How to Negotiate a Medical Bill

Medical bills can be confusing and expensive. You may notice that one health care visit can result in multiple bills. Each bill may focus on one aspect of care, or it may just represent one of several physicians that were consulted for your care.

If you choose to make the worst possible move to handle these bills, then charge them to your credit cards. Otherwise, you may wish to negotiate lower costs right away. To see how to negotiate, you must first understand how medical bills are calculated:

First, specific line items are listed on your bill, and each line item describes a procedure or an item, such as a medication dosage. Each item has a related charge. If your bill does not include an itemized list, you should request an itemized bill so that you may review each individual charge.

Look for any outrageous fees. These may not necessarily be obvious, since some items may have a surreptitious description.

It is not unusual to see charges of $1 or more for a single aspirin pill. One New York patient sued his hospital back in 1998 for price gouging after being charged $24 for 12 Tylenol tablets. If you have many items listed, you may be able to negotiate the cost for each line item. After all, that’s exactly what insurance companies do.

If you have no insurance, you are being charged the full marked up price of each item and procedure. Insurance companies rarely pay more than 80% of the original charges. See if you can get the original costs lowered so that they are more in line with what you might be able to pay.

Once you have a newly issued bill, then you can arrange to pay it off. Once again, using a credit card or a loan for this purpose is a major mistake.

You can make payments to medical providers and pay off the amount over time at zero percent interest. You will pay nothing in finance charges and nothing will appear on your credit record.

A good rule of thumb is to send at least 2% of the amount in each month, with a minimum of $20 on smaller bills. A $3,500 bill should receive installments of at least $70. If this is out of range of what you can afford, try a smaller amount. If they accept your smaller payments, then that is a sign that you can continue to send that same amount each month until the bill is ultimately paid off.

You can even negotiate a settled amount with the biller if you have cash reserves. Understand that a lump sum payment is required if you are going to see the total amount due lowered.

There are 4 common mistakes that people tend to make with medical bills. Many fail to negotiate the price of services. Credit cards are often used to pay bills. Bills are ignored and sent to debt collectors.

Many debtors are increasingly turning to debt settlement companies to help them deal with medical bills and other debts. These companies only add substantial fees onto what you could have easily done yourself.


Find out more about how to get help with medical bills.

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