If you have accumulated unexpected or overwhelming medical bills and your current financial situation does not allow you to pay those bills, then consider submitting a financial hardship letter for medical bills to request relief.
Below are two medical hardship letter samples:
IMPORTANT: DO NOT COPY THIS LETTER EXACTLY. PLEASE USE YOUR OWN WORDS.
[Date]
[Hospital/Provider]
[Billing Department Address]
RE: [Date(s)] in the hospital or of medical procedure
Dear Sir or Madam,
With this letter, I would like to state my inability to pay the bill for amount of [Amount Owed] for the procedure performed on the [Date] [or my hospital stay from [Date] to [Date]]. Please understand that this is neither a refusal to pay nor a dispute of the charges, but simply an explanation of my current financial situation.
My current income is just enough to cover basic necessities. By paying the amount due all at once as required, It would result in a serious financial hardship for my family. Please understand that I want to pay for the medical services performed and my stay in the hospital. I would like to propose paying the entire amount in monthly installments for the next [number of months] months [or you can suggest to pay a percentage of the bill at once and the rest at a later date].
I hope you will consider this request and agree to a more flexible payment. Thank You very for your understanding. If you have any questions, please call me at [Your Phone Number].
[Your Name, Address, Phone Number, and Social Security # ]
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And here’s another medical hardship letter sample …
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To Whom It May Concern:
My name is , and I was a patient at on
, where I received . what your insurance covered of this procedure, or note that you did not
have insurance at the time>.
I have been on a payment plan that has me paying per
month. But I have unfortunately run into significant troubles in my life, which have
made it impossible for me to continue to keep up with this payment plan. Due to
, I am
dealing with making constant decisions about which of my many bills is most
important each month.
I have attached to this letter, so that you can
see that my monthly income is only , all of which must go to
, leaving very little left for the amount I owe
you.
like to have your debt forgiven due to this hardship>. I hope that we can work
out a plan that will work for both parties.
Please contact me as soon as possible so that we can begin this process.