Medical Bills in Collections - The Bills.com Blog

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Medical Bills in Collections

Monday, Aug 17, 2009

Question: I have medical bills that have gone to collections. I am paying a DAILY interest rate of 9%. I cannot possibly pay this debt off at this rate. I have also recently been cut to 18hrs/week at work. I need advise on how to eliminate the interest on this, and possibly consolidate with another attorney bill I am paying on. I need to get these taken care of. The collection agency has been anything but helpful (they were nasty with me). Please advise on what would be my best option for this.

Answer: Most hospitals have a financial counselor/financial assistance office where you can meet with someone face-to-face or over the telephone to discuss a situation like this. It's important to keep in mind that most hospitals allow their financial assistance personnel a certain degree of latitude in evaluating hardship cases, but your collection agency is likely just a service provider that is doing what they're told (extract as much money out of you possible. Engaging them in a polite and courteous manner may help you as you negotiate your case.

I find it difficult to believe that 9% interest daily is legal (there are usury laws in most states).

Here is a quick overview of my advice on negotiating payment options with any creditor (in your case, the hospital):

Be polite . This will get you further than anything else when negotiating with a creditor. After all, collection agents are humans too. They spend most of their time dealing with angry and difficult customers, so you may find that by being courteous the creditor will be more likely to give you what you want.

Be flexible . Let the creditor know that you are willing to accept a reasonable compromise. Creditors need to meet their objectives, too. If you present a "win-win" situation, then the creditor can feel good about the negotiation.

Be realistic . Some creditors will refuse to negotiate. Don't take it personally and try again at a later date.

Be persistent . And as with many things in life, hard work and persistence will help improve your chances of success.

Get It In Writing . It's important, when resolving a debt, to always get the agreement in writing before sending your money, and to have them also send a letter confirming that the account is resolved and at a zero balance once they receive your final payment. This is the proof you'll need in cases where a creditor fails to properly report your payment to the credit bureaus or tries to make additional claims on the account in the future. You can ask them to send the agreement letter by mail or fax (or in person, if the creditor is local), which most will be happy to do to ensure your payment. Make sure their offer letter is on the creditor's letterhead & signed. Also, while negotiating with creditors, it never hurts to ask for the negative item to be deleted from your credit report in return for payment.

When having problems regarding medical bills, the American Academy of Family Physicians also recommends the following:

1. Notify the appropriate offices quickly.
2. Keep in touch with your creditors.
3. Record the names and phone numbers of the people you are dealing with.
4. Document the date, time, and results of your phone calls.

5. Pay something -- even a small amount -- on each bill each month as a gesture of good faith.

I would also encourage you to download our free Budget Personal Finance Budget Guide . It may help you plan your money management as you navigate the road ahead.

If you decide that you, however, want third party help or an agency to resolve your debts for you. I will provide you some info on your debt options.

If you want a free consultation with one of Bills.com's pre-screened debt consolidation providers, just follow Medical Bills Savings Quote

Handling your debt
Now to your options for figuring out how to pay off all of your debts:

The four primary concerns for most consumers are: i) monthly payment, ii) time to debt freedom, iii) total cost, and iv) the credit rating impact of the consolidation program. Be sure to evaluate each program, relative to your prioritization of these factors.

Since there are a variety of debt consolidation options, including credit counseling, debt negotiation/debt settlement, a debt consolidation loan, bankruptcy, and other debt resolution options, it is important to fully understand each option and then pick the solution that is right for you.

Credit Counseling
Credit counseling, or signing up for a debt management plan, is a very common form of online debt consolidation. There are many companies offering online credit counseling, which is essentially a way to make one payment directly to the credit counseling agency, which then distributes that payment to your creditors. Most times, a credit counseling agency will be able to lower your monthly payments by getting interest rate concessions from your lenders or creditors. It is important to understand that in a credit counseling program, you are still repaying 100% of your debts -– but with lower monthly payments. On average, most online credit counseling programs take around five years. While most credit counseling programs do not impact your FICO score, being enrolled in a credit counseling debt management plan DOES show up on your credit report. and, unfortunately, many lenders look at enrollment in credit counseling akin to filing for Chapter 13 Bankruptcy – or using a third party to re-organize your debts.

Debt Settlement
Debt settlement, also called debt negotiation, is a form of online debt consolidation that cuts your total debt, sometimes over 50%, with lower monthly payments. Debt settlement programs typically run around three years. It is important to keep in mind, however, that during the life of your debt settlement program, you are NOT paying your creditors. This means that a debt settlement solution of online debt consolidation will negatively impact your credit rating. Your credit rating will not be good, at a minimum, for the term of your debt settlement program. However, debt settlement is usually the fastest and cheapest way to debt freedom, with a low monthly payment,
while avoiding Chapter 7 Bankruptcy. The trade-off here is a negative credit rating versus saving money.

Debt Consolidation Loan
Many people think first of a debt consolidation loan when seeking online debt consolidation. This option typically means a second home loan (or home equity line of credit) or refinancing your primary mortgage. In a debt consolidation loan, you exchange one loan for another. The most frequent form is taking out a mortgage loan, which carries a lower interest rate and is tax deductible, to pay off high interest rate credit card debt. It is important to be aware that shifting unsecured debt to secured debt can create a volatile situation, if there is ever a chance that you cannot afford the new mortgage payment you are now putting yourself at risk of foreclosure! In the case of a debt consolidation loan, most mortgages are 30 year loan, which means that the total cost and the time to debt freedom could be very high… but the monthly payment will be lower than other options and there is no credit rating impact.

Bankruptcy
Bankruptcy may also solve your debt problems. A Chapter 7 bankruptcy is a traditional liquidation of assets and liabilities, and is usually considered a last resort. Since bankruptcy reform went into effect, it is much harder to file for bankruptcy. If you are considering bankruptcy, I encourage you to consult with a qualified bankruptcy attorney in your area.

Conclusion
Although there are many forms of online debt consolidation, many people with good to perfect credit who own homes should look into debt consolidation loans, while consumers with high credit card debt and poor credit may want to explore debt settlement or debt negotiation. However, each consumer is different, so find the online debt consolidation option that fits for you.

Lastly, here are some fast tips for your own quick Debt Consolidation Evaluator:
1. If you have perfect credit and have equity in your home -- consider a Mortgage Refinance.
2. If you can afford a healthy monthly payment (about 3 percent of your total debt each month) and you want to protect yourself from collection and from going delinquent -- consider Credit Counseling.
3. If you want the lowest monthly payment and want to get debt free for a low cost and short amount of time, AND you are willing to deal with adverse credit impacts and collections -- then evaluate Debt Settlement.
4. If you cannot afford anything in a monthly payment (less than 1.5 percent of your total debt each month) - consider Bankruptcy to see if Chapter 7 might be right for you.

Bills.com makes it easy for you to apply for traditional forms of debt relief, by following this link: Debt Relief Savings Quote

I wish you the best of luck in resolving your financial difficulties, and hope that the information I have provided helps you Find. Learn. Save.

Best,
Bill
www.bills.com/blog/


Also, make sure to get a free financial health check-up with Bills IQ!

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Bill has answered all sorts of questions and has been able to provide those in need of financial guidance with helpful and valuable advice and information on their specific financial area of interest. If you need specific guidance on any of the above mentioned financial areas, feel free to Ask Bill your financial questions and get better informed. Also, make sure to get a free financial health check-up with Bills IQ!

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