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Debt isn’t always due to having made financial missteps. The most cautious, savvy savers among us can see their plans quickly undone by unexpected costs. Medical debt is among the most unexpected and urgent costs anyone can have. The question of how to pay for medical bills can cause enormous stress when there’s no money in the bank to pay hospital and doctor expenses, up front or later on.

There’s no question that medical bills can go from tedious to terrifying fast. Fortunately, if you feel unable to afford medical bills, there are strategies to find relief.

Make Sure the Charges Are Accurate

If you haven’t already, go through each bill line by line to make sure you received the services and medications listed. Mistakes happen — providers can make billing and coding errors, and insurers sometimes deny coverage — so don’t just accept what you see.

It’s important to be prepared to make some phone calls, maybe even write some letters, if you can’t get answers or satisfaction. Yes, your insurance company and service provider should be figuring out all of this for you, but if they don’t, it will be up to you to do so.

You’ll probably find yourself talking to a different person every time, so making a note of each person’s name and the date and time that you spoke will help make your records more complete. Ask for a supervisor if you aren’t getting the help you need.

Don’t Ignore Your Bills

You may have run out of ideas when thinking about how to pay medical bills you can’t afford. But pushing those medical statements into a drawer so you don’t have to look at them is not the answer.

If the billing statements have started to accumulate — or worse, a collection agency is calling — it can be tempting to ignore the situation altogether. But those paths of least resistance can lead to negative consequences.

If your debt goes to collection, that record can stay on your credit report for up to seven years. And to recoup what is owed, the owners of the debt may opt to sue you. If they win their court case, they could garnish your wages or place a lien on your property.

Don’t Use Credit Cards to Pay Off Your Bills

So what to do if you can’t afford medical bills? Even if you’ve decreased your medical debt through negotiation or by having billing mistakes removed, you’ll have to pay the portion of the remaining balance you’re responsible for.

If you have enough available credit on a credit card, that’s one way to pay a medical bill — but unless it’s a very low-interest card, it probably isn’t an ideal option.

•   Interest will accrue each month until the balance is paid in full, which will increase the total amount paid.

•   If you miss a payment or make a late payment, your next billing statement will include a late-payment fee and accrued interest.

•   And if your payment becomes 60 days past due, your interest rate may go up.

Medical Credit Cards

Some providers might offer a medical credit card as a way to manage your payments. That’s not the same thing as a payment plan, so be cautious before signing on. The card may come with a no-interest promotional rate that allows you to make payments without interest for a designated period of time, but you’ll likely be required to pay the full balance by the end of the promotional period or you’ll be charged interest retroactively.

That’s because the interest is typically deferred, not waived, on medical credit cards. And even if you’re just a wee bit short of making full payment, the penalty could be significant.

Balance Transfer Credit Cards

Financial institutions tend to make balance transfer credit cards sound like the answer to every financial problem, but keep in mind that if you can’t pay off the balance within the designated introductory period, your account will revert to the annual percentage rate (APR) you agreed to when you signed up.

Ask Your Provider or Hospital for a Discount

If the costs are, indeed, all yours to pay and you just don’t have the money, you still may be able to get some help.
Nonprofit hospitals are required by federal law to have a written financial assistance policy for low-income patients. The law does not require a specific discount, nor does it specify eligibility criteria, but nonprofit hospitals are required to offer such financial assistance and make their patients aware of it.

Some states also require nonprofit hospitals to offer free or discounted medical services to patients with certain income levels.

With nonprofit or for-profit hospitals, you may be able to work out a payment plan, which, for medical debt, is often interest free. If you’re able to pay the bill, just not all at once, this could be an option to consider.

Negotiate

Negotiating medical bills is possible and often successful. Be prepared to meet with someone in the provider’s financial or billing department. When you’re worried about how to pay off hospital bills, making an appointment to meet someone in person can be a smart move — this is someone who might have the authority to reduce at least some of your balance, and they might offer other options for how to pay medical bills you can’t afford.

You may have to show paperwork proving your current income (a tax return or paycheck) and you should come with an amount in mind that you’re comfortable paying either in a lump sum or over time.

