
Student loan debt has become a significant burden for many, with the national student loan debt in the US reaching an estimated $1.3 trillion. For those pursuing careers as physician assistants (PAs), the average student loan debt upon graduation is around $115,000. With such substantial financial obligations, it is important to understand the options available for repayment and the potential timelines involved. Various factors influence the duration it takes to pay off PA student loans, including income, interest rates, and the choice between different repayment plans.
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What You'll Learn

Loan forgiveness programs
Public Service Loan Forgiveness (PSLF)
The PSLF program is available for eligible employees working in public service. After making 120 qualifying payments, participants can have the remaining balance on their Federal Direct Student Loans forgiven. This program is subject to continued federal funding and additional eligibility requirements.
State Loan Repayment Program (SLRP)
The SLRP is a federally-funded program that provides grants to states and territories to support state educational loan repayment initiatives. This program is designed for primary care providers, including PAs, who work in underserved areas. The length of service and loan forgiveness amounts vary by state, and not all states offer SLRP.
Perkins Loans Forgiveness
Perkins Loans are targeted towards students with exceptional financial needs. These loans may be completely forgiven (up to 100%) over a 5-year period if the borrower maintains full-time employment as a PA.
National Health Service Corps (NHSC)
The NHSC is the largest loan forgiveness program and offers $50,000 in student loan repayment for 2 years of service in underserved communities. Both federal and private educational loans are eligible for forgiveness under this program.
State-Specific Forgiveness Programs
Some states, like Pennsylvania, offer student loan forgiveness programs for specific professions. For example, Pennsylvania provides loan forgiveness for doctors and lawyers who practice in designated Health Professional Shortage Areas and underserved communities.
While loan forgiveness programs can provide significant relief, it's important to carefully consider the terms and conditions. Some programs may require working in specific locations or for certain employers, and breaking the contract can result in financial penalties. Additionally, income-driven repayment plans may not always be the most cost-effective option, as they can result in paying more overall. Therefore, it's advisable to explore various repayment strategies, such as refinancing to lower interest rates, and consult specialized platforms to find the best approach for your specific situation.
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Refinancing
When considering refinancing, it is important to keep in mind that refinancing federal loans turns them into private loans, resulting in the loss of access to federal repayment programs and protections, such as federal income-driven repayment plans, economic hardship deferment, and public service loan forgiveness. For this reason, refinancing may not be the best choice for everyone. However, it can make a significant difference in the right circumstances.
There are several benefits to refinancing student loans. Firstly, it can help to lower monthly payments by extending the loan term, freeing up money in the budget. Secondly, choosing a shorter loan term can help pay off the loan faster and reduce the overall interest paid. Refinancing also simplifies payments by combining multiple loans into one, making repayment easier to manage. Additionally, if your credit score has improved, refinancing can help remove a cosigner from the loan.
When comparing lenders, it is important to consider not just the interest rates (fixed vs. variable) but also the repayment terms and monthly payments. Some lenders offer perks like autopay discounts or loyalty rewards, but these may be lost if you refinance. It is also worth noting that refinancing federal loans may result in paying more interest over the life of the loan.
Overall, refinancing student loans can be a smart financial decision, but it is important to carefully consider the benefits and drawbacks before making any decisions.
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Income-driven repayment plans
The average student loan debt for PA students upon graduation is $116,773, and it can go as high as $170,000. While there are many loan repayment programs available, most new-graduate PAs do not participate in loan forgiveness programs.
- Income-Based Repayment (IBR) Plan: This plan sets your monthly payments at 10% or 15% of your discretionary income, depending on when you took out your loans. The remaining balance is typically forgiven after 20 or 25 years of repayment.
- Pay As You Earn (PAYE) Plan: Under this plan, your monthly payments are capped at 10% of your discretionary income. The payment amount is adjusted annually based on your income and family size. Any remaining balance is forgiven after 20 years of repayment.
- Revised Pay As You Earn (REPAYE) Plan: Similar to PAYE, your monthly payments are capped at 10% of your discretionary income. However, there is no limit on the amount that can be forgiven, and any remaining balance is forgiven after 20 years of repayment for undergraduate loans and 25 years for graduate or professional study loans.
- Income-Contingent Repayment (ICR) Plan: This plan calculates your monthly payments based on your income, family size, and total loan amount. Your payments can be as low as 20% of your discretionary income, and any remaining balance is forgiven after 25 years of repayment.
