A career in nursing is a great choice for many reasons: You get to help people and earn employable skills and a good salary. In fact, the mean salary for a registered nurse in May 2017 was around $74,000 a year, according to the Bureau of Labor Statistics.
But despite those positives, there’s one major drawback: nursing loans. In a 2016 survey, graduate-level nursing students said they expected to leave their program with a median debt of $40,000 to $54,999, according to a report from the American Association of Colleges of Nursing (AACN).
If you’re feeling the burden of paying off your student loans before even seeing a patient, know you have options. Here are some nursing school loan repayment options you should consider.
How to pay off nursing loans
In 2016, 69% of graduate nursing students took out federal loans, according to the AACN report. These loans are put on a 10-year repayment plan. But you have other ways of repaying your federal debt.
Graduated Repayment Plan
With this plan, your payments start at a lower amount and then increase about every two years. Although you’ll still pay off your loan in 10 years, this repayment plan makes it easier to afford your payments when you’re first starting out.
Extended Repayment Plan
You must have over $30,000 worth of Direct Loans or Federal Family Education Loans (FFEL) to qualify for this repayment plan. Payments can either be fixed or graduated. Although you’ll end up paying more overall, your loan will be paid off within 25 years.
Income-driven repayment (IDR) plans
Among graduate nursing students who took out federal student loans, only 22% surveyed by the AACN planned to take advantage of an IDR plan.
Enrolling in an IDR plan could lower your monthly payments since the amount you pay would be based on a percentage of your discretionary income. You might not even have to make a payment. This is especially helpful if you’re just starting your nursing career and don’t have extra cash available.
Here are the four main options available:
Remember that eligibility requirements vary by option. Your repayment period would also become either 20 or 25 years. That could mean you’ll be in debt longer and pay more in interest over time.
Direct Consolidation Loan
If you took out multiple federal loans, you could combine them with a Direct Consolidation Loan. That way, you’d have only one monthly payment to make. Although you’d lower your monthly payments, your interest rate could rise with a Direct Consolidation Loan.
Further, if you’ve been working toward loan forgiveness under an IDR plan or through another program, consolidating your loans would erase your progress.
Refinancing nursing school loans
While you might have scored some grants and scholarships, you might have taken out nursing loans to fill a funding gap. Whether you have federal or private student loans, refinancing can help you reduce your payments and interest charges.
With student loan refinancing, you take out a new loan with a private lender to pay off existing education debt. You could get a better interest rate or repayment schedule on the new loan. But there are many pros and cons of refinancing to consider.
Here are some benefits to refinancing your nursing loans:
You could get a lower interest rate: One of the main reasons to refinance your loans is to reduce the interest you pay over time. Shopping around to find a lender who will give you a lower rate than your current one could lead to major savings.
Consolidate monthly payments: If you have multiple student loans, you could combine them into one loan. You’d then have only one monthly payment to manage.
But, you should consider some drawbacks before taking out a new loan:
Repayment terms aren’t as flexible: Federal student loans have many repayment plan options. If you refinanced your federal education debt into a private loan, you’d lose access to IDR plans.
You lose access to federal protections: Private loans aren’t eligible for federal forbearance, deferment, or forgiveness programs.
Student loan forgiveness for nurses
If you have federal education debt from nursing school, you could qualify for these student loan forgiveness programs.
Public Service Loan Forgiveness (PSLF)
The AACN report found that 57% of surveyed nurses planned to take advantage of PSLF. Under this program, you could have certain federal debt forgiven after you make 120 qualifying payments.
To be eligible for this program, you must work full time for a qualifying employer, such as a government or nonprofit organization. You should also be making payments under an IDR plan.
Only Direct Loans qualify for PSLF. If you have an FFEL or Perkins Loan, you’ll need to consolidate it into a Direct Consolidation Loan before the payments you make would qualify for PSLF. Note that any payments you made on an FFEL or Perkins Loan before consolidation won’t count toward PSLF.
Be sure that using this program is worth the 10 years of service. You can do this by using our PSLF calculator.
Federal Perkins Loan cancellation
Have a Federal Perkins Loan? Work full time as a nurse? Then 100% of your loan could be canceled or discharged.
To qualify for loan cancellation, you must work full time as a nurse or medical technician and provide services directly to patients.
To have your Perkins Loan discharged, you must meet one of these conditions:
- School closure
- Total and permanent disability
- Disability due to military service
- Spouse of a victim of 9/11
It’s important to note that the Perkins Loan program expired on Sept. 30, 2017. So, you must have borrowed before that date to be eligible.
Military repayment programs for nursing loans
Members of the armed forces could qualify for certain repayment programs. Consider the following.
Air Force Active Duty Health Professions Loan Repayment Program (ADHPLRP)
The Air Force is in need of medical professionals and seeks out nurses. To incentivize nurses into the military, the ADHPLRP offers student loan repayment up to $40,000. This is in exchange for a minimum of two years of active-duty obligation or one year for each annual payment, whichever is greater.