Finding Additional Help Paying for a Medical Bill

Government Benefits

Medicaid and the Children’s Health Insurance Program (CHIP) help to insure families who can’t afford health insurance or can’t get it through their employer. Both programs are joint federal/state programs, but may be called by different names in different states. To apply, you’ll need to provide accurate information about your income and any government benefits you already receive.

Recently, several government agencies jointly issued a rule banning surprise billing and balance billing. This ban, which already applied to Medicare and Medicaid billing, is being extended to employer-sponsored and commercial insurance plans.

•   Surprise billing happens when a patient is seen by a provider who, unknown to the patient, is not in their insurance network of covered providers and bills for their services at an out-of-network rate.

•   Balance billing is when a provider bills the patient for the remainder of a medical bill after the patient and the patient’s insurance company has paid their respective portions.

State Sponsored Programs

Each state has a program to help with medical bills and costs. Search by state on the State Health Insurance Assistant Programs site for details. Some states do offer programs other than Medicaid or CHIP, but it might take some research to find the right fit for your situation.

Private Assistance Programs

Some nonprofit financial assistance programs help pay certain medical expenses for specific conditions, such as cancer, leukemia, and others. There are also organizations that provide financial assistance with general medical costs like copays, deductibles, or prescriptions.

Medical Loan

Another solution for how to pay for medical bills may be an unsecured personal loan, which might have a lower interest rate (depending on the rate you’re approved for) and more flexible repayment terms than a credit card.

One advantage of a personal loan for medical expenses is that it might give you some leverage when you’re trying to negotiate a medical bill. You may be able to negotiate a discount for a lump-sum payment rather than stretching out the payment over time.

Some disadvantages of using an unsecured personal loan to pay medical bills are you’ll still have to pay interest on the loan, and loan approval may be difficult if you have poor credit.

The Takeaway

Taking a step back and looking at all your options is the best way to get started figuring out how to pay medical bills you can’t afford. You can often deal with these sometimes unexpected costs by using multiple methods and resources: checking your bill for accuracy, negotiating the balance due, and seeking out financial assistance if you can’t afford to pay what is owed.

If a personal loan is an option you choose, consider a SoFi Personal Loan. An unsecured personal loan from SoFi has competitive, fixed rates and a variety of terms. The loan application can be completed online, and you can find your rate in just a few minutes.

Check out SoFi Personal Loans to help pay for medical debt

FAQ

How long do I have to pay a medical bill?

Typically, doctors, hospitals, and other healthcare providers give a billing statement with a due date, often within 30 days. However, payment terms can vary, depending on insurance coverage, individual agreements, and local regulations.

If you’re unable to pay the bill in full by the due date, it’s a good idea to contact the healthcare provider or billing department to discuss possible payment arrangements or ask about financial assistance programs that may be available.

What is the minimum monthly payment on medical bills?

The minimum monthly payment depends on the provider and agreed terms. Some providers allow payments based on affordability, while others set a fixed amount or percentage of the total balance.

What happens if you don’t pay your medical bills?

Initially, the healthcare provider may send reminders or contact you to request payment. Late fees or interest charges may be applied to the outstanding balance. If the bill remains unpaid for an extended period, the healthcare provider may transfer the account to a collection agency. The collection agency will then pursue the debt, which can include phone calls, letters, and reporting the delinquent debt to credit bureaus.

Do medical bills affect your credit score?

Unpaid medical bills can potentially impact your credit, but not right away. Health care providers typically don’t report to credit bureaus, so your debt would have to be sold to a collection agency before it appears on your credit report. Generally, this doesn’t happen unless your bill is 60, 90, or 120+ days past due.

Even after your bill goes to collections, the consumer credit bureaus give you a full year to resolve your medical debt before the collection account is added to your credit history. And, if the unpaid bill is under $500, they won’t add the account to your credit report and it won’t impact your score.

SoFi Loan Products
SoFi loans are originated by SoFi Bank, N.A., NMLS #696891 (Member FDIC). For additional product-specific legal and licensing information, see SoFi.com/legal. Equal Housing Lender.

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We humans like to take the easy road. We might notice the healthiest options on the menu, then order the fried everything. Or stare down a mountain of bills, then continue the same spending habits.

So how do we snap ourselves out of it? Committing to reducing debt can be kind of like committing to a healthier lifestyle. Because if you think about it, it is a healthier lifestyle.

