April 8, 2025

How does medical debt impact your credit score?

How Medical Debt Impacts Your Credit Score

Medical debt can have a significant impact on an individual's financial stability and credit score. However, recent changes in how medical debt is reported to credit bureaus have reduced its negative effects. Here’s a comprehensive overview of how medical debt affects your credit score and the new rules that protect consumers.

Impact of Medical Debt on Credit Scores

Historically, unpaid medical bills could negatively affect credit scores if they were sent to collections. However, this impact has been mitigated by several factors:

  1. Reporting Delays: Unpaid medical bills are not reported to the three major credit bureaus (Experian, TransUnion, Equifax) until after a year-long waiting period.
  2. Threshold for Reporting: Only unpaid medical collections with an initial balance of $500 or more are included in credit reports.
  3. Paid Collections Removed: Paid medical collections were removed from all U.S. consumer credit reports starting July 2022.

Recent Changes in Credit Reporting Policies

Several changes have been implemented to reduce the impact of medical debt on consumers:

  • VantageScore Updates: VantageScore no longer includes paid or unpaid medical collections in its scoring models.
  • FICO Adjustments: While FICO still considers some aspects of unpaid collections, it differentiates between them and other types of debt.
  • CFPB Rule Changes: The Consumer Financial Protection Bureau (CFPB) finalized a rule removing most medical bills from credit reports entirely due to their poor predictive value regarding loan repayment behavior. This change aims to prevent unnecessary damage to individuals' financial reputations.

Read: What should you do if you can’t afford to pay your medical bills?

Strategies for Managing Medical Debt Effectively

To minimize the potential negative impacts on your credit score:

  1. Prompt Payment Plans:
    • Negotiate payment plans with healthcare providers before debts go into collection.
  2. Monitor Credit Reports:
    • Ensure that any paid or small-balance debts are not inaccurately reflected.
  3. Seek Assistance:

If facing difficulties paying off large balances quickly enough before they reach collection status consider seeking help from patient advocates who specialize in navigating these complex billing systems effectively.


Medical debt can still affect your credit score if it reaches collection status and exceeds certain thresholds; however, recent policy changes significantly mitigate these impacts by delaying reporting times and excluding smaller balances altogether—ultimately protecting consumers from undue harm while promoting fairer lending practices across various sectors!

Read: How do you identify and correct medical billing errors?