It is important to note that while income-driven repayment plans can provide some financial flexibility, they may not always be the most cost-effective option in the long run. Additionally, the specific terms and availability of these plans may vary depending on federal regulations and the lending institution.
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Employer-based repayment plans
The average student loan debt for PA students upon graduation is $116,773, and it can go as high as $170,000. As a result, many PAs opt for employer-based repayment plans.
Private companies are increasingly offering student loan repayment assistance programs, and in 2024, 14% of companies offered this benefit, up from 4% in 2019. Some employers that offer student loan repayment benefits include firms like Ally Financial, Chegg, Google, and Fidelity. These employer student loan repayment programs can provide up to $5,250 in student loan repayment annually as a tax-free benefit for employees.
There are different types of employer repayment plans:
- Signing bonus: Some employers offer a lump-sum payment as a signing bonus when an employee first starts.
- Recurring payments: Employers can make direct payments to the lender on the employee's behalf.
Loan forgiveness programs
Some PAs may also consider loan forgiveness programs, such as the National Health Service Corps (NHSC) program, which offers $50,000 in student loan repayment in exchange for two years of service in a high-need, underserved area. Additionally, the State Loan Repayment Program (SLRP) is a federally-funded program that provides cost-sharing grants to help fund state educational loan repayment programs for primary care providers working in underserved areas.
PAYE (income-driven repayment) plans
Another option is PAYE (income-driven repayment) plans, which offer lower monthly payments but take longer to pay off, typically over 20 years. This option may result in paying more overall, as the full amount must be repaid before any loan forgiveness applies.
Refinancing
Lastly, refinancing to a lower interest rate is another strategy. This approach involves getting the lowest interest rate possible and committing to paying back the loan in 10 years or less. This option may require higher monthly payments but can save money overall compared to PAYE plans.
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Federal student loan borrowers
As a federal student loan borrower, you have several options for repaying your PA student loans. The standard repayment plan for federal student loans is 10 years, but there are other options that can reduce your monthly payments or provide loan forgiveness in exchange for service. Here are some options to consider:
Income-Driven Repayment (IDR) Plans: Federal student loan borrowers may qualify for an IDR plan, which can reduce your monthly payment amount, even to as low as $0. IDR plans also provide forgiveness on your remaining balance after 10, 20, or 25 years of repayment, depending on the plan and your financial situation. An example of an IDR plan is the Saving on a Valuable Education (SAVE) plan.
Public Service Loan Forgiveness (PSLF): If you work for a government agency or a qualifying nonprofit organization, you may be eligible for PSLF. This option forgives your remaining loan balance after a certain period of employment in public service.
Perkins Loans: Perkins Loans are available to undergraduate, graduate, and professional students with financial need. These loans may be forgiven up to 100% over a 5-year period if you work full-time as a PA.
State Loan Repayment Program (SLRP): This is a federally-funded program that provides grants to states and territories to help fund loan repayment programs for primary care providers working in underserved areas. The length of service and loan forgiveness amount vary by state.
National Health Service Corps (NHSC): This is the largest loan forgiveness program. It offers $50,000 in student loan repayment in exchange for 2 years of service in a high-need, underserved area. Both federal and private educational loans are eligible for forgiveness under this program.
Additionally, you may consider refinancing your student loans to get a lower interest rate, which can help you pay off your debt sooner and reduce the overall cost. However, refinancing federal student loans into private loans will cause you to lose access to federal benefits like IDR plans and loan forgiveness programs. Therefore, carefully consider your options and financial situation before deciding on a repayment strategy.
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Frequently asked questions
The time taken to pay off PA student loans varies depending on the loan repayment program chosen. Some people opt for a 10-year repayment plan, while others may choose a 20-year plan. Some PAs aim to pay off their loans in 3 years or less. The standard repayment plan is 10 years, but this may be too high for some new graduates.
There are a few options for PA student loan repayment. One option is to join an employer-based loan repayment plan. Another option is to participate in loan forgiveness programs, such as the National Health Service Corps (NHSC) program, which offers $50,000 in loan repayment funds in exchange for 2 years of service in underserved areas. Additionally, there are income-driven repayment plans (IDR) that can reduce monthly payments and provide forgiveness on the remaining balance after 10, 20, or 25 years.
The average PA student loan debt varies depending on the source, but it seems to be around $110,000 to $120,000. According to a 2019 study, the median student loan debt for PAs is $112,500, while the average student loan debt for PA students upon graduation is $116,773.











































