What happens if I can't pay my health insurance premium?

Asked by: Una Stracke  |  Last update: March 19, 2025
Score: 4.9/5 (57 votes)

If you miss a monthly premium payment Your health insurance company could end your coverage if you fall behind on your monthly premiums. A short period after your monthly health insurance payment is due to pay all owed premiums to avoid losing coverage.

What if I can't pay my health insurance premium?

If the enrollee does not pay all missed premiums by the end of the grace period, their coverage will be terminated, and they may not be eligible to enroll in a new plan until the next open enrollment period unless they experience a qualifying life event for a special enrollment period.

What happens if I can't pay the premiums?

The effect depends on the type of policy and coverage you have and the policy terms and conditions. Term: If you stop paying premiums, your coverage lapses. Permanent: If you have this type of policy, you will have the following choices: Cash out the policy.

How long can you go without paying insurance?

What is a car insurance lapse grace period? Your car insurance policy won't be cancelled immediately because you miss a payment. Auto insurance companies are required by state law to provide notice before cancelling your policy. Depending on the state, you'll usually have between 10 and 20 days.

What to do if you can't pay your insurance?

Payment mishaps

If you find out that you've missed a payment, don't fret. Car insurance companies usually offer grace periods to make up your payment without penalty. However, say you don't pay your bill during the grace period, and your coverage ends.

What Happens If You Miss an Insurance Payment?

17 related questions found

Does not paying health insurance affect credit?

What Happens if You Don't Pay Your Insurance Premium? If you're behind on your insurance premium, your outstanding balance could be sent to collections. That delinquent account will likely be reported on your credit report and drag down your credit score.

Can I just stop paying for insurance?

If you stop paying your premiums but do not cancel your policy, your carrier will eventually cancel your policy for nonpayment. However, there may be charges for insurance coverage up until that point, along with possible late fees.

What happens if I miss a premium payment?

If you miss a premium payment on a term life insurance policy, the grace period to bring your account back into good standing begins — after which the policy will lapse.

What if I can't pay my deductible health insurance?

Your healthcare provider can't waive or discount your deductible because that would violate the rules of your health plan. But they may be willing to allow you to pay the deductible you owe over time. Be honest and explain your situation upfront to your healthcare provider or hospital billing department.

What does inactive health insurance mean?

Sammon notes that a patient's coverage might be inactive due to non-payment of premiums, a job change or loss, or a waiting period to qualify for Medicaid. “No matter what the situation is, it is always hard to tell the patient that their insurance currently is showing inactive,” she says.

What happens if you fail to pay your insurance premium?

If you don't pay all owed premiums, you may lose your coverage dating back to the first month you missed the premium payment. You may also have to wait to get health coverage. The 3-month premium payment grace period starts the first month you didn't pay, even if you make payments for the following months.

Why do health insurance companies refuse to pay?

Reasons your insurance may not approve a request or deny payment: Services are deemed not medically necessary. Services are no longer appropriate in a specific health care setting or level of care. You are not eligible for the benefit requested under your health plan.

What is the grace period for insurance?

An insurance grace period is a defined amount of time after the premium is due in which a policyholder can make a premium payment without coverage lapsing.

Is it illegal to pay out of pocket if you have health insurance?

This means that it is not illegal to not use your health insurance for medical services. Medicare patients may have different requirements. Patients can elect to pay for medical services if they find it in their best interest to pay for them directly.

What happens when you don't pay premium?

Loss of insurance coverage.

Once the grace period is over, and you still haven't paid the premium, that's when the policy will lapse, and you lose your insurance coverage for the term insurance.

How long do you have to pay health insurance premiums?

Health insurance protects you from unexpected, high medical costs. You pay less for covered in-network health care, even before you meet your deductible. You get free preventive care, like vaccines, screenings, and some check-ups, even before you meet your deductible.

Can a hospital turn you away if you owe them money?

Even if you owe a hospital for past-due bills, that hospital cannot turn you away from its emergency room. This is your right under a federal law called the Emergency Medical Treatment and Active Labor Act (EMTALA).

Is it cheaper to have health insurance or pay out of pocket?

Insurance companies negotiate discounts with health care providers, and as a plan member you'll pay that discounted rate. People without insurance pay, on average, twice as much for care.

Can you ignore medical bills?

Well, no. Depending on the state, hospitals and providers could still sue, foreclose, or affect the chance of a person getting hired or being able to rent an apartment. “All the other ways to collect continue,” a CFPB official told me.

What if I am unable to pay insurance premiums?

Surrender The Policy

If you're unable to pay your premiums and no other option seems viable, you might consider surrendering the policy. This means you stop paying premiums and give up the death benefit. In return, the insurer pays you the policy's cash value, if any.

What are the consequences of non payment of premium?

If the policyholder has failed to pay the insurance premium within the prescribed period, the insurer has the right to terminate the insurance contract 14 days after the date on which the notice is sent. In the field of continuous non-life insurance the insurer does not have the right to terminate the contract.

How long can you miss a insurance payment?

If you missed a payment, your insurance company may have a grace period to give you time to pay your bill and reinstate your policy before it lapses. This grace period can be between 10 and 20 days. If your insurer won't renew your policy, you'll get notified and you'll have time to shop around for quotes.

What if I can't pay my health insurance?

Keep in mind that insurers are allowed to cancel your coverage if you don't pay premiums. In most cases, if you fall behind, the insurance company is required to offer you a 3-month grace period to catch up on back-due premiums. The insurer must continue to pay your claims during the first month of that grace period.

What happens if I miss the healthcare.gov deadline?

If you don't meet your deadline, we'll make a new determination of the insurance and savings you're eligible for. These results will be based on information from our data sources, not what you put on your application. The new results may change your current insurance eligibility and costs.

What happens if I never pay my insurance?

Will I lose my insurance if I don't pay my premium? If you don't pay every missed premium within the 90 days, your insurer may terminate your coverage. This has a few major consequences: You will no longer be able to use your insurance plan for future services.