But just like a diet probably won’t reduce your waistline overnight, a debt management plan isn’t likely to work magic on your finances right off the bat. If you tailor your plan to fit your life, however, it’s possible to see long-lasting changes.

Creating a Debt Management Plan

Laying Out Your Debt

You probably have questions. What is a debt-management plan? Simply put, it’s a way to get control over your debt. Does a debt-management plan work? That answer is up to you.

The first step toward defeating your debt could be to lay it all out on the table, and we mean ALL of it. The average total household debt in America, including credit cards, mortgages, car payments, and everything else, hovered at $101,915 in 2022, according to Experian. For some, that total number could be a real slap in the face. (It’s okay to ugly cry.)

One way to get to your total debt amount is to gather every statement, every bill, and every outstanding balance and input them all in one place, such as a spreadsheet or a spending tracker.

You might be painfully aware of your major debts. But are there others that could be slipping beneath the radar? Potential one-off or occasional debts can include financed household purchases, medical bills, or quarterly insurance payments.

One helpful way to make sure you’re looking at all your debts could be to scroll through your bank statements to look for recurring payments, especially if they’re set up on auto-pay. Another is to compare your list of debts to your credit report.

Categorizing and Conquering

Next, you may want to break it down even more by categorizing and prioritizing your debts. Generally speaking, there are two types of debt: secured and unsecured.

Secured debt includes things like mortgages and car payments that are tied to a physical asset. Unsecured debt isn’t tied to anything tangible, so it can include most credit cards and other types of loans.

Beyond that, you can group your debt by categories, such as high-interest, low- or zero-interest, fixed-rate, variable-rate, or even large balances and small balances.

As you start to list your debts, you could consider common elements such as each creditor’s name, the total balance, your monthly payment, the interest rate, and the expiration date for any promotional interest rates. For an added layer of insight, you could use a credit card interest calculator to understand how much total interest each might incur over time.

It might also be a smart move to prioritize your debt, putting those that could send you tumbling into the bad-credit abyss if you get behind on payments. For homeowners, that could be the mortgage. For commuters, car payments and insurance could be high on the list as well. You could ask yourself which of your debts absolutely must, without fail, be paid on time and in full each month, and put them at the top.

Putting Your Debt in Context

The final piece to your financial puzzle could be to look at your debt in context with the rest of your expenses, such as monthly bills, the grocery budget, gas, and retirement contributions, as well as your monthly take-home income.

Seeing everything together can help give you a solid feel for how much you’re spending (or overspending), and how much you can reasonably start to budget toward debt repayment. And remember that even if it’s only a few dollars to start, it’s still a start.

Picking the Right Debt-Management Plan

Financial gurus have developed a number of methods for getting out of debt, and have even given them fun names that can read like the financial version of A Song of Ice and Fire.

The Snowball, the Avalanche, and the Fireball

The snowball method: This strategy calls for paying the minimum on all your debts, but putting extra toward the smallest balance first. When that’s paid off, you could apply that entire payment to the next-smallest balance on top of the minimum. It’s one way to help get some quick wins and start to check balances off your list.

The avalanche method: This one is similar but focuses on interest rates instead of total balances. With the avalanche, you would pay the minimum on all your other debts but put extra toward the highest interest rate first and work your way down. This could work to save money on interest in the long run.

The fireball: This strategy is a mix of the others, and works for some by separating debt into “good” — which is generally considered to be fixed-payment, low-interest debt that’s on a set repayment schedule — and “bad” — such as credit cards and other unsecured loans. Then, using either the snowball or the avalanche, you could start burning through the “bad” debt first.

One way to narrow your choice is to research the pros and cons of all three methods, then pick the one that fits your style and personality. Or, since we’re talking DIY debt management, you could also pick the parts you like from each one and make it your own.

Once again, it’s kind of like physical fitness: Some people may struggle to lose weight because they haven’t found a diet their body likes. But once they make that connection, they might find it a lot easier to crush their goals.

And speaking of goals, they apply to your debt-management plan, too. You might want to plan a strategy that speaks not only to you, but to your endgame. Are you hoping to save enough to afford an electric car? Will you need to pay for daycare in nine months or so? At the end of the day, you can think about your debt payoff strategy as a way to get you where you want to go, when you want to get there.

