The Ramsey Show

Podbit · The Ramsey Show

The Decisions You Make Now Shape Your Success

Explore episode Jul 20, 2026

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Medical Debt in Collections: How to Fight and Settle

At 10:20 · chapter starts 9:20

Sky called in surprised to find a $3,500 medical bill from 2025 showing up in collections on Credit Karma — she had assumed her insurance covered it and was never sent a bill. George Kamel breaks down the process methodically: start at AnnualCreditReport.com to see exactly what's being reported across bureaus, then formally request a written validation of the debt. From there, contact the medical provider and insurance company to get an itemized bill and explanation of benefits. George is characteristically blunt that the healthcare system tends to overbill, so fighting it is always worth the effort. On settlement: because the debt is only eight months old, the collector may not discount it — but if they do, Jade recommends starting at 25 cents on the dollar. Either way, never give collectors access to a checking account, and consider using a virtual debit card service like privacy.com for any online payment.

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