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Student Loans

Best Medical School Loans

Updated Aug 31, 2023   |   11-min read

The high cost of medical school means most students take out loans to pay for college. You should always rely on federal student loans first because they have lower interest rates, more repayment options, and more loan forgiveness programs.

If you don’t qualify for federal student loans, the next step is to shop around for a private medical school loan to cover the rest of your expenses.

In this guide:

Best medical school loans

You should compare federal and private loans when deciding between medical school loans. But not all private lenders are equal, so you must carefully compare their interest rates, repayment terms, and other characteristics.

Loan/CompanyRates (APR)Total loan amount
Direct Unsubsidized Loan*5.28%Varies
Grad PLUS Loan*6.28%Varies
College Ave1.99%11.46%$1,000 – $150,000
Earnest0.94%10.99%$1,000 – 100% of school-certified cost of attendance
Ascent1.62%14.52%1$2,001 – $400,000
Sallie Mae2.62%11.97% $1,000 – 100% of school-certified cost of attendance

*This is a federal student loan.

Federal loans for medical school

The two types of federal student loans you can use for medical school are Direct Unsubsidized Loans and Direct or Grad PLUS Loans. You can apply for federal medical school loans by completing the Free Application for Federal Student Aid (FAFSA) each year.

You should get the maximum amount of federal student aid first because:

  • You can get loans at low fixed interest rates. Federal student loan rates are set each year, and your rate won’t change for the entire repayment term.
  • You have repayment flexibility. You can change your payment plan as needed and choose an income-driven repayment plan or a plan where payments increase over time. You can also put your loans into forbearance or deferment if you can’t afford payments.
  • Grace periods are standard. Federal loans allow a grace period of at least six months after you graduate, leave school, or drop below half-time enrollment, before payments begin.
  • Loan forgiveness options are available. Loans can be forgiven for public service work, or if you’ve made 20 or 25 years of payments on an income-driven plan.
  • Your credit doesn’t matter. For most federal loans—with the exception of PLUS Loans—your credit history doesn’t affect your eligibility.

Interest will continue to accrue while you’re enrolled and during any deferment periods for Direct Unsubsidized and Direct PLUS loans. Both types of loans are eligible for the same repayment plans and loan forgiveness programs.

Direct Unsubsidized Loans

The annual limit for Direct Unsubsidized Loans is $20,500 a year, and the current interest rate is 6.54% for Direct Unsubsidized Loans. When filling out the FAFSA, you can max out your Direct Unsubsidized Loans before turning to Direct PLUS loans.

Direct PLUS Loans

The annual limit for Direct PLUS or Grad PLUS loans is the cost of attendance minus other financial aid including Direct Unsubsidized Loans. The interest rate is 7.54% for Grad PLUS loans.

Unless your medical school is inexpensive or you received a large scholarship, you will likely need to take out both Direct Unsubsidized Loans and Direct PLUS loans.

>>Read more: Student loans for medical school in the Caribbean

Best private medical school loans

We researched and reviewed medical school loans to help you find the best fit. Here are our picks for the best medical school loans.

College Ave

Editorial Selection: Best Overall

  • Full deferment is available during residency and fellowship
  • Choose between 20 different repayment schedules
  • 36-month grace period

College Ave is a private student lender offering various student loan products. The company offers specific loans for students attending medical school.

What stands out about College Ave’s medical school loan

Unlike other lenders, College Ave has an aggregate loan limit of $150,000. Medical students may find paying for all their expenses difficult without hitting that limit early on.

However, College Ave offers a generous cosigner release program, a wide range of repayment terms, and in-school monthly payment plans. Its interest rates are also in line with other competitors.

You can also defer your loans for the entire time you’re in residency, so you don’t have to worry about making student loan payments while your income is at its lowest point. However, consider making interest-only payments if this fits your budget. This will lower your loan balance when you’re required to begin making payments.

