debt may be sold to a medical collections agency, which will try to collect on it.
How long does medical debt stay on your credit?
Medical debt is not reported to credit bureaus as long as it remains with your healthcare provider. If you don't pay the bill for at least three months, however, your provider may sell it to a collections agency. That's when it can ding your credit score.
Unpaid medical debt that is in collections can be reported to credit bureaus after one year. At that point, it remains on your credit report for seven years, the same as any other kind of debt.
As of 2023, medical debt can only impact your credit score if it's over $500. If the CFPB proposal is approved, however, no medical debt — no matter how large — would appear on your credit report.
What would the new rule do to medical debt?
According to the CFPB, the proposed rule would help ensure medical information does not unfairly damage credit scores. It finalized, it would:
- Remove exceptions that let lenders use information about medical debt to make determinations about someone's creditworthiness.
- Prohibit credit reporting agencies from including medical debt on credit reports sent to creditors if the creditor is prohibited from considering it.
- Bar lenders from using medical devices like wheelchairs and prosthetic limbs as collateral for loans or from repossessing them if someone can't repay the loan.
Tips for tackling medical debt
Even if the rule is approved, it's not expected to take effect before 2025. If you're mired in medical bills and want to address them now, you have several options.
Negotiate with your healthcare provider
"Providers are more than willing to settle on these things," healthcare reform advocate Jeff Smedsrud told CNBC Select. "They're willing to get paid something, rather than nothing. Give them a call, review the charges together and try to negotiate a deal. It could be a lower lump-sum payment or even a payment plan with no interest."
Talk to an advocacy group or government agency
Organizations like Undue Medical Debt and the Patient Advocate Foundation work with individuals to pay off medical debts. If you qualify for Medicaid, you may be able to have medical bills covered retroactively.
Apply for a 0% APR credit card
If your credit score hasn't been severely damaged yet, you may qualify for acredit card with a zero-interest introductory offer. That would give you more time to pay off the balance without interest, and you might earn somecredit card rewardsalong the way.
TheWells Fargo Active Cash® Card has 0% intro APR for 12 months from account opening on purchases and qualifying balance transfers.(After that, it's a variable APR of 20.24%, 25.24% or 29.99%). There's a 3% intro balance transfer for 120 days from account opening then the fee is up to 5%, min $5. There'sno annual fee and cardholders earn 2% cash rewards on purchases.
Wells Fargo Active Cash® Card
On Wells Fargo's secure site
Rewards
Unlimited 2% cash rewards on purchases
Welcome bonus
Earn a $200 cash rewards bonus after spending $500 in purchases in the first 3 months
Annual fee
$0
Intro APR
0% intro APR for 12 months from account opening on purchases and qualifying balance transfers. 20.24%, 25.24%, or 29.99% Variable APR thereafter; balance transfers made within 120 days qualify for the intro rate and fee of 3% then a BT fee of up to 5%, min: $5.
Regular APR
20.24%, 25.24%, or 29.99% Variable APR
Balance transfer fee
Intro rate and fee of 3% then a BT fee of up to 5%, min: $5.
Foreign transaction fee
3%
Credit needed
Excellent/Good
See rates and fees, terms apply.
Consider debt consolidation or debt settlement
If you want to tackle an outstanding medical bill, a debt consolidation loanwould let you pay it off at a more reasonable pace and help repair damage to your credit score. Upstartwill work with borrowers with little or no credit, considering other factors like your education and work experience. Funds may be available as quickly as the next business day and there's no penalty for paying off the loan early.
Upstart Personal Loans
Annual Percentage Rate (APR)
7.8% - 35.99%
Loan purpose
Debt consolidation, credit card refinancing, wedding, moving or medical
Loan amounts
$1,000 to $50,000
Terms
36 and 60 months
Credit needed
FICO or Vantage score of 300 (but will accept applicants whose credit history is so insufficient they don't have a credit score)
Origination fee
0% to 12% of the target amount
Early payoff penalty
None
Late fee
The greater of 5% of monthly pastdue amount or $15
Terms apply.
If a loan isn't an option, debt settlement companies can negotiate with creditors to get your balance reduced. In return, they collect a fee that can be as much as 25% of your total debt.
Accredited Debt Relief
Cost
25% of enrolled debt
Highlights
Accredited Debt Relief has been in the business since 2011 and offers debt relief options to those with at least $10,000 of debt, including credit card debt, personal loan debt and medical debt.
App available
Yes
Accredited Debt Reliefclaims it can significantly reduce your monthly payments and get you debt-free in as little as two years. It received an A+ rating from the Better Business Bureau and has worked with over 300,000 clients to resolve more than $3 billion in debt.
FAQs
Does medical debt affect your credit score?
Medical debt is not reported to credit bureaus as long as it remains with your healthcare provider. If you don't pay the bill for at least three months, it could be sold to a collections agency. After one year, medical debts over $500 that are in collections can impact your credit score.
How long does medical debt stay on your credit?
Once medical debt is sent to the credit bureaus it stays on your credit report for seven years.
Am I responsible for my spouse's medical debt?
Whether you're liable for a spouse's medical debt depends on the state where you live, among other factors. If your spouse has died, you're generally not responsible for their debts.
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Meet our experts
At CNBC Select, we work with experts who have specialized knowledge and authority based on relevant training and/or experience. For this story, we interviewed Jeff Smedsrud, cofounder of the insurance marketplace HealthCare.com and a board member of the nonprofit Undue Medical Debt, which is focused on the elimination of personal medical 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 article is based on rigorous reporting by our team of expert writers and editors with extensive knowledge of personal finance. 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.