Medical debt is a growing concern for millions of Americans. Even with insurance, high deductibles and surprise bills can leave patients struggling to pay. Hospitals, faced with their own financial pressures, have developed aggressive—but legal—tactics to collect on these debts. Understanding these methods can help you protect your finances and know your rights. If you or someone you love has ever received an unexpected hospital bill, it’s important to see how far hospitals will go to collect what they’re owed. Here are six common hospital debt collection tactics you should know about.
1. Sending Unpaid Bills to Collections Quickly
One of the most common hospital debt collection tactics is fast-tracking unpaid bills to outside collection agencies. Hospitals may send your bill to collections in as little as 90 days after the service date. Collection agencies are persistent. They call, send letters, and may even report the debt to credit bureaus. This can hurt your credit score for years, making it harder to get loans or even rent an apartment. If you receive a bill, don’t ignore it. Contact the hospital’s billing department as soon as possible to discuss payment options or to dispute errors.
2. Suing Patients in Court
Some hospitals take legal action against patients who haven’t paid their medical debt. Lawsuits can result in court judgments, which may allow hospitals to garnish your wages or put liens on your property. While not every hospital sues, it’s a tactic that’s been used more frequently in recent years, especially by larger health systems. These lawsuits often catch patients off guard, especially if they never received clear billing statements. If you’re served with court papers for hospital debt, consult a legal aid organization or attorney right away.
3. Wage Garnishment and Bank Account Seizure
After winning a lawsuit, hospitals can use the court’s authority to garnish your wages or seize funds from your bank account to collect on medical debt. Garnishment means a portion of your paycheck is taken before you even see it. Bank account seizures can drain your savings with little warning. State laws vary, but most allow some level of protection for basic income and assets. Still, these aggressive tactics can disrupt your financial stability and make it even harder to pay off other bills.
4. Placing Liens on Property
Some hospitals will place a lien on your home or other assets if you owe significant medical debt. A lien is a legal claim that gives the hospital the right to a portion of the proceeds if you sell your property. This tactic can make it difficult to refinance or sell your home until the debt is paid. Property liens are more common in states with fewer consumer protections, and they can linger on your record for years. It’s crucial to respond to any legal notices or warnings about liens to avoid long-term consequences.
5. Denying Non-Emergency Care
While hospitals are required to provide emergency care regardless of ability to pay, some may deny non-emergency services if you have outstanding medical debt. This can include routine checkups, elective procedures, or follow-up visits. Hospitals may also require you to pay a portion of your debt before scheduling new appointments. This tactic puts patients in a tough position: get the care they need, or pay down debt first. If you’re facing this situation, ask about financial assistance programs or payment plans.
6. Aggressive Billing and Communication Tactics
Hospitals and their collectors often use persistent, and sometimes intimidating, communication strategies to collect on medical debt. You might receive multiple calls a day, frequent letters, or even threats of legal action. While federal law prohibits harassment, collectors can still be relentless. Some hospitals even outsource collections to agencies with a reputation for being tough. If you feel overwhelmed, know that you have rights under the Fair Debt Collection Practices Act. You can ask collectors to stop calling or request all communication in writing.
Protecting Yourself from Hospital Debt Collection Tactics
Medical debt can feel overwhelming, but you’re not powerless. Start by reading all hospital bills carefully and checking for errors. Mistakes happen, and billing errors can add hundreds or thousands to your total. If you can’t pay in full, negotiate a payment plan or ask about charity care. Many hospitals have financial assistance programs, but you often need to apply and provide documentation. Don’t assume you’re out of options if you get a collection notice or lawsuit. Seek help from a nonprofit credit counselor or legal aid group.
Staying informed about hospital debt collection tactics helps you make better decisions and protects your credit and assets.
Have you ever faced aggressive hospital debt collection tactics? Share your experience or questions in the comments below.
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