Here are the basic features of a College Ave medical school loan:

  • Fixed rates (APR): 3.99%11.46%
  • Variable rates (APR): 1.99%10.45%
  • Loan amounts: $1,000 – $150,000
  • Repayment terms: 5, 8, 10, 15 or 20 years
  • In-school repayment options: Deferment, $25 monthly payments, monthly interest payments, and full payments
  • Grace period: 36 months (3 years)
  • Cosigner release: After half your repayment period (e.g., if you have a 10-year repayment period, you can release your cosigner after 5 years of on-time monthly payments)
  • Unique benefits: If you apply, you’ll get your decision within three minutes

Earnest

Editorial Selection: Best for Skipping a Payment

  • Skip one payment per year, if needed
  • No fees
  • Check your rate without hurting your credit

Earnest is an online lender that offers private student loans and refinancing. The company also provides medical school loans with a wide range of repayment terms and in-school monthly repayment options.

What stands out about Earnest’s medical school loan

One of the most unique benefits is that borrowers can skip one payment each year for free. Borrowers can put the extra funds toward a short-term savings goal, such as a vacation, or pay for a surprise expense.

Unlike other lenders on this list, Earnest does not offer cosigner release. If you have a medical school loan with a cosigner, you must refinance into a new loan to remove the cosigner.

Here are the basic features of an Earnest medical school loan:

  • Fixed rates (APR): 3.24%10.99%
  • Variable rates (APR): 0.94%9.89%
  • Loan amounts: $1,000 – 100% of the school-certified cost of attendance
  • Soft credit check: Get a quote from Earnest with just a soft credit check
  • Repayment terms: 5, 7, 10, 12, or 15 years
  • In-school repayment options: Deferment, monthly interest payments, $25 monthly payments, and full payments
  • Grace period: 9 months
  • Cosigner release: Earnest does not offer cosigner release
  • Unique benefits: Skip one payment per year

Sallie Mae

Editorial Selection: Best for Cosigners

  • Available to those studying half-time or more
  • Cosigners can be released after you make 12 on-time payments
  • 36-month grace period and 48-month deferment during your residency or fellowship

Sallie Mae offers medical school loans for those studying allopathic, general, osteopathic, podiatric, radiology, sports, and veterinary medicine. The loans come with several unique perks.

What stands out about Sallie Mae’s medical school loan

Sallie Mae allows borrowers to release cosigners after just 12 months of payments, the lowest requirement among all lenders on this list.

The lender also allows a 36-month grace period and a 12-month period where borrowers can make interest-only payments, benefits that provide flexibility.

Here are the basic features of a Sallie Mae medical school loan:

  • Fixed rates (APR): 4.75%11.97% APR
  • Variable rates (APR): 2.62%11.97% APR
  • Loan amounts: $1,000 – 100% of the annual cost of attendance
  • Repayment terms: Up to 20 years
  • In-school repayment options: Deferred payments, interest-only payments, and $25 fixed monthly payments
  • Grace period: 36 months (3 years)
  • Cosigner release: After 12 consecutive on-time monthly principal and interest payments
  • Unique benefits: Qualify for 12 months of interest-only payments after the grace period is over for more flexibility

Ascent

Editorial Selection: Best for Eligibility

  • 1% cash reward after graduation
  • No prepayment penalty
  • Check your rate without affecting your credit

Ascent offers a specific loan for students pursuing a medical degree. Borrowers can apply with or without a cosigner, depending on whether they meet the credit score requirements.

What stands out about Ascent’s medical school loans

Ascent’s 36-month grace period is longer than many other lenders. This provides medical school students the chance to complete or almost complete residency before having to pay back their loans.

