What if I Refuse to PAY

By PurpleD, May 12, 2018

What if I REFUSE TO PAY Hospital Bill

Some people have the privilege of entering the USA, give birth and take advantage of the quality healthcare services offered by the hospital or birth center as the case may be, but did not settle their hospital bill.

There are various circumstances that may surround the nonpayment such as:

    • Lack of financial capacity
    • Taking advantage of the system
    • Loss of Child or mother (Death)
    • Change in circumstances
    • Unexpected complications during childbirth leading to a huge hospital bill
    • Other reasons

Refusing to pay the hospital bill have various serious consequences which include:

  • Sending the bill to a collection center, which in the long run will spoil the parents’ credit ratings
  • Refusal to release the vital documents, like the birth certificate
  • Refusal of Visa renewal for parent
  • Non-issue of citizenship document and status on the child

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It is important to note that most hospitals in the USA are profit making and will need the bill to be settled. Remember the hospital bill is a compilation of services you received from your encounter with the Doctors (Gynecologist, pediatrician, anesthesiologist, surgeon etc), Nurses, laboratory, the room, other ancillary services during and after childbirth.

Giving birth in the USA as a noncitizen or tourist was not an emergency, at least you are aware of your pregnancy. except in cases where a gravid woman came to labor at an earlier date than expected.


In a situation where the hospital bill is beyond your capacity, ask to talk to account department of any unit in charge of billing. Negotiate with them as a cash paying patient with no insurance, most likely they will give you a reasonable discount and a payment plan. A payment plan is usually an equal monthly repayment of a bulk amount over a given period of time. (For example, $500 monthly for 1 year to repay $6,000).

Refusal to release the vital documents

The hospital might refuse to submit the birth certificate information to the State’s Vital records office and that means you will not be able to get the birth certificate copy from vital records office.We advise you contact a lawyer, maybe an immigration attorney for a better perspective on this matter.

Our view on Tourist Giving Birth in the USA is to be fair and just in take advantage of the Law that bestows citizenship on a child born in the USA from anyone even the non-citizens.

Without the birth certificate, you might not be able to complete the necessary documentation for citizenship for your child.

We recommend contacting the hospital and making a payment plan with them to at least show some commitment, while you seek out an attorney or non-profit organizations that might be able to help.

Refusal of Visa renewal for parent

You might be refused a visa renewal when next your B1/B2 Visa expires. Many have lost the privilege of ever entering the USA again because of nonpayment of their hospital bill. Your action might be viewed as fraudulent and intentional. Also, you jeopardized your newborn baby’s opportunity both now and in the future. Ask yourself: Is it worth ALL the trouble?

Further Recommendation

Read more about:

15 Basic Traveling formalities to USA

Is it Legal for foreigners to give birth in USA?

The reason why the USA is Vigilant at its Borders


Have any special request? Book a consult and lets chat on phone or skype or whatsapp… whatever works
We wish you all the best in your journey.



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