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How to Find Help Paying A Hospital Bill — Even If You Make $100K

NBC BAY AREA RESPONDS

NBC stations around the country are documenting the open wound of medical debt. Chris Chmura reports.

NBC stations around the country are documenting the open wound of medical debt.

"It baffles me," said one viewer in Orinda.

Another in Texas concluded, "We’re screwed."

The dark cloud hangs over families everywhere.

In fact, a Federal Reserve found that almost half of respondents had received a medical bill in the past year that they were unable to pay.

"Medical debt isn’t just a one off," said Bruce McClary with the National Foundation for Credit Counseling. McClary says there is something simple you can do up-front about high hospital bills: You can ask for financial help.

It’s called "Charity Care."

And you might qualify — even if your family has health insurance and your income is six figures.

The American Hospital Association said U.S. hospitals say they offered $38 billion in "charity care" in 2016. That $38 billion includes millions from hospitals here in the Bay Area.

For example: UCSF says it gave $9 million worth of charity care last year; El Camino Hospital says it provided $8.5 million; and Kaiser registered $6 million.

So, how do you qualify? And how do you request Charity Care?

Let’s use "Sutter Health" as an example.  Its application, which we located on the Sutter website using a simple web search — says an uninsured family of four making up to $100,400 per year  (4x the federal poverty level) may apply for a "full write off of all charges for hospital services."

Even if the family has health insurance, the Sutter application states, the family might still qualify for a write-off of their ‘patient responsibility amount’ (such as deductibles and co-pays) if their medical expenses exceeded 10 percent of their income over the past 12 months.

File image.. (Photo by Chung Sung-Jun/Getty Images)
Depending on locale and competitive salaries, it is safe to say that $2,000 to $2,500 or so is a starting or typical salary. The longer the time on the job and skills, the collector can pull in $3,000 to $5,000 more per year. A manager can earn almost double that.
Agents are paid bonuses and/or commissions, but generally on overall performance and not per individual collection successes.
Collection agencies are wary of being burned by a rogue collector and as a safeguard supply a script on which collectors are trained. They also tape calls for review and educational purposes.
The fastest way is to send a “cease and desist” letter addressed to the agency and referencing the particular collector. Their only allowable response is to respond by telling you that they will either stop calling you, or that they will sue you or use alternative collection methods.nWhat’s the fastest way to get a debt collector to keep hounding you?nLet’s forget “fastest” and move on to “effective.” First, be certain to dispute the bill – in writing and by way of certified mail. All calls must be put on hold until that dispute is researched and handled. Secondly, ask for a complete itemization of the bill as well as the previous owners and/or creditors to which this debt is attached. Also, both in writing as well as phone conversations, be calm and collected. Insulting the collector will not help your case.
Yes, given guidelines that the agency and/or original creditor have set. Anything outside of this must be cleared through the supervisor or agency owner.
Aggressive and threatening is in the eyes of the beholder. A simple “how are you today” can be threatening to some people. I am familiar with cases in which it is the bill collector is the one being abused and threatened. Best to refer to the FDCPC to be sure that the collector is following their guidelines.
Although original creditors can report an unpaid account to reporting bureaus such as TransUnion, Experian and Equifax, it is the collection agency which aggressively uses that tactic to motivate payment and a good percentage report immediately upon receiving an assignment or purchasing an account. Medical debt now falls into a special category in which all three major credit bureaus will add a 180-day grace period for consumers to resolve any medical debt before How many calls does one debt collector make in one work day? As many as they can, including inbound calls. It’s not how many calls, it’s how effective. If they are lucky (and good), they will first try to determine someone’s willingness to pay and then go into payment or settlement options. On the receiving end (that’s you), it’s the number of times that an agency will call you that tests your peace of mind. Federal law is only concerned if the call is intended to annoy, abuse or harass you.
I, for one, am a grad school dropout. Most bill collectors are not better or worse educated than the people they call. And, like them, probably no more than a job loss or illness away from being collected on themselves.
The good ones do. I qualify this by saying the “good” ones are more interested in resolving an outstanding balance and – if possible – bringing you back to the original creditor as the fine customer you once were considered to be. They have learned not to take insults personally and actually have empathy for the person being called.
Never had a “worst” call, although I have had to call people who were in the worst possible position to pay their creditor. That’s where compassion comes in. When a call ends and the person on the other end of the line says, “thank you,” I know that I have done my job well.

McClary says you’ve got to ask for assistance early — before your bill goes to a debt collector.

 "The longer you wait to get help, the fewer options there are," he said.

Many hospitals that receive government funding are required to offer Charity Care. But they don’t exactly advertise it.

A University of Michigan study found that just 42 percent of hospitals will notify a patient about Charity Care before trying to collect an unpaid bill. And so, millions of families that can’t afford to pay have racked up billions of dollars in medical debt.

That's where an unusual charity is stepping in.

"We see ourselves as predatory givers," said Jerry Ashton, a former debt collector.

Ashton now serves as Co-Founder of RIP Medical Debt, a non-profit that says it buys medical debt in bulk from debt collectors and forgives the past due accounts. Ashton says every dollar he spends can buy one hundred dollars in debt and erase it.

"We’re getting rid of the feeling of powerlessness that people have," Ashton said.

Now, NBC-owned TV stations around the country are working with RIP Medical Debt. We’ve made a $150,000 contribution that will forgive as much as $20 million in medical debt nationwide, including $1.5 million worth in the San Francisco Bay Area.

"We are deeply grateful for the work that you people are doing in getting out the word, because if you know about it, you can do something about it," Ashton said.

NBC can’t forgive the debt of specific people, because RIP is buying the accounts in bulk from debt collectors.

If your account is part of the batch of $1.5 million in the Bay Area that RIP is buying and forgiving, you will get a yellow envelope in the mail. If you receive one, we would love to hear from you, please.

But even if you don’t want to contact us, please hold onto the letter. That paperwork is proof that your debt has been forgiven and debt collector calls should stop.

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