How many people are affected by surprise medical bills?

Asked by: Althea Weber  |  Last update: July 10, 2025
Score: 4.6/5 (75 votes)

Nearly half of insured Americans get surprise expenses in medical bills, study finds. Nearly half of insured Americans have been smacked by surprise medical expenses in the past year, but a majority don't contest billing errors or coverage denials, a new survey by the Commonwealth Fund finds.

How many people are affected by surprise billing?

Four in ten (39%) insured nonelderly adults said they received an unexpected medical bill in the past 12 months, including one in ten who say that bill was from an out-of-network provider.

Are surprise medical bills common?

How common are situations that can lead to surprise billing? Out-of-network care delivered in situations that patients cannot reasonably avoid is fairly common. Researchers find that about 20% of emergency department visits involve care from at least one out-of-network provider.

How many people are affected by medical bills?

According to the CFPB, 100 million Americans owe $220 billion in medical debt. George told me that medical debt has had several devastating impacts on his life: Inability to borrow money for a mortgage or a car.

How many people are affected by unaffordable healthcare?

Healthcare Affordability Index Findings

Nearly half of Americans are now struggling to afford healthcare services and prescription medications. The Index revealed a record-low affordability rate of 55% in 2024, down from 61% in 2022.

Surprise medical bills are stacking up for many adults

21 related questions found

What are the three biggest issues in healthcare today?

Content Overview
  • Rising Costs of Healthcare Services. ...
  • Financial Challenges for Providers. ...
  • Shortage of Healthcare Professionals. ...
  • The Need for Improved Mental Health Systems. ...
  • Increased Demand for Personalized Care. ...
  • Big Data and Cybersecurity Issues. ...
  • Regulatory Changes Impacting Healthcare Providers.

What happens in America if you can't afford healthcare?

Americans are no longer taxed for not carrying health insurance. Medical debt contributes to a large number of bankruptcies in America. Access to quality primary care is critical, but doctors have the right to refuse patients without insurance or who are able to pay out-of-pocket expenses.

Are Americans worried about unexpected medical bills?

According to a February 2020 study conducted by The Peterson Center on Healthcare and Kaiser Family Foundation [18], 67% of Americans are worried about surprise medical bills and 78% support passage of federal legislation to protect patients from them.

What happens if you don't pay medical bills in America?

Medical debt can also lead people to avoid medical care, develop physical and mental health problems, and face adverse financial consequences like lawsuits, wage and bank account garnishment, home liens, and bankruptcy.

Is undue medical debt real?

Undue Medical Debt, formerly RIP Medical Debt, is a Long Island City–based 501(c)(3) charity focused on the elimination of personal medical debt.

What is the No Surprise Billing Act 2024?

December 12, 2024 – The No Surprises Act, a law that ended the practice of “balance billing” by certain out-of-network providers, was enacted as part of the Consolidated Appropriations Act of 2021 on December 27, 2020.

Is it legal to self pay when you have insurance?

Now that you know that it is legal to self-pay when you have insurance, here are a few situations where it may make sense to directly pay for the medical procedure or service without filing a claim with your provider.

How can I avoid unexpected medical bills?

The notice and consent documents, which are standardized by the Federal Government, describe the No Surprises Act protections against unexpected medical bills and ask if you are willing to give up those protections and pay more for out-of-network care. By signing the consent form, you are giving up those protections.

Do I have to pay a medical bill from 2 years ago?

Medical providers and hospitals have varying time limits by state to send bills, often ranging from months to several years. You are required to pay medical bills, either directly or through insurance, but financial assistance or payment plans may be available.

Does Medicare allow surprise billing?

This is called “balance billing.” An unexpected balance bill from an out-of-network provider is also called a surprise medical bill. People with Medicare and Medicaid already enjoy these protections and are not at risk for surprise billing.

How many states have surprise billing laws?

Yes. Many states established their own protections against surprise medical billing before the No Surprises Act was enacted. As of February 5, 2021, 33 states had enacted legislation providing some protection for consumers from surprise bills.

Is it illegal to not pay medical debt?

Federal law considers initiating legal action to collect on unpaid medical bills to be an extraordinary collections action and also limits how much of a debtor's paycheck can be garnished to pay a debt. In most states, hospitals and debt buyers can sue patients to collect on unpaid medical bills.

Can I ignore medical bills?

It may seem tempting to toss them aside but that's one of the worst things you can do. Ignoring the bill may postpone immediate stress but will be more harmful in the long run. Tip 2: Read the details. Don't just look at your medical bills; review your Explanation of Benefits too.

What is the leading cause of debt in the United States?

Mortgage debt is most Americans' largest debt, exceeding other types by a wide margin. Student loans are the next largest type of debt among those listed in the data, followed closely by auto loans.

How many Americans receive surprise medical bills?

Nearly half of insured Americans get surprise expenses in medical bills, study finds. Nearly half of insured Americans have been smacked by surprise medical expenses in the past year, but a majority don't contest billing errors or coverage denials, a new survey by the Commonwealth Fund finds.

What happens if you can't pay medical bills in US?

If you do nothing and don't pay, you could be facing late fees and interest, debt collection, lawsuits, garnishments, and lower credit scores.

Which country has the best healthcare?

The ten countries with the best healthcare are:
  • Australia (74.11)
  • Canada (71.32)
  • Sweden (70.73)
  • Ireland (67.99)
  • Netherlands (65.38)
  • Germany (64.66)
  • Norway (64.63)
  • Israel (61.73)

Can a hospital take your house for unpaid medical bills?

The short answer is yes, it is possible to lose your home over unpaid medical bills though the doctor or hospital would have to be willing to go to a lot of effort to make that happen. Medical debt is classified as unsecured debt. This means that your debt isn't tied to any collateral.

What percentage of people can't afford healthcare?

Overall, 16.9% of Americans report at least 1 financial barrier. Among those with private insurance, the poor (28.4%), near poor (24.3%), and those with functional impairments (22.9%) were more likely to report avoiding care due to cost.

Which health insurance denies the most claims?

According to the analysis, AvMed and UnitedHealthcare tied for the highest denial rate, with both companies denying about a third of in-network claims for plans sold on the Marketplace in 2023, respectively.