Charities and consumer groups warn the rise could push some people over the edge and say cheaper social tariffs should be made fairer and more consistent.
Water bills in England and Wales will increase by the most in almost 20 years from April.
The 7.5% hike will see the average customer pay £31 more annually than last year - taking the typical bill to £448, according to industry body Water UK. It said bills were lower in real terms than a decade ago and that the below-inflation increase reflected rising energy costs, as water firms use 2% of the country's electricity.
Consumer groups have warned that some of the one in five who are already struggling to pay could be pushed over the edge.The Consumer Council for Water said there was a postcode lottery of social tariff schemes, meaning some people who need help with their bills"slip through the net". "These increases will bring more uncertainty to struggling households at a time when they can't be certain they will get the help they need," said CCW chief executive Emma Clancy.
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