Health Professionals Loan Repayment Program (HPLRP)
Nurses can get repayment assistance of a maximum of $40,000 per year minus taxes. Among other criteria, you’ll need to serve in the armed forces as an officer in the selected reserve. Only certain loans, such as those in the Direct Loan Program, are eligible. Be sure to check if your loans qualify.
Active Duty Health Professions Loan Repayment Program
Through the Army, nurses can get up to $120,000 (or $40,000 a year) of loan repayment for three years of service. You can also get a sign-up bonus of up to $10,000. That will certainly make a dent in your student loan debt.
Healthcare Professional Loan Repayment Program
As a member of the health care team for the U.S. Army Reserve, you could earn up to $50,000 in nursing loans repayment. You get $20,000 a year for two consecutive years of service, plus $10,000 for a third year. You might also be eligible to participate in another incentive program.
Other government-sponsored repayment programs
In addition to offering loan forgiveness and repayment for military service, the government has other programs to help you repay your nursing school debt.
National Health Service Corps (NHSC) Loan Repayment Program
In an attempt to bring better medical care to underserved areas, the NHSC has a program that pays up to $50,000 toward your loans in exchange for two years of service. The amount repaid on your nursing loans is dependent on the area you serve.
NHSC Zika Loan Repayment Program
As part of an effort to help areas affected by the Zika virus, the NHSC is looking for nursing specialists willing to work for three years at approved sites. For your commitment, the organization will repay up to $70,000 of your nursing loans.
The Indian Health Service (IHS) Loan Repayment Program
IHS clinicians who serve American Indian or Alaska Native communities can get help repaying student debt. In exchange for two years of service, you can earn up to $40,000 in loan repayment. You might be eligible for more money with additional service.
NURSE Corps Loan Repayment Program
In exchange for working full time for two years in a high-need facility, you can get up to 60% of your student loan debt forgiven. An additional 25% of your original balance can be forgiven for your third year of service.
Nursing loan repayment assistance programs by state
There are many state-sponsored programs that help nurses pay back student loans. Check out these student loan forgiveness programs for nurses. Just know that these programs can change and are dependent on funding.
Paying back your nursing school loans
Although you might be overwhelmed with student loan debt from nursing school, you should feel more confident knowing that there are tons of loan repayment options. Whether you choose a federal repayment plan, refinance or consolidate your loans, or sign up for a military program, reducing your debt is possible.
Interested in refinancing student loans?Here are the top 7 lenders of 2019!
|Lender||Variable APR||Eligible Degrees|
|Check out the testimonials and our in-depth reviews!
1 Important Disclosures for Earnest.
To qualify, you must be a U.S. citizen or possess a 10-year (non-conditional) Permanent Resident Card, reside in a state Earnest lends in, and satisfy our minimum eligibility criteria. You may find more information on loan eligibility here: https://www.earnest.com/eligibility. Not all applicants will be approved for a loan, and not all applicants will qualify for the lowest rate. Approval and interest rate depend on the review of a complete application.
Earnest fixed rate loan rates range from 3.45% APR (with Auto Pay) to 7.49% APR (with Auto Pay). Variable rate loan rates range from 2.14% APR (with Auto Pay) to 6.79% APR (with Auto Pay). For variable rate loans, although the interest rate will vary after you are approved, the interest rate will never exceed 8.95% for loan terms 10 years or less. For loan terms of 10 years to 15 years, the interest rate will never exceed 9.95%. For loan terms over 15 years, the interest rate will never exceed 11.95% (the maximum rates for these loans). Earnest variable interest rate loans are based on a publicly available index, the one month London Interbank Offered Rate (LIBOR). Your rate will be calculated each month by adding a margin between 1.82% and 5.50% to the one month LIBOR. The rate will not increase more than once per month. Earnest rate ranges are current as of September 6, 2019, and are subject to change based on market conditions and borrower eligibility.
Auto Pay discount: If you make monthly principal and interest payments by an automatic, monthly deduction from a savings or checking account, your rate will be reduced by one quarter of one percent (0.25%) for so long as you continue to make automatic, electronic monthly payments. This benefit is suspended during periods of deferment and forbearance.
The information provided on this page is updated as of 09/06/2019. Earnest reserves the right to change, pause, or terminate product offerings at any time without notice. Earnest loans are originated by Earnest Operations LLC. California Finance Lender License 6054788. NMLS # 1204917. Earnest Operations LLC is located at 302 2nd Street, Suite 401N, San Francisco, CA 94107. Terms and Conditions apply. Visit https://www.earnest.com/terms-of-service, email us at firstname.lastname@example.org, or call 888-601-2801 for more information on our student loan refinance product.
© 2018 Earnest LLC. All rights reserved. Earnest LLC and its subsidiaries, including Earnest Operations LLC, are not sponsored by or agencies of the United States of America.
