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Illustration of a person reviewing a medical bill with healthcare icons in teal and mint tones

How to Handle Medical Debt Collections

Medical bills can quickly become overwhelming. Learn how to verify bills, negotiate payment plans, find assistance, understand your rights when debts go to collections, and protect your credit.

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Drew NguyenDrew Nguyen
August 10, 2025
5 min read

Key Points

  • Verify your medical bills and insurance coverage
  • Negotiate a payment plan you can afford
  • Seek financial assistance and charity care
  • Understand your rights if your debt goes to collections
  • Explore debt relief solutions and protect your credit

Introduction

Unexpected medical bills can quickly derail your finances. When accounts go unpaid, they may be sent to collections, adding stress to an already difficult situation. Fortunately, you have options to manage medical debt and protect your rights.

Verify Your Medical Bills and Insurance Coverage

Before paying anything, verify that the charges are accurate. Request an itemised bill and review each service. Contact your insurance provider to ensure claims were processed correctly. If you don't have insurance, ask the hospital or clinic about discounts for uninsured patients or cash-pay rates. Mistakes on medical bills are common, so act quickly to resolve them.

Negotiate a Payment Plan

Most healthcare providers and collection agencies will accept payment plans if you can't afford the full amount. Explain your situation and propose a monthly payment that fits your budget. Get the agreement in writing and make payments on time. A realistic repayment plan helps you avoid the late fees, penalty rates and collection actions that plague unpaid credit card accounts canada.ca ↗

Seek Financial Assistance and Charity Care

Many hospitals have financial assistance programmes or charity care funds. Eligibility is usually based on income and family size. Apply through the hospital's billing department and provide documentation of your finances. You may qualify for partial or full forgiveness of your bill. Provincial and non-profit organisations may also offer grants or interest-free loans to help with medical expenses.

Know Your Rights When Debts Are Sent to Collections

If your medical debt is turned over to a collection agency, it's important to know your rights. In Canada, collectors must send you a written notice before calling and can only contact other people to confirm your address or phone number, unless you've given permission canada.ca ↗ They can't discuss your debt with your employer or harass you with frequent calls canada.ca ↗ Learn more about your protections in [Debt Collectors and Your Rights](cleanslatehub.ca ↗). Keep records of all communications and send any disputes or payment proposals in writing.

Explore Debt Relief Solutions and Protect Your Credit

Large medical debts can damage your credit if ignored. If you're struggling to pay, look into debt relief options such as a debt management plan, consolidation loan or consumer proposal canada.ca ↗ For an overview of these solutions, see [Debt Consolidation vs. Debt Settlement](cleanslatehub.ca ↗) and [Debt Relief Options in British Columbia](cleanslatehub.ca ↗). Build a budget to prioritise healthcare payments and consider setting up a medical emergency fund to prepare for future expenses canada.ca ↗

Conclusion

Medical debt doesn't have to ruin your finances. By verifying bills, negotiating payment plans, exploring assistance programmes and understanding your rights, you can take control of healthcare costs. If your debt becomes overwhelming, seek help from a credit counsellor or a Licensed Insolvency Trustee to review your options. With a proactive approach, you'll protect your credit and move toward financial recovery.

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Debt Consolidation vs. Debt Settlement

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Debt Relief Options in British Columbia

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Sources

  • https://www.canada.ca/en/financial-consumer-agency/services/debt/paying-debt.html
  • https://www.canada.ca/en/financial-consumer-agency/services/debt/getting-help-credit-counsellor.html
  • https://www.canada.ca/en/financial-consumer-agency/services/debt/debt-settlement-company.html
  • https://www.canada.ca/en/financial-consumer-agency/services/debt/collection-agencies.html

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Table of Contents

  • Introduction
  • Verify Your Medical Bills and Insurance Coverage
  • Negotiate a Payment Plan
  • Seek Financial Assistance and Charity Care
  • Know Your Rights When Debts Are Sent to Collections
  • Explore Debt Relief Solutions and Protect Your Credit
  • Conclusion

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