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It depends on your situation. It is always a good thing to always pay your bills. After all, these providers rendered services contingent upon them receiving payment from you. You do not need this lingering over your head. If the bills are sent to collections, it can follow you for several years. Debt collectors purchase accounts in bulk and to receive revenue if a payment has not been made, the account is sold and a new debt collector buys your account and it hits to your credit again as if the lates were current. It will affect your credit score and hinder you from purchasing real estate, motor vehicles, etc. The best thing is to call the debt collector and settle the account for less than what is owed.

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Q: Are old medical bills sent to collections worth paying?
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