money management for medical school students for the class of 2018 nicole knight, mba aamc fall 2014...
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Money Management for Medical School Students
For the Class of 2018
Nicole Knight, MBAAAMCFall 2014
Disclaimer: All information and estimates are based on AAMC interpretation of federal regulations as of June 2014 and are subject to change. These are estimates only. Students should always contact their servicer(s) to discuss the terms and conditions of the loans.
©2014 Association of American Medical Colleges. All rights reserved.
“…Students must arrive at the door of the house of medicine with an
enhanced awareness of how they will navigate the rising tide of medical
education debt …”
Refer to page iv
©2014 Association of American Medical Colleges. All rights reserved.
“Can Medical Students Afford to Choose Primary Care? An Economic Analysis of Physician Education Debt
Repayment”
“Physician Education Debt and the Cost to Attend
Medical School”
www.aamc.org/FIRST
©2014 Association of American Medical Colleges. All rights reserved.
The FIRST Stop…
www.aamc.org/FIRST
Medloans® Organizer and Calculator
Refer to page 3
©2014 Association of American Medical Colleges. All rights reserved.
Class of 2013 Indebtedness
86% of class report having educational debt
Source: AAMC 2013 Graduate Questionnaire (GQ)
63% report debt of $150,000 or higher
$190,000
$168,000
PUBLIC PRIVATE
Median MD School Debt: $175,000
Refer to page 1
©2014 Association of American Medical Colleges. All rights reserved.
Source(s): 2013 Graduation Questionnaire and 2013 LCME I-B data
Education Debt
MUSC Median Education Debt
% with Education Debt
Education Debt $200,000 83%
Non-Education Debt (avg)
$13,423
Refer to page 1
©2014 Association of American Medical Colleges. All rights reserved.
Finding Your Federal Loans
To access, provide:
- SSN
- Date of Birth
- First 2 letters of last name
- FAFSA PIN (www.pin.ed.gov)
www.nslds.ed.gov
Refer to page 4
©2014 Association of American Medical Colleges. All rights reserved.
STAFFORD LOAN
During Medical School
PERKINS LOAN*
5.0%
DIRECT PLUS LOAN
7.21%
FIXED
FIXED
* PCL and LDS Loans are also at a fixed 5%
Interest Rates (July ‘14 – June ‘15)
6.21%
FIXED
Refer to page 9
©2014 Association of American Medical Colleges. All rights reserved.
STAFFORD LOAN
During Medical School
PERKINS LOAN*
5.0%
DIRECT PLUS LOAN
?%
FIXED
FIXED
* PCL and LDS Loans are also at a fixed 5%
Interest Rates (Loans after 06/30/15)
?%
FIXED
Refer to page 9
©2014 Association of American Medical Colleges. All rights reserved.
Subsidized vs. Unsubsidized
Sub • si • dy [suhb-si-dee] noun -
Financial assistance granted by the government to cover accruing interest while in-school, in grace, or in a qualifying deferment.
Source: www.dictionary.com
Refer to page 8
©2014 Association of American Medical Colleges. All rights reserved.
Subsidized vs. UnsubsidizedRefer to page 8
Perkins*
Primary Care Loans
LDS Loans*
Institutional Loans (some)
Consolidation Loans (underlying subsidized loans)
Unsubsidized Stafford
Direct PLUS
Private Loans
Institutional Loans (some)
Consolidation Loans (underlying unsubsidized loans)
Subsidized Unsubsidized
*subsidy and deferment rights lost during consolidation
©2014 Association of American Medical Colleges. All rights reserved.
Capitalization
Addition of unpaid interest to the principal
Principal + Interest =Larger
Principal
$200,000$233,200
$33,200
Refer to page 10
©2014 Association of American Medical Colleges. All rights reserved.
IN-SCHOOL
REPAYMENT
Grace PeriodsRefer to page 19
GRACE
The path for some loans
©2014 Association of American Medical Colleges. All rights reserved.
Options During Residency
During residency, there are two choices:
Postpone Payