The New York Times, November 26, 2010
IF you are like most people, you have probably used a credit card to pay
some of your medical bills. With rising health costs and gaps in insurance coverage, it’s almost unavoidable.
Patients pay about $45 billion worth of health care costs with plastic, according to a report from McKinsey & Company.
By 2015, that number could more than triple to an estimated $150
billion. And big finance companies and medical providers have taken
note.
Companies like GE Money, Citibank and JPMorgan Chase
have issued medical credit cards or lines of credit intended to be used
specifically for elective health care expenses not covered by
insurance, including certain dental procedures, Lasik surgery, some cosmetic surgery and even veterinary care. The cards are not used for continuing medical care or emergency room visits.
The issuers market these cards not so much to consumers but to doctors,
dentists and other health care providers, who in turn offer them to
patients as a payment option. Patients like medical credit cards because
payments for care can be spread out over many months and the cards can
be used at multiple providers. The providers have embraced them as a way
of offloading billing headaches and expenses.
But even as medical credit cards become increasingly popular, they are
getting more scrutiny — not much of it flattering. Critics and patient
advocates claim that aggressive and misleading marketing tactics can
lead to serious headaches for consumers.
In extreme cases, medical providers and associations marketing the cards
have been accused of receiving financial incentives for signing up
patients or of falsifying financial information to make it easier for
patients to qualify for cards.
More commonly, critics say, patients may be led to assume that their
providers are simply offering payment plans, not a credit card with all
the potential fees, interest rate increases and the impact on credit scores that can entail.
“Ironically, these cards may be best suited to people who already have
financial resources,” said Mark Rukavina, executive director of the
Access Project, a consumer advocacy group in Boston, and co-author of a
study on medical debt. “But it’s usually people with limited resources
who sign up.”
Consumer complaints concerning aggressive marketing tactics prompted the New York attorney general, Andrew M. Cuomo,
to start an investigation into medical credit cards earlier this year.
In Minnesota, the state attorney general, Lori Swanson, has filed
lawsuits against two chiropractors whose staff is accused of signing up
patients for medical credit cards without their knowledge.
A medical credit card is “one payment option among several a provider
may offer and represents a very small component of health care financing
for elective procedures,” said Stephen White, a spokesman for
CareCredit, a medical credit card issued by GE Money. “Benefits to
consumers include the ability to plan, budget and pay for certain
elective health care procedures over time.”
Whether you view these cards as a convenient way to pay medical expenses
or just another way for credit card companies to collect interest and
fees, here are some things to consider if your provider approaches you.
ASK FOR ALTERNATIVES First, try to negotiate a lower
fee with your provider; he may be more flexible than you think. Then ask
about payment options. Your doctor may well offer a payment plan of his
or her own, without the high interest rates often charged by a medical
credit card company.
“I encourage people to negotiate with their provider, then get an
extended payment plan directly from that office with a monthly payment
and time period you are comfortable with,” said Mr. Rukavina. “I think
most providers are willing to work for patients in this way.”
Read more of this article.
Supplemental Medicare Insurance: The enormous (and rising) cost of health care can be absorbed in more ways than just credit cards, which in all circumstances, are generally among the most dangerous forms of debt for your retirement. Consider if perhaps an insurance program fits your needs for less cost that you would otherwise incur, at NewRetirement.com.