The Best Way to Pay Off $250,000 in Student Loans
There are many ways to pay off your student loans, but the “best” way for you may not be the cheapest at first glance. Three doctors’ stories show how income-driven repayment plans and loan forgiveness programs can play key roles in the decision.


Anyone who graduates with a massive pile of student debt has some tough choices to make. Refinance to a seemingly cheaper private loan? Keep your federal student loan and pay it off in the standard way? Take advantage of forbearance to put payments off? A look at three new doctors, each facing $250,000 in debt, highlights some shocking differences between each choice.
As their cases illustrate, oftentimes the best option isn’t the most obvious, and one repayment method could save almost $200,000 over the life of the loan.
Sarah Was Tempted to Go Private, But Then …
In my previous article about private student loans, I stressed that students should consider taking out federal student loans before taking out any private loans. Federal student loans have protections and benefits that private student loans most likely don’t. Federal loans can be discharged if the borrower dies or becomes totally and permanently disabled. Also, borrowers may have access to income-driven repayment (IDR) plans and loan forgiveness programs.

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Sarah was my example in that article. She is a physician making $250,000 a year and has a federal loan balance of $250,000 with a 6% interest rate and monthly payments of $2,776 over 10 years. Sarah learned she could lower her payment to $2,413 a month by privately refinancing her federal loans — potentially saving her $43,000 over 10 years. But are there any benefits for Sarah to keep her loans in the federal system?
What if she were thinking about starting a family and possibly working part time in a few years? If she refinanced to a private loan, her payments would be locked in at $2,413 a month even as her income temporarily fell while working part time.
If she kept her loans under the federal system, Sarah would have some flexibility over the amount she must pay every month. First, she can pay more than her minimum monthly amount in any repayment plan if she wants to pay her loans off faster. She may also have the option to enroll in an income-driven repayment plan and make much lower payments when and if her income decreases.
Under income-driven repayment (IDR) plans, the borrower’s minimum monthly payment is calculated based on a portion of their income. The borrower may not be required to pay back the full amount of the loan. That is unlike the federal standard repayment plan or private loans, which require the borrower to pay the principal and the interest of the loan in full over a specified term. For example, if Sarah got married, had a child, and her income temporarily decreased to $150,000, she may qualify for one of the IDR plans, such as the Pay As You Earn (PAYE) repayment plan. Then her monthly minimum payment could be reduced to $978.
So, for Sarah, the possibility of $43,000 in savings from a private loan might not be as good as it sounded at first glance. The federal loan’s flexibility for changing life circumstances may be worth it for her.
Jimmy and Tom Are Leaning Toward Forbearance (But That Would be a Mistake)
To see how income-driven repayment (IDR) plans and forgiveness programs work together, let’s look at another example. Jimmy is a recent medical school graduate making $60,000 a year in a residency program with $250,000 of federal student loans. He feels that it would be difficult to pay $2,776 every month in the 10-year standard plan or $2,413 a month after refinancing. He is wondering if he should apply for forbearance to suspend payments until he can afford the high payments as an attending physician, just as one of his classmates from medical school, Tom, decided to do after graduation.
My answer to that question is no. Instead of applying for forbearance, Jimmy should consider enrolling in an IDR plan (and so should Tom). For example, in the Revised Pay As You Earn (REPAYE) repayment plan, he would be required to make monthly payments based on 10% of his income for a maximum of 25 years, and the remaining balance would be forgiven and taxed as income. If Jimmy’s loans are eligible for REPAYE, his monthly payment would start at $337, which would free up $2,439 a month compared to the standard plan!
But why should Jimmy choose to make payments when he has the option to suspend payments using Medical Residency Forbearance? It becomes apparent when you consider how forgiveness programs work. To see how much they could potentially save with one of the forgiveness programs, let’s say that both Jimmy and Tom will be working for a not-for-profit or a government employer while they repay their loans, making them candidates for Public Service Loan Forgiveness (PSLF).
Under the PSLF program, Jimmy would only make 120 payments in an IDR plan (REPAYE in his case) based on his income and get the remaining balance forgiven tax-free, which means that he should try to repay as little as possible. Assuming that he gets his monthly payments calculated based on his resident salary of $60,000 for five years before he starts making $250,000, he can be done with his loan payments after 10 years of payments totaling about $141,000!
Compared to the standard 10-year repayment plan — in which he pays a total of $333,061, including principal and interest — he would save over $190,000 by pursuing Public Service Loan Forgiveness.
Making Low IDR Payments May Be Better Than No Payment
Because Jimmy started his PSLF-qualifying payments based on his lower salary as a resident, he gets his loans forgiven earlier and pays less in total compared to Tom, who chose forbearance and waited to enroll in an IDR plan and pursue PSLF until after residency. Assuming that Tom had the same loans and circumstances as Jimmy but made all of his PSLF-qualifying payments based on a $250,000 salary, Tom would pay a total of around $263,000, which is over $121,000 more than what Jimmy paid in total.
As you can see, it is important to explore your options if you have student loans (especially federal student loans) and have a strategy that aligns with your life and career plans. It can save you tens or hundreds of thousands of dollars.
Perhaps more importantly, knowing that you have a plan and are in control of your debt can help you prepare for life events and give you peace of mind. However, it is a complicated process full of traps. If you are not sure what to do with your student loans, contact a professional who has specialized knowledge of student loans!

Saki Kurose is a Certified Student Loan Professional (CSLP®) and a candidate for the CFP® certification. As an associate planner at Insight Financial Strategists, she enjoys helping clients through their financial challenges. Saki is particularly passionate about working with clients with student loans to find the best repayment strategy that aligns with their goals.
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