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Will Work for Student Loan Forgiveness

Find out about programs that offer to eliminate some or all of a person's qualifying student loan debt.

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Achieving a degree of any kind - from a certification to a PhD - is no easy feat. It also doesn't come cheaply.

A four-year nursing degree can range between $25,000 for in-state and/or public school to upwards of $100,000 for non-resident and/or a private school. A nurse practitioner degree also can leave students with debt nearing $100,000. Average debt for those completing medical degrees ranges from $162,000 to $205,674, according to 2012 data from the Association of American Medical Colleges (AAMC) and the American Association of Colleges of Osteopathic Medicine. Up to 91 percent of medical students graduate with debt of some kind, and three-quarters of medical students graduate with debt greater than $100,000, according to the American Medical Association.

Repayment terms can vary depending on the lender. For example, federal Stafford and Perkins loans usually have a repayment term of 10 years. Federal consolidation loans can be repaid in up to 30 years, while private loans will usually carry terms between 10 years and 25 years. Some students may have undergraduate loans (the national average is $29,000) on top of medical school loans that have the same repayment terms, adding to an already heavy burden.

Below is an example of an AAMC Medloans Calculator readout, based on a student borrowing approximately $64,500 per year for medical school. It's easy to see the high debt burden. The calculator can help determine someone's repayment obligation based on information provided, and it also can provide income-based repayment (IBR) and public service loan forgiveness (PSLF) estimates as well.

Parameters: 
• IBR/Forbearance: IBR
• Residency/Fellowship: Three Years
• Amount Borrowed: $194,000
• Residency Salary: $40,000 ($3,333/monthly)
• Post-Residency Salary: $100,000 ($8,333/monthly).
Note: These are estimates only, based on federal regulations, and are subject to change. Contact your lender/servicer(s) to discuss your exact balance and payment amounts. For questions regarding the Medloans Calculator contact first@aamc.org.

Standard Repayment
Total: $256,970
Monthly: $2,777
Mo. Payment: 33%

Graduated Repayment
Total: N/A
Monthly: N/A - 2 years
Monthly: N/A - 8 years
Mo. Payment: N/A - 2 years
Mo. Payment: N/A - 8 years

Extended Repayment
Total: $387,715
Monthly: $1,405
Mo. Payment: 17%

Income Based Repayment
Total: $421,238
Monthly: $1,013 - 2,211
Mo. Payment: 12%
IBR Forgiven: $8,646
PSLF Forgiven: $188,887

As a way to attract healthcare practitioners into areas of clinical need, into the military, or even into volunteer opportunities, the federal government, state governments, and some private organizations have developed programs that offer to eliminate some or all of a person's qualifying student loan debt. Most loans that are forgiven, however, are considered to be taxable income by the federal government. Here is a brief synopsis of some of the available programs.

Public Service Loan Forgiveness
This is a government program that offers loan forgiveness for the remaining balance (including interest) after the borrower has made 120 monthly payments while working in a qualifying public service position. Click here for more information from the AAMC and either here or here for information from the U.S. Department of Education.

Income-Based Repayment Plan
This is another government plan that determines monthly loan payments based on income and family size. After 25 years of repayment, as well as the meeting of other requirements, the remainder of the loan may be forgiven. Visit the U.S. Department of Education for more information.

National Health Service Corps (NHSC)
The NHSC offers three loan repayment options for primary care (medical, dental, mental and behavioral health) providers who are employed or are seeking employment at approved sites in communities across the country that are in need of practitioners.

Nursing Education Loan Repayment Program
The Nursing Education Loan Repayment Program is a selective government program that helps alleviate the critical shortage of nurses by offering loan repayment assistance to registered nurses and advanced practice registered nurses in return for working in a critical shortage facility, and nurse faculty in return for working full time at an accredited school of nursing.  The service commitment is two years; participants receive 60 percent of their total qualifying nursing education loan balance, with additional benefits for a third year of service.

U.S. National Institutes of Health (NIH) Loan Repayment Program (LRP)
The NIH LRP offers to repay student loans based on a legally binding commitment to conduct qualifying health research for at least two years. The LRP was launched in 1988 to attract scientists into AIDS research, and it has continued ever since.

Indian Health Service (IHS) Loan Repayment Program (LRP)
The mission of the Indian Health Service is to care for the physical, mental, social, and spiritual health of American Indians and Alaska Natives. The IHS LRP was created to support this mission by providing health professionals the financial freedom to fulfill their career goals. The LRP awards up to $20,000 per year toward the repayment of qualified student loans in exchange for an initial two-year service obligation to practice full-time at a Native American health program site.

U.S. Military
The U.S. Navy and Army National Guard have loan repayment programs. For just about every specialty or field within the Army Medical Department, the Guard offers a bonus and/or student loan repayment program to make your service financially commensurate with your profession. With a three-year service agreement, medical professionals can receive a special pay bonus of up to $25,000. The Navy offers up to $40,000 per year of school for every two years of active duty.

State/Federal Programs
As of 2012, there are more than 50 loan repayment/loan forgiveness programs available via the government, federal and state. States with the most options include Minnesota (nine programs); Vermont (four); California and Tennessee (three); Arizona, Maryland, Montana, Missouri, and North Dakota (two). Most other states have some sort of program. Click here for a list compiled by the AAMC that's broken down by state. Be sure to visit your own state's department of health website. For example, here is a Nursing Student Loan Forgiveness Program offered by the State of Florida that is not found on the AAMC list.

Private/Institutional Programs
It's not uncommon for private healthcare-sector employers to pay back remaining debt (or debt in full) in return for an agreement to work for them for a specified period of time. In an annual retention survey conducted by Cejka Search and the American Medical Group Association in 2012, 35 percent of medical groups surveyed had offered loan repayment to candidates in the past year, and they included it in about 25 percent of packages. Many of these programs are offered in rural areas where it's difficult for employers to attract and retain healthcare professionals. When job-searching or interviewing for positions, do a little research or call and ask a human resources representative for information.

Chris Kinsey is a freelance writer.

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It appears that ABA Therapists (Applied Behavior Analysis) do not qualify for student loan forgiveness... That really bothers me... I went to college. I earned my BS Degree. I took and passed the MTEL's. I have worked with some of the most challenging and rewarding students with severe special needs (full-time for almost 10 years), in both private and public schools. However, I don't qualify for student loan forgiveness? I feel defeated. MA recognizes that individuals with special needs (i.e., Autism) need individualized medical and behavioral treatment, yet us therapists are not as significant as classroom teachers? Really?

Christine April 17, 2014
MA



Hello Dan, thanks for your comment. It's true that the magazine/website ADVANCE for Physical Therapy & Rehab Medicine focuses primarily on the field of rehab with our editorial content. However, the overall ADVANCE family of magazines/websites caters to many other healthcare professions as well. Occasionally we share articles that have been published by other ADVANCE magazines/websites because they pertain to general healthcare topics that we believe could be of interest to our readers.

Brian Ferrie,  ADVANCE for PTMarch 15, 2013



I have made this comment before, but why do articles on a website titled Advance for Physical Therapy and Rehab Medicine start out talking about nursing. I think it is absolutely ridiculous. It would have been more appropriate to give examples of the cost of PT and PTA education. I would love to hear an editor give an explanation on why this continues to happen.

Dan March 14, 2013
FL



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