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Can unpaid medical bills doom a home loan approval?

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Mortgage and Lending with D A Griffin Financial.LLC NMLS 6380

Can medical bills doom a home loan approval?  

There have been some changes as to how lenders look at medical bills or collections. 

In recent years, credit reporting agencies and mortgage industry guidelines have recognized that medical debt is different from other forms of consumer debt. An unexpected illness or emergency room visit is rarely the result of overspending, and new reporting standards reflect that reality.

Some important changes include:

  • Unpaid medical collections under $500 are no longer included on most major credit reports.
  • Paid medical collections are removed entirely from credit reports.
  • FHA and VA loan programs generally do not consider medical collections during underwriting.
  • Fifteen states have adopted laws limiting how medical debt can be reported, providing additional consumer protections.
  • Some lenders still rely on FICO 8 credit scores, which may continue to factor medical collections into the score.

Because different lenders use different credit models, the effect of medical debt varies from one mortgage application to another.

If you are in the market for a home loan and you discover a collection on your account reach out to a loan officer to determine how you should handle it.  Getting started on a credit review well ahead of the time you intend to purchase a home is ideal. 

 

My experience in the lending world is that often people are unaware of a medical collection in particular.  Lenders use automated underwriting and follow the recommendations of the findings. Quite often collections are ignored and do not doom a home loan approval. 

Stay on top of your credit by utilizing the free resource  www.annualcreditreport.com   You are entitled to a free copy of your credit from TransUnion, Equifax and Experian once a year.  I love this free resource!

Comments(7)

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George Souto
George Souto NMLS #65149 - Middletown, CT
Your Connecticut Mortgage Expert

Dora Griffin those are welcomed changes, and should have been made long ago.

Jul 30, 2026 03:47 PM
Dora Griffin
D A Griffin Financial.LLC - Fort Thomas, KY
NMLS 6380

Thanks George. It even amazes me some things are not as problematic with automated underwriting. 

Jul 30, 2026 05:12 PM
Laura Cerrano
Feng Shui Manhattan Long Island - Locust Valley, NY
Certified Feng Shui Expert, Speaker & Researcher

Yeah, I think it’s really important to realize that a lot of us are in the same boat. We should just do the best we can had a basic human level to not let things get too crazy but also not beat ourselves up too much. :)

Jul 31, 2026 12:36 AM
Dora Griffin

I agree.  Thanks for the comment!  Have a good weekend. 

Jul 31, 2026 10:42 AM
Paddy Deighan MBA JD PhD

truer words have never been spoken, Laura

Jul 31, 2026 07:46 AM
Laura Cerrano
Feng Shui Manhattan Long Island - Locust Valley, NY
Certified Feng Shui Expert, Speaker & Researcher

Hi Dora,

Feel free to follow back and it’s a pleasure to make your acquaintance of course. Love and light!

Jul 31, 2026 12:39 AM
Dora Griffin

Thanks Laura!

Aug 03, 2026 09:20 AM
Paddy Deighan MBA JD PhD
http://www.medicalandspaconsulting.com - Vail, CO
Paddy Deighan J.D. Ph.D

enjoyed this post....medical bills are frequently misunderstood in the cedit / lending world!!

Jul 31, 2026 07:47 AM
Dora Griffin

Thanks Paddy. I especially like discussing credit with homebuyers to help them navigate the qualification process.

Aug 03, 2026 09:20 AM
Dorie Dillard Austin TX
Coldwell Banker Apex Realtors, LLC ~ 512.750.6899 - Austin, TX
Educating. Encouraging. Serving.

Good afternoon Dora Griffin ,

OMG go glad medical bills are now addressed differently than before when applying for a loan. Excellent advice If you discover a collection on your account reach out to a loan officer to determine how you should handle it.  Getting started on a credit review well ahead of the time you intend to purchase a home is what a serious buyer always needs to do! Congrats on the featured post...well deserved! 

Aug 01, 2026 10:57 AM
Dora Griffin
D A Griffin Financial.LLC - Fort Thomas, KY
NMLS 6380

Thanks, Dorie.  I hope your week is off to a great start!

 

Aug 03, 2026 09:17 AM