2 Important Disclosures for SoFi.
3 Important Disclosures for Laurel Road.
Laurel Road Disclosures
However, if the borrower chooses to make monthly payments automatically by electronic funds transfer (EFT) from a bank account, the fixed rate will decrease by 0.25%, and will increase back up to the regular fixed interest rate described in the preceding paragraph if the borrower stops making (or we stop accepting) monthly payments automatically by EFT from the designated borrower’s bank account.
However, if the borrower chooses to make monthly payments automatically by electronic funds transfer (EFT) from a bank account, the variable rate will decrease by 0.25%, and will increase back up to the regular variable interest rate described in the preceding paragraph if the borrower stops making (or we stop accepting) monthly payments automatically by EFT from the designated borrower’s bank account.
All credit products are subject to credit approval.
Laurel Road began originating student loans in 2013 and has since helped thousands of professionals with undergraduate and postgraduate degrees consolidate and refinance more than $4 billion in federal and private school loans. Laurel Road also offers a suite of online graduate school loan products and personal loans that help simplify lending through customized technology and personalized service. In April 2019, Laurel Road was acquired by KeyBank, one of the nation’s largest bank-based financial services companies. Laurel Road is a brand of KeyBank National Association offering online lending products in all 50 U.S. states, Washington, D.C., and Puerto Rico. All loans are provided by KeyBank National Association, a nationally chartered bank. Member FDIC. For more information, visit www.laurelroad.com.
4 Important Disclosures for Splash Financial.
Splash Financial Disclosures
Terms and Conditions apply. Splash reserves the right to modify or discontinue products and benefits at any time without notice. Rates and terms are also subject to change at any time without notice. Offers are subject to credit approval. To qualify, a borrower must be a U.S. citizen or permanent resident in an eligible state and meet applicable underwriting requirements. Not all borrowers receive the lowest rate. Lowest rates are reserved for the highest qualified borrowers.
5 Important Disclosures for CommonBond.
Offered terms are subject to change. Loans are offered by CommonBond Lending, LLC (NMLS # 1175900). If you are approved for a loan, the interest rate offered will depend on your credit profile, your application, the loan term selected and will be within the ranges of rates shown. All Annual Percentage Rates (APRs) displayed assume borrowers enroll in auto pay and account for the 0.25% reduction in interest rate. All variable rates are based on a 1-month LIBOR assumption of 2.19% effective August 10, 2019.
6 Important Disclosures for LendKey.
Refinancing via LendKey.com is only available for applicants with qualified private education loans from an eligible institution. Loans that were used for exam preparation classes, including, but not limited to, loans for LSAT, MCAT, GMAT, and GRE preparation, are not eligible for refinancing with a lender via LendKey.com. If you currently have any of these exam preparation loans, you should not include them in an application to refinance your student loans on this website. Applicants must be either U.S. citizens or Permanent Residents in an eligible state to qualify for a loan. Certain membership requirements (including the opening of a share account and any applicable association fees in connection with membership) may apply in the event that an applicant wishes to accept a loan offer from a credit union lender. Lenders participating on LendKey.com reserve the right to modify or discontinue the products, terms, and benefits offered on this website at any time without notice. LendKey Technologies, Inc. is not affiliated with, nor does it endorse, any educational institution.
7 Important Disclosures for College Ave.
College Ave Disclosures
College Ave Student Loans products are made available through either Firstrust Bank, member FDIC or M.Y. Safra Bank, FSB, member FDIC. All loans are subject to individual approval and adherence to underwriting guidelines. Program restrictions, other terms, and conditions apply.
1College Ave Refi Education loans are not currently available to residents of Maine.
2All rates shown include autopay discount. The 0.25% auto-pay interest rate reduction applies as long as a valid bank account is designated for required monthly payments. Variable rates may increase after consummation.
3$5,000 is the minimum requirement to refinance. The maximum loan amount is $300,000 for those with medical, dental, pharmacy or veterinary doctorate degrees, and $150,000 for all other undergraduate or graduate degrees.
4This informational repayment example uses typical loan terms for a refi borrower with a Full Principal & Interest Repayment and a 10-year repayment term, has a $40,000 loan and a 5.5% Annual Percentage Rate (“APR”): 120 monthly payments of $434.11 while in the repayment period, for a total amount of payments of $52,092.61. Loans will never have a full principal and interest monthly payment of less than $50. Your actual rates and repayment terms may vary.
Information advertised valid as of 08/01/2019. Variable interest rates may increase after consummation.
|2.14% – 6.79%1||Undergrad & Graduate|
|2.14% – 7.71%2||Undergrad & Graduate|
|2.43% – 6.65%3||Undergrad & Graduate|
|2.43% – 7.60%4||Undergrad & Graduate|
|2.14% – 8.01%5||Undergrad & Graduate|
|2.06% – 8.93%6||Undergrad & Graduate|
|2.74% – 7.24%7||Undergrad & Graduate|