Many people file for bankruptcy when they have trouble paying medical bills. A medical bankruptcy will eliminate debts from doctors, hospitals, ambulances, and other medical providers, along with other qualifying debts from credit card balances, personal loans, leases, utility bills, and more.
If you're hesitant to use bankruptcy to eliminate medical debt, it's understandable. No one wants to file for bankruptcy. But taking action is almost always more beneficial than doing nothing. In this article, we explain bankruptcy and nonbankruptcy options for handling oppressive medical debt.
Yes, you can get rid of or "discharge" medical debt in bankruptcy. People regularly file for bankruptcy after serious illnesses and unexpected accidents, especially when medical bills aren't covered by medical insurance or the patient can't afford a high deductible.
As of October 2025, federal law allows for the reporting of medical debt on credit reports. However, some states have enacted laws banning the practice of medical debt reporting, including California, Oregon, Washington, and Illinois. However, whether these state laws are enforceable hasn't been fully resolved, so medical debt will likely continue to affect credit scores.
Medical debt is one of the many obligations that qualify for discharge in bankruptcy. You likely have many others that you can erase by filing.
A bankruptcy filing will also eliminate credit card balances, gym memberships, internet and cellphone bills, past-due rent, and more. You can even erase car and house payments if you're willing to return the vehicle or home to the lender.
Tip. If you have credit cards with available balances, you don't want to run up credit card debt before bankruptcy. In some cases, using them can be considered fraud.
But bankruptcy doesn't erase everything. Bankruptcy filers typically remain responsible for paying child support and alimony, recently incurred tax debt, and student loans. However, student loans can be discharged in rare instances. Learn more about the obligations bankruptcy eliminates and nondischargeable debts you'll remain responsible for paying.
The bankruptcy chapter you use will determine how quickly you erase your medical debt. Most people prefer Chapter 7 because it's fast and doesn't require creditor repayment, but Chapter 13 can solve more financial problems.
| Chapter 7 | Chapter 13 | |
|---|---|---|
| Duration | Three to six months. | Three to five years. |
| Income Requirements | Must pass means test (typically requires a lower income). | Any income level. |
| Medical Debt Discharge | 100% discharged. | Typically 0–10% paid back through the Chapter 13 repayment plan. |
| Property Protection | Limited by bankruptcy exemptions. Nonexempt property is sold for creditors. | Can keep nonexempt property by paying nonexempt amount through the repayment plan. |
| Best For | Lower income filers with few assets. | Higher income filers and those who are behind on secured debts, such as house and car payments, and want to keep the property. |
Chapter 7 bankruptcy erases medical bills in months without a repayment plan. This chapter works best for people who don't earn much money because a filer's income must be low enough to pass the Chapter 7 means test.
Also, it isn't suited for people who own significant valuable property. Each state decides the property necessary to maintain a home and employment. Any property exceeding the limits isn't "exempt" and gets sold for the benefit of creditors. Learn how your state's bankruptcy exemptions can protect your property.
Example. Judith required back surgery after being hit by an uninsured motorist and was left with $8,000 in medical bills. She met with a bankruptcy lawyer to learn about her options. Because she worked as a cashier, her income was low enough to pass the Chapter 7 means test. She also was able to protect her older car and apartment furnishings.
Example. Emma found herself left with $20,000 in medical debt after her baby was born premature and required an extensive hospital stay. Emma contacted a bankruptcy lawyer, who explained that as CEO of a well-known toy store, she likely earned too much to qualify for Chapter 7. She'd also lose her vacation home in the Bahamas and the RV she purchased in 2022. Emma decided to take a loan against her 401k to pay the medical bill.
Learn about retirement plans in bankruptcy and why its best not to pay dischargeable debts with retirement funds before filing for bankruptcy.
You won't complete a medical bankruptcy as quickly using Chapter 13 because it involves paying what you can afford into a three- to five-year Chapter 13 payment plan. But it can help lower how much you pay toward medical debt substantially.
You'll want to consider Chapter 13 if your income is too high to qualify for Chapter 7. Chapter 13 also offers other benefits, such as giving you time to catch up on late payments so you can keep a car or protect a home if you've fallen behind.