The Snowflake Method

Another approach to consider is the “snowflake method,” which works by throwing any additional money that comes your way toward debt, including work bonuses, side-hustle income, or selling things you no longer need or use.

The snowflake’s stricter cousin, the “spending fast,” takes the concept a step further by encouraging users to live as austerely as possible. Instead of eating dinner out, for example, you could cook at home and put aside the money you would’ve spent toward debt payoff. Coffee shop stops? Nope. Make your own and put that $5 toward debt instead.

These two methods could either work on their own or as tactics to complement one of the larger strategies.

Consolidating Your Debt

Paying fees for late payments or overdrafts doesn’t help anything when the goal is reducing debt. If you find it difficult to keep track of what’s due when, combining all your separate payments into one credit card consolidation loan could be a way to focus on one monthly payment.

Consolidating your credit card debt might also include a number of other benefits, but it isn’t a magic cure-all. A loan will not erase your debt, but it might help you get to a fixed monthly payment and reduced interest rates.

It’s important to compare rates and understand how a new loan could pay off in the long run. If your monthly payment is lower because the loan term is longer, for example, it might not be a good strategy, because it means you may be making more interest payments and therefore paying more over the life of the loan.

Keeping Yourself on Track

The best strategy in the world may not lead to progress if you lose track of it after a few months. One way to stay on the right track could be to set up a bill payment calendar to remind you of what’s due when. You could write it down with old-fashioned pen and paper, or use something like SoFi Relay spending tracker for notifications and easy digital payment options.

If willpower is your challenge, you might want to consider enlisting the help of a debt buddy to help get you through the rough spots. It could be a trusted friend or family member who’s been in your shoes and succeeded. You could schedule regular check-ins, and maybe even challenge each other to a debt-payoff duel to spark a little competition.

Another option is to identify your weaknesses and put barriers in place that could save you from yourself. For example, if you tend to make in-app purchases to level up on phone games, you could block them.

Reducing debt is a big deal. And even if it takes years to reach your ultimate goal, be patient with yourself — and be sure to celebrate milestones along the way.

The Takeaway

When you’re creating a debt management plan, it helps to first lay out everything you owe. Next, you may want to categorize and prioritize all of your debts before selecting a debt management plan. Some options include the snowball method, the avalanche method, the fireball method, and the snowflake method. Another strategy is to combine all separate debts into one consolidation loan. While this won’t erase your debt, it could help you get to a fixed monthly payment and, potentially, reduced interest rates.

Think twice before turning to high-interest credit cards. Consider a SoFi personal loan instead. SoFi offers competitive fixed rates and same-day funding. See your rate in minutes.

SoFi Loan Products
SoFi loans are originated by SoFi Bank, N.A., NMLS #696891 (Member FDIC). For additional product-specific legal and licensing information, see SoFi.com/legal. Equal Housing Lender.

Yes, student loans can be refinanced if you’re looking to combine multiple loans into one, lower your interest rate, or lower your monthly payment. You can refinance both federal and private student loans, but refinancing federal loans with a private lender will remove access to federal protections and benefits.

Here’s a detailed look at student loan refinancing so you can decide if it’s the right decision for you.

How to Refinance Student Loans

When you refinance your student loans, you’re essentially taking out a new loan and using it to pay off your existing student loans. Refinancing may allow you to secure a lower interest rate or reduce your monthly payments.

Student loan refinancing may also allow you to change your repayment term. If you took out a private student loan to pay for your education, the repayment terms were set when you borrowed the loan.

If you borrowed federal loans, there are student loan repayment plans you can choose from, including the Standard 10-year Repayment plan or one of four income-driven repayment plans. If you refinance, you can choose a shorter or longer repayment term, but you will lose access to the federal repayment options.

A shorter repayment term will mean that your monthly payments will increase, but that you’ll most likely pay less in interest over the life of your loan. In contrast, a longer repayment term will mean that your monthly payments will decrease, but you might pay more in interest overall.

Can I Refinance Student Loans?

Yes, you can technically refinance your student loans at any time. However, while in school, federal loans (and most private loans) do not require you to make payments. Unless you’re able to start making payments and can lock in a lower rate with a refinance, it may make sense to wait until you graduate, leave school, or drop below half-time enrollment.