Here are the basic features of an Ascent medical school loan:

  • Fixed rates (APR): 4.63%14.52%
  • Variable rates (APR): 1.62%10.98%
  • Loan amounts: $2,001 – $400,000
  • Soft credit check: Qualify and see your rate with a soft credit check, which will not affect your credit score or credit report
  • Repayment terms: 7, 10, 12, 15, or 20 years
  • In-school repayment options: Interest-only payments, $25 monthly payments, and deferred payments
  • Grace period: 36 months (3 years)
  • Unique benefits: Borrowers with a non-cosigned loan can get a 1% interest rate discount when they sign up for automatic payments

>> Read More: Other types of student loans

How to get student loans for medical school

  1. Fill out the FAFSA. This will make you eligible for federal student loans. Be sure to complete the FAFSA by the deadline, or you won’t qualify for federal loans.
  2. Get your award letter. The award letter from your school will show how much federal student loan funding you qualify for. Unless an adverse event appears on your credit report and you can’t add an endorser, you should qualify for both Direct Unsubsidized Loans and Grad PLUS loans.
  3. Find more funding. If you didn’t qualify for federal loans or need more than you were awarded, you’ll need to take out private student loans. Use the list of lenders above to compare interest rates and repayment terms.

Medical school loans FAQ

Which medical school loan is the best?

You should max out federal student loans to pay for medical school because they often have lower interest rates, income-driven repayment plans, and loan forgiveness programs.

If you don’t qualify for federal student loans, you can take out a private student loan. Make sure to compare interest rates and terms before selecting a lender. The best one will depend on which lender offers the best rate and terms for your financial profile.

Our most recent evaluation led us to choose College Ave as the best private medical school loan.

>> Read More: Physician Assistant Student Loans

Do I need a cosigner for medical school loans?

Federal student loans generally do not require a cosigner. However, if you take out a Direct PLUS loan, your credit history will be checked for adverse actions like bankruptcy or default. If you have one of these events, you may need to add an endorser, similar to a cosigner.

Eligibility for private medical school loans depends on your credit score. If you haven’t had a chance to build a good credit score, you will likely need a cosigner. Some lenders, including Ascent, offer loans to medical students without cosigners.

Do medical school loans cover living expenses?

You can use most student loans, including federal and private loans, to pay for living expenses. Try to limit your living expenses so you can minimize the amount you need to borrow. Every dollar you borrow is a dollar you must repay with interest.

When does repayment on medical school loans start?

Most student loan providers don’t require repayment until six months after you graduate or leave school, referred to as the grace period. Some lenders offer longer grace periods on medical school loans, such as College Ave (36 months) and Earnest (nine months).

What should I consider when repaying medical school loans?

The most important factors to understand are your:

  • Total balance
  • Interest rate
  • Monthly payments

You should also know when you must start making payments. If you have questions or concerns, contact your loan servicer immediately.

If you want to pay off your loans faster, you can do so by paying more than the minimum. This will also help you pay less interest over time.

Another popular way to pay less interest is to refinance medical school loans at a lower interest rate. Once you secure a full-time job, you might qualify for lower interest rates. Just be aware that if you refinance federal student loans, you will lose access to all associated benefits.

How much can I borrow with medical student loans?

The amount you can borrow in medical school loans may depend on the type of loan. Borrowers who qualify for federal Direct PLUS loans can borrow up to the annual cost of attendance, and most private lenders also let students borrow up to the annual cost of attendance.


1 Ascent’s undergraduate and graduate student loans are funded by Bank of Lake Mills or DR Bank, each Member FDIC. Loan products may not be available in certain jurisdictions. Certain restrictions, limitations; and terms and conditions may apply. For Ascent Terms and Conditions please visit: www.AscentFunding.com/Ts&Cs. Rates are effective as of 10/01/2022 and reflect an automatic payment discount of either 0.25% (for credit-based loans) OR 1.00% (for undergraduate outcomes-based loans). Automatic Payment Discount is available if the borrower is enrolled in automatic payments from their personal checking account and the amount is successfully withdrawn from the authorized bank account each month. For Ascent rates and repayment examples please visit: AscentFunding.com/Rates. 1% Cash Back Graduation Reward subject to terms and conditions. Cosigned Credit-Based Loan student must meet certain minimum credit criteria. The minimum score required is subject to change and may depend on the credit score of your cosigner.  Lowest APRs require interest-only payments, the shortest loan term, and a cosigner, and are only available to our most creditworthy applicants and cosigners with the highest average credit scores.