Skip to main content

5 Things You Need to Know About Medical Bills on Your Credit Report

Credit-scoring giant FICO announced in August that it would soon roll out a nuanced way to report medical debt in collections. The new model, called FICO 9, decreases the impact of medical bills in comparison with other types of debt. FICO’s announcement comes on the heels of a number of studies and reports highlighting the disproportionate effect of medical debt on American families.

While there are some big caveats, on the whole, FICO 9 will be a good thing for those with paid medical collections. Yes, it will take some time, but many people will see their scores improve. In light of the new changes, here’s what you need to know if you’re among the 1 in 3 Americans whose credit is affected by medical debt.

1. The score isn’t the entire story.

The main reason FICO changed its scoring standards is because many credit checks were being unfairly impacted by medical debt in collections. Under the old model, FICO 8, debt was debt — getting injured in an accident with no means to pay hospital bills could be viewed much the same as recklessly running up a credit card balance. If lenders pull your credit score, you might wrongly look like a credit risk. Under FICO 9, if they pull your credit report with its greater detail, they could see the distinction.

“It’s important to know the difference between your credit report and your credit score,” says Dana Twight, certified financial planner and founder of Twight Financial Education in Seattle. “I like to remind clients that the score is derived from the report, which is why you need to look at the report at least once a year.” And you should look not just to check on collections. Twight points out that it’s the responsibility of the consumer to ensure his or her credit report is accurate. This includes confirming that name spelling, employment history and addresses are correct, as well as spotting any fraudulent activity.

Everyone is entitled by law to a free credit report from each of the three major agencies once per year. Twight recommends using www.annualcreditreport.com, the only federally authorized site for free credit reports, which, unlike commercial imposters, won’t require payment information for just a report. Your credit score is not included, but it can be purchased separately.

[Read: 3 Financial Reasons You Should Keep Copies of Your Medical Records .]

2. FICO 9 will improve credit scores for people with paid or unpaid medical debts.

“There are many things to like about FICO 9 when it comes to medical debt,” says Cathy Curtis, a National Association of Personal Financial Advisors-registered independent financial planner in Oakland, California. For one, medical debt that was in collections but eventually paid off will no longer be counted. And outstanding medical debt will count for less under the FICO 9 scoring model — “possibly resulting in up to 25-point increases in credit scores for consumers who have otherwise clean records,” Curtis notes. “This 25-point increase translates into better rates on loans, saving consumers thousands of dollars over a lifetime.”

And that’s great news for a lot of people, so long as their FICO 9 score is the one in question when they’re looking to get auto loans or credit cards.

[Read: 3 Myths and 3 Truths About FICO 9 .]

3. FICO 9 isn’t the only credit-scoring model out there.

Although FICO is the most widely used score out there, there are other models. What’s more, three previous versions of FICO are still being used as well.

“Nowhere are credit scores more important than when applying for a home mortgage,” Curtis says, noting that it’s “almost always the biggest purchase anyone will make in their life.” And so it’s important to know that the FICO changes won’t mean much when it comes to purchasing a new home. Not for a while, anyway.

“In many cases, the guidelines are set by two secondary mortgage-makers: Fannie Mae and Freddie Mac,” Curtis explains. “Fannie and Freddie are known to be behind on adopting FICO’s new models, and hope is low that guidelines will be changed anytime soon.” In fact, many mortgage lenders still use the FICO 7 model, the latest approved by Fannie and Freddie, some 10 years ago.

[See: Infographic: How to Read Your Hospital Bill .]

4. You can get erroneous reporting removed.

“Millions of Americans are victims of our convoluted medical billing system and end up with medical collection debt,” Curtis says, but all too often those medical collections accounts are mistakes. This is true for other types of collections, too, but medical bills seem particularly susceptible to erroneous reporting. Your insurance-claims processor may make an error in coverage or deny a claim due to incorrect coding. Or, if you made an arrangement to pay without involving collections agencies and a note was not made in your file, the bill may go to collections without you knowing.

If you spot an error on your credit report, it takes time and effort to get it fixed, but correcting the mistake will be worth it. You’ll need to notify one or more of the credit bureaus — Equifax, Experian and TransUnion — in writing; at that point, it’s their responsibility to investigate and report back to you. If you’re lucky, the investigation will come up in your favor and they will remove the erroneous account. If not, you’ll have to take it up with whoever made the unwarranted report. For more details, consult the Federal Trade Commission’s guide.

[Read: Can You Afford Your Cancer Care? ]

5. The best protection for your credit score, still, is avoiding collections.

It goes for all types of debt, but the best way to keep your credit score healthy is to avoid collections at all costs. This means that when you get a medical bill, you should open it right away — never procrastinate. If you can’t pay it all at once, there are ways to get help.

Some people might now assume that medical debt doesn’t really matter, but that’s far from true, Twight says. “If it goes to collection, it matters a lot. I have a client right now who was turned down for a private student loan, in part due to old unpaid medical collections.”

The sooner you open your bill and face the music, the more time you’ll have to make arrangements to pay it off. Medical billing staff will notice the effort, and may be more willing to work with you right away than if you delay in responding to phone calls and notices to pay. As with your health, prevention really is the best medicine.

More from U.S. News

10 Lessons From Empowered Patients

10 Questions Doctors Wish Their Patients Would Ask

The Most Common Patient Complaints

5 Things You Need to Know About Medical Bills on Your Credit Report originally appeared on usnews.com

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
Read Next Story