Can you go to the ER if you are homeless?

Asked by: Dr. Bonita Harvey  |  Last update: November 18, 2025
Score: 4.7/5 (21 votes)

The emergency department plays a crucial role in health care for homeless populations, as it serves as the first — and often the only — resource for accessing health care in these populations. People experiencing homelessness commonly present to the ED for health care needs.

How do homeless people pay for ER visits?

“Yet, when a homeless person goes into a hospital, their insurance company pays for the emergency room visits, the inpatient stays, and for intensive care, if necessary,” he said.

Can I go to the ER if I have no money?

Emergency departments are unique-- anyone who has an emergency must be treated or stabilized, regardless of their insurance status or ability to pay. The patient protection that makes this possible is a federal law known as the Emergency Medical Treatment and Labor Act (EMTALA).

Can hospitals deny care to homeless people?

This practice is known as “patient dumping.” Patient dumping violates the federal Emergency Medical Treatment and Active Labor Act (EMTALA). Enacted in 1986, EMTALA seeks to prevent any refusal of care for patients who are unable to pay [2].

Why do the homeless go to the ER?

Competing demands for shelter, food, and safety supersede the need to obtain primary medical care for many homeless individuals. As a result, homeless individuals will often use the emergency department (ED) for routine, non-emergent medical needs.

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31 related questions found

Why do people go to the ER when it's not an emergency?

Women tend to visit the emergency room for urinary tract infections, headaches and pregnancy-related concerns, while men are more likely to visit for open wounds to the head, neck and limbs. Children most often come with abdominal pain, digestive symptoms and superficial injuries.

What happens when a homeless person is discharged from the hospital?

Individuals experiencing homelessness are most commonly discharged to emergency shelters or the streets. These destinations lack resources to support critical follow-up care and can exacerbate existing mental and physical health issues.

Can emergency rooms turn people away?

One of the fundamental principles of EMTALA is the prohibition of discrimination in the provision of emergency care. Hospitals are explicitly forbidden from denying emergency services based on a patient's ability to pay, insurance coverage, or immigration status.

Do homeless pay for an ambulance?

If the patient has any coverage at all, the ambulance service will bill that insurer. If not, they bill the patient. Often, if the bill goes out, and the patient can't be located or they know that it's likely to never get paid, it is written off.

Can hospitals legally force you to stay?

Can I be kept in the hospital against my will? No. The hospital can be liable for "false imprisonment" if hospital officials attempt to prevent you from leaving. You should discuss your condition and reasons for wanting to leave with your physician before leaving.

What if I can't pay for an ER visit?

Negotiate

The first thing we will recommend is that you request a payment plan rather than use your credit card to pay for the amount due. Our Patient Advocate personnel can design a payment plan that fits your budget.

How much do most ER visits cost?

Average ER visit cost

An ER visit costs $1,500 to $3,000 on average without insurance, with most people spending about $2,100 for an urgent, non-life-threatening health issue. The cost of an emergency room visit depends on the severity of the condition and the tests, treatments, and medications needed to treat it.

Can you ignore ER bills?

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How much does it cost to go to the homeless hospital?

Results: Data were analyzed for 90,345 housed patient admissions (mean cost, $12,555) and 3081 homeless patient admissions (mean cost, $13,516). After adjustment for age, gender, and resource intensity weight, homeless patient admissions cost $2559 more than housed patient admissions (95% CI, $2053, $3066).

Can urgent care turn you away if you owe them money?

The law requires hospitals to provide care for all patients regardless of their ability to pay. The same applies to urgent care facilities owned by hospitals.

What happens in the USA if you have no health insurance?

What are the financial implications of being uninsured? Uninsured individuals often face unaffordable medical bills when they do seek care. These bills can quickly translate into medical debt since most people who are uninsured have low or moderate incomes and have little, if any, savings.

Should you call an ambulance for a homeless person?

For medical and mental health emergencies, call 911.

Unfortunately, outreach teams are not able to serve individuals who are couch surfing, temporarily living with friends or family, at risk of homelessness, or already staying in a homeless shelter.

How much is an ambulance ride without?

Average ambulance ride cost

The average cost of an ambulance ride is $500 to $3,500+ without insurance. An ambulance ride with insurance costs $250 to $1,500+, depending on your insurance plan and specific coverage.

What happens if I go to the ER without insurance?

Despite the financial hurdles, uninsured emergency patients are provided with legal safeguards. The Emergency Medical Treatment and Active Labor Act (EMTALA) is a federal law that requires anyone coming to an emergency department to be stabilized and treated, regardless of their insurance status or ability to pay.

How to get ER to admit you?

ER physicians do not have admitting privileges. If they feel a patient warrants admission they call the attending of the service “on call” for the day, and discuss the patient. ER staff may write a few orders until the attending arrives to fully assess the patient's problem.

How long can they keep you in the ER?

In general, the accepted duration of a patient in ED—emergency department length of stay (EDLOS)—is 6 hours.

Why do homeless people go to the ER?

Homeless persons are at high risk for requiring emergency department services because of their elevated rates both of unintentional injuries and of traumatic injuries from assault10–12 and because of their poor health status and high rates of morbidity.

Who pays if a homeless person goes to the hospital?

If they get admitted to a hospital, then the government provided aid helps them in repaying the bills. If the hospital is funded by the government, then the costs are covered by the government. For example, in the US, a major part of the health care costs of the old people is paid by the government.

Can you go to jail for leaving the hospital without being discharged?

It is not illegal to leave, and there is no law requiring you to sign any discharge documents. With that being said, you should prepare a letter explaining why you have decided to leave. Keep a copy of the letter for yourself and give a copy to the hospital administrator.