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hdim7

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Have paid off 4 open collections. When will they drop off and credit score improve?
Medical, about $220.

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Unless your State has different statutory period (NYS supposedly is 5 years when it's paid) Paid or unpaid collections can remain on your credit report for 7 years plus 180 days from Date Of First Delinquency. Generally the CRA would remove them in 7 years.

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Will it or when will improve your scores once it's paid? Only two score models would exclude collection from its scoring after it's updated as paid, however the medical collections has less impact to both models to begin with, so paid medical collection should only improves its scores slightly. The two models are FICO 9 and VantageScore3 you get here from Credit Karma, but neither one of them are widely used by lenders (to put it mildly). To other score models would have no impact just because it's paid. 

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By the postings here, many many people thinks somehow once the collections is paid it will automatically be removed or betters their scores, unfortunately that just isn't true.

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