Example. Julio's earnings were low enough to qualify for Chapter 7. However, during his extended illness, he fell behind on his house payment and was facing foreclosure. Julio's bankruptcy lawyer explained that because the mortgage wasn't current, he would lose his house in Chapter 7. However, if he filed for Chapter 13, he could pay the mortgage arrears over five years, discharge almost all credit card and medical debt, and save his home. Julio decided to file for Chapter 13.
Example. Siena owned a successful interior design business in a busy metropolis. Finding herself fatigued, she underwent numerous expensive diagnostic tests and, ultimately, chose nontraditional treatment. However, her insurance company refused to cover $50,000 of her expenses. Siena wasn't able to pay the medical bills, and met with a bankruptcy lawyer after a debt collector filed a lawsuit against her. Because of her high earnings, she didn't qualify for Chapter 7, and had to pay 100% of the medical debt over five years in Chapter 13. However, she avoided a lawsuit and was protected from creditors during the repayment period, effectively forcing the creditor into an extended payment plan.
Bankruptcy isn't always the right approach, especially if you want to protect good credit. Fortunately, there are ways to resolve medical bills without bankruptcy.
To start, make sure you've resolved all insurance payment issues. Once you have gotten all of the available insurance coverage, consider negotiating a settlement with the creditor. The provider might waive a percentage if the bill was for uninsured medical costs. Many hospitals and other medical providers routinely waive or discount bills for uninsured patients. You might also be able to request a payment plan.
Most hospitals have assistance programs that, if you qualify, will give you free or reduced hospital care, depending on your income level. For instance, the Hospital Care Assurance Program (HCAP) will cover expenses for medically necessary services in some states.
Also, nonprofit hospitals with federal tax-exempt status might have to go easier on you and other cash-strapped patients regarding medical billing. Contact your hospital's financial aid counselor for more information and apply for applicable coverage.
To learn more about these and other options, see Managing High Medical Debts.
Not everyone needs to settle medical debt or file for bankruptcy. Suppose you don't have income or property your creditors can take, and your financial situation isn't going to improve. In that case, you're likely "judgment proof."
People with limited property and income protected from creditors, such as Social Security benefits, are often judgment proof and don't need to file for bankruptcy or settle medical debt.
Example. Henriette, a retired widow, received a medical bill that wasn't covered by her Medicare benefits. Because her income consisted of Social Security benefits only, and she owned nothing other than the furnishings in her rent-assisted apartment, she was judgment proof and immune from collection activities. Instead of paying a lawyer to file bankruptcy on her behalf, Henriette turned off her phone ringer and let the collection calls go to voicemail.
You'll want to pursue bankruptcy as soon as it appears that the creditor might pursue you for payment. For instance, suppose you can't settle the debt. You can expect the lender to take steps to collect it. In most cases, you can prevent property loss and judgment liens by filing for bankruptcy earlier rather than later.
The process will start with telephone calls and late payment notices. Eventually, the medical provider might sue you and get a money judgment. And again, you'll want to file for bankruptcy before that occurs.
You'll likely lose money and property once a creditor has a money judgment. The creditor can use the money judgment to get a wage garnishment or withdraw money from your bank account with a bank levy. The creditor could also place a lien against your real estate. It's also a good idea to learn more about lawsuit judgments in bankruptcy.
Filing for bankruptcy will impact your credit score. It will remain on your credit report for 10 years after Chapter 7 and seven years after Chapter 13 (measured from the date of filing).
No, you must include all your debts in your bankruptcy case. However, you can always voluntarily choose to repay a creditor after bankruptcy.
Yes, most nonprofits must evaluate whether you qualify for aid. Before you begin negotiating or settling medical debt, check whether a financial assistance program exists and apply for it.
If you're not judgment proof, and settling your debt with the hospital isn't feasible, talking to a bankruptcy attorney is a good idea. Not only will you learn which bankruptcy chapter will eliminate medical debt and solve other financial challenges, but the sooner you file for bankruptcy, the sooner you'll return to financial stability.
Did you know Nolo has made the law accessible for over fifty years? It's true—and we wholeheartedly encourage research and learning. You'll find many more helpful bankruptcy articles on Nolo's bankruptcy homepage. However, online articles and resources can't address all bankruptcy issues and aren't written with the facts of your particular case in mind. The best way to protect your assets in bankruptcy is by hiring a local bankruptcy lawyer.