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  • Paying Off Medical School Loans Part 3: Income-Driven Repayment

Paying Off Medical School Loans Part 3: Income-Driven Repayment

For many doctors and residents, income-driven repayment plans can be a great option after medical school, since payments are linked to the ability to pay over time and can lead to potential federal loan forgiveness.

Published August 07, 2024 4 min read
Hands counting coins from a broken piggy bank. Overlay Background

For many med school graduates, Income-Driven repayment (IDR) plans are quite attractive, as their payments are aligned with their ability to pay over time.

In Parts 1 and 2 of our series on paying off your medical school loans, we explored the options of consolidation, forbearance, and forgiveness under the Public Service Loan Forgiveness (PSLF) Program. Now, let’s explore IDR in more depth.

Understanding Income-Driven Payment plans

IDR plans were introduced so borrowers could establish more affordable payments based on their income and family size. The US Department of Education currently offers multiple IDR plans for Federal Direct Loans. Use the table below to compare IDR options:

IDR Comparison Chart

Applications for IDR plans and loan consolidation are available on http://studentaid.gov. You can also submit a PDF application to your loan servicer by uploading it to your servicer’s website or mailing it to them. Expect a delay in processing times.
Plan Monthly Payments Repayment Period Status
Income-Based Repayment (IBR)
  • 10-15% of your discretionary income (and your spouse’s if filing jointly)
  • Never more than federal 10-year Standard Repayment Plan amount
20-25 years, depending on when you become a new borrower Accepting new enrollments.
Income-Contingent Repayment (ICR)

The lesser of the following:

  • 20% of your discretionary income or
  • What you would pay on a repayment plan with a fixed payment over the course of 12 years, adjusted according to your income
25 years Accepting new enrollments.
Pay as You Earn (PAYE)
  • 10% of your discretionary income (and your spouse’s if filing jointly)
  • Never more than federal 10-year Standard Repayment Plan amount
20 years Accepting new enrollments.

Challenges to SAVE: Multiple legal challenges made by states to the Saving on A Valuable Education (SAVE) plan could impact implementation of key aspects of the plan. For the most up-to-date developments, visit studentaid.gov.

The monthly payment amount under these IDR plans is calculated by determining your discretionary income. And each plan requires payments equal to specific percentages of your discretionary income for various lengths of time.

Under each of these plans, the balances of your qualifying federal student loans may be forgiven if your loans are not paid off at the end of the repayment period. For many physicians, an IDR plan offers a path to student loan forgiveness and some also offer interest subsidies.

IDR plans are generally more affordable during residency. However, if your salary rises considerably after residency and fellowship, expect your monthly payment amounts to increase proportionally.

The most up-to-date information on IDR plans can be found at https://studentaid.gov/manage-loans/repayment/plans/income-driven and https://studentaid.gov/manage-loans/repayment/plans/income-driven/questions.

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