Smart Medical School Loan Repayment Strategies
If you’re a doctor or studying to be one, chances are you have student loans. A typical medical school graduate has an average student loan debt of $202,450, according to the Education Data Initiative. That’s seven times as much as the average college student owes.
Paying back the loans can be a challenge for doctors during residency and the early part of their career. But the good news is, the profession tends to pay well. In 2023, a typical entry-level doctor earned around $210,000 per year.
Key Points
• High medical school debt can be a challenge for many new doctors. The average medical school graduate holds an average of $234,597 in student loan debt.
• Income-driven repayment (IDR) plans can help manage and lower monthly payments based on discretionary income and family size.
• Public service loan forgiveness may be an option for those in qualifying public service roles.
• A Federal Direct Consolidation Loan allows borrowers the option to choose a new loan term, which could make payments more manageable.
• Student loan refinancing may result in lower interest rates for those who qualify and reduce monthly payments. But borrowers who refinance federal student loans lose access to federal benefits.
Ways to Pay Off Medical School
No matter how much you owe, it’s smart to have the right student loan repayment strategy in place. This can help ensure your monthly loan payments are manageable and your financial health is protected.
Let’s take a closer look at the various student loan payment options available.
Choose a Repayment Plan
March 2025: The SAVE Plan is no longer available after a federal court blocked its implementation in February 2025. Applications for other income-driven repayment plans and for loan consolidation are also on hold. We will update this page as more information becomes available.When it comes to federal student loans, borrowers have four different repayment options. Fixed repayment plans give you a fixed monthly payment. Income-driven Repayment (IDR) plans base your monthly loan payment on your discretionary income and family size.
• Standard Repayment Plan. This fixed plan spreads out payments evenly over 10 years. For example, if you have a loan balance of $200,000 at 6.54%, your monthly payment will be about $2,275.
• Graduated Repayment Plan. With a graduated plan, your payments start out lower and then gradually increase over time, typically every two years. Repayment takes place over 10 years.
• Extended Repayment Plan. You can choose either fixed or graduated payments, and repayment takes place over 25 years. To qualify for this plan, you must have more than $30,000 in outstanding Direct Loans or Federal Family Education Loans (FFEL).
• Income-Driven Repayment Plans. There are four types of income-driven repayment plans: Income-Contingent Repayment (ICR), Income-Based Repayment (IBR), Pay As You Earn (PAYE), and Saving on a Valuable Education (SAVE). However, the SAVE plan has been blocked in court and is on hold.
Repayment on these plans takes place over 20 or 25 years, depending on your income and the plan you choose. At the end of the repayment period, the remaining balance is forgiven, though this amount may be taxable.
As you weigh your options, think about the length of the repayment term and the monthly payment amount. With a longer repayment term, your monthly bill is lower but the amount of interest you pay over the life of the loan is higher. With a shorter term, you pay less in interest over the life of the loan but your monthly payment is higher. A student loan payoff calculator will give you an idea of your monthly payment for different repayment terms.
Loan Forgiveness Programs
Loan forgiveness programs can wipe out some or all of your medical student loan debt, provided you meet certain criteria. If you work for an eligible nonprofit or public service agency, for example, you may qualify for the Public Service Loan Forgiveness (PSLF) program. With this program, med school grads considering a job with a local, state, tribal, or federal government organization or a nonprofit organization could be eligible for federal Direct Loan forgiveness after 10 years of qualifying payments under an IDR plan.
You may also qualify for a federal or state loan-repayment assistance program if you provide service to certain areas or segments of the population. For instance, the National Health Service Corps Loan Repayment program will erase as much as $75,000 of eligible student debt, tax-free, if you work full-time for at least two years in an approved medical facility.
Student loans from private lenders do not qualify for PSLF.
Student Loan Consolidation
If you’re paying off more than one federal loan, a Federal Direct Consolidation Loan may be an option worth exploring. Consolidation lets you combine different federal student loans into a single new loan with a fixed rate. The new rate is a weighted average of all your federal loan rates, rounded up to the nearest eighth of a percent. This may result in a slightly higher rate than you were paying before on some loans.
When you consolidate, you have the option to choose a new repayment plan that extends the life of the new loan up to 30 years. That can lower your monthly payment, but result in a longer loan repayment term and more interest overall. Keep in mind that you can’t include any private student loans in this type of consolidation loan.
Student Loan Refinancing
With student loan refinancing, you replace your current student loans with one new loan from a private lender. Ideally, the new loan will have a lower interest rate, if you qualify. This, in turn, could lower how much you pay in interest over the life of your loan. Refinancing can also make it easier to manage student loan payments. Instead of bills from different lenders, you get one bill each month from one lender.
You can choose a new length for your loan, which lets you adjust your monthly payments. This may be especially helpful if you choose to refinance during your residency.
It’s important to note, however, that refinancing federal student loans makes them ineligible for federal benefits such as income-driven repayment plans and forgiveness.
Recommended: A Guide to Private Student Loans
The Takeaway
Attending medical school isn’t cheap, and it’s common to graduate with significant student loan debt. The good news is, there are several repayment options that can help you tackle your debt more efficiently and protect your financial health. For example, under an income-driven repayment plan, your monthly payments are based on your discretionary income and family size. You may also qualify for a forgiveness program, which could erase part or all of your balance.
Other options for managing your student loan payments after medical school include federal Direct Loan Consolidation and student loan refinancing.
Looking to lower your monthly student loan payment? Refinancing may be one way to do it — by extending your loan term, getting a lower interest rate than what you currently have, or both. (Please note that refinancing federal loans makes them ineligible for federal forgiveness and protections. Also, lengthening your loan term may mean paying more in interest over the life of the loan.) SoFi student loan refinancing offers flexible terms that fit your budget.
SoFi Student Loan Refinance
Terms and Conditions Apply. SOFI RESERVES THE RIGHT TO MODIFY OR DISCONTINUE PRODUCTS AND BENEFITS AT ANY TIME WITHOUT NOTICE. SoFi Private Student loans are subject to program terms and restrictions, such as completion of a loan application and self-certification form, verification of application information, the student's at least half-time enrollment in a degree program at a SoFi-participating school, and, if applicable, a co-signer. In addition, borrowers must be U.S. citizens or other eligible status, be residing in the U.S., and must meet SoFi’s underwriting requirements, including verification of sufficient income to support your ability to repay. Minimum loan amount is $1,000. See SoFi.com/eligibility for more information. Lowest rates reserved for the most creditworthy borrowers. SoFi reserves the right to modify eligibility criteria at any time. This information is subject to change. This information is current as of 04/24/2024 and is subject to change. SoFi Private Student loans are originated by SoFi Bank, N.A. Member FDIC. NMLS #696891. (www.nmlsconsumeraccess.org).
Terms and conditions apply. SoFi Refinance Student Loans are private loans. When you refinance federal loans with a SoFi loan, YOU FOREFEIT YOUR EILIGIBILITY FOR ALL FEDERAL LOAN BENEFITS, including all flexible federal repayment and forgiveness options that are or may become available to federal student loan borrowers including, but not limited to: Public Service Loan Forgiveness (PSLF), Income-Based Repayment, Income-Contingent Repayment, extended repayment plans, PAYE or SAVE. Lowest rates reserved for the most creditworthy borrowers. Learn more at SoFi.com/eligibility. SoFi Refinance Student Loans are originated by SoFi Bank, N.A. Member FDIC. NMLS #696891 (www.nmlsconsumeraccess.org).
SoFi Private Student Loans
Please borrow responsibly. SoFi Private Student loans are not a substitute for federal loans, grants, and work-study programs. We encourage you to evaluate all your federal student aid options before you consider any private loans, including ours. Read our FAQs.
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