Recommended: How Soon Can You Refinance Student Loans?

When you refinance student loans with a private lender, the lender is going to look at your credit profile and debt-to-income ratio to qualify you and determine your interest rate. It may make sense to build your credit and have a stable job prior to applying for a refinance. You can also choose to refinance your loans with a cosigner to secure a better interest rate.

Is It Worth It to Refinance Your Loans?

You might be wondering if it’s worth it to refinance your student loans. The answer to that will depend on your personal financial situation, but using a student loan refinance calculator can help you see if and how much you could save by refinancing.

Depending on how much you have in student debt, reducing your rate by just a few percentage points could save you thousands of dollars over the life of your loan if you keep your loan term the same. If you’re hoping to lower your monthly payment, you most likely will have to extend your loan term, which could result in paying more in interest overall.

Also note that refinancing federal student loans with a private lender removes federal student loan benefits and protections, such as income-driven repayment plans, deferment, and student loan forbearance.

What Types of Student Loans Can Be Refinanced?

Both federal and private student loans can be refinanced with a private lender. All types of loans can be refinanced, including Direct Loans, Direct PLUS Loans, Direct Consolidation Loans, and private student loans.

If you want to combine federal loans only into one loan with one monthly, you could consider a student loan consolidation. A student loan consolidation won’t save you money in interest, as it’s the weighted average of the loans you’re consolidating rounded up to the nearest one-eighth of a percent, but it could lower your payment if you extend your loan term.

Consolidating your federal loans allows you to keep access to federal benefits and protections. If you’re using them now or plan to in the future, this could be an excellent option to simplify your loan repayment.

If you don’t plan on using federal benefits and want to reduce your monthly payment or lower your interest rate, a student loan refinance could be the right choice for you.

Recommended: Pros and Cons of Student Loan Refinancing

What to Look for in a Student Loan Refinance Company

When it comes to refinancing student loans, consider finding a lender that doesn’t charge origination fees or prepayment penalties. Usually, you’ll have the choice between a fixed or variable rate loan.

Other things to look for in a student loan refinance company include excellent customer service ratings, an easy online application process, and possible member benefits, such as career coaching, financial advice, and rate discounts on loans.

Refinancing Student Loans With SoFi

Looking to lower your monthly student loan payment? Refinancing may be one way to do it — by extending your loan term, getting a lower interest rate than what you currently have, or both. (Please note that refinancing federal loans makes them ineligible for federal forgiveness and protections. Also, lengthening your loan term may mean paying more in interest over the life of the loan.) SoFi student loan refinancing offers flexible terms that fit your budget.

FAQ

Is it legal to refinance student loans?

Yes, it is legal to refinance student loans. You can refinance both federal and private student loans with a private lender. You may be interested in refinancing if you’re wanting to lower your monthly payment or lower your interest rate. Keep in mind that refinancing federal loans will eliminate federal protections and benefits.

What happens when you refinance a student loan?

When you refinance your student loans, you pay off one or more of your existing student loans and have a new loan with a new interest rate, new terms, and a new monthly payment. You will then make your monthly payment to your new lender until it is paid off or you refinance it again with another company.

Why would you refinance student loans?

You may choose to refinance your student loans to lower your monthly payment, lower your interest rate, extend or shorten your loan term, and/or simplify your repayments.

SoFi Student Loan Refinance
Terms and conditions apply. SoFi Refinance Student Loans are private loans. When you refinance federal loans with a SoFi loan, YOU FORFEIT YOUR ELIGIBILITY FOR ALL FEDERAL LOAN BENEFITS, including all flexible federal repayment and forgiveness options that are or may become available to federal student loan borrowers including, but not limited to: Public Service Loan Forgiveness (PSLF), Income-Based Repayment, Income-Contingent Repayment, extended repayment plans, PAYE or SAVE. Lowest rates reserved for the most creditworthy borrowers. Learn more at SoFi.com/eligibility. SoFi Refinance Student Loans are originated by SoFi Bank, N.A. Member FDIC. NMLS #696891 (www.nmlsconsumeraccess.org).

SoFi Loan Products
SoFi loans are originated by SoFi Bank, N.A., NMLS #696891 (Member FDIC). For additional product-specific legal and licensing information, see SoFi.com/legal. Equal Housing Lender.