By Christopher Rowland, Globe Staff | January 22, 2007
http://www.boston.com/business/healthcare/articles/2007/01/22/patients_piling_medical_costs_on_credit_cards/Some doctors and hospitals are teaming up with financial-services companies to market credit cards to patients, reducing healthcare providers' dependence on bill collection, and causing more low- and middle-income consumers to pay interest on their medical debts.
While hospitals in Massachusetts are not pushing such credit cards, they are attempting to get patients to pay up front for services not covered by insurance, and are routinely asking them to provide credit card information before they receive treatment.
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In states such as Texas and North Carolina, financial-services companies have joined with healthcare providers in an effort to promote the use of charge cards for medical expenses. For instance, Citibank's Citi Health Card is offered to patients through participating healthcare providers.
The card features monthly payments as low as $10, and has a no-interest option for patients who agree to pay down their debts quickly by making higher monthly payments. But those who do not meet the terms of the payment plans pay annual interest on their balance of more than 20 percent.
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"The healthcare safety net is made of plastic -- its called 'credit cards' for many people," said Mark Rukavina , director of Access Project, which is affiliated with Brandeis University. "It's a pretty frightening prospect."
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The Access Project/Demos analysis said medical debts should not be used to tarnish an individual's credit rating, and that doctors and hospitals should be discouraged from marketing credit cards to patients. "Patients unable to pay their bills in full may feel obligated or pressured to accept the terms of credit offered by the very people or institutions that they look to for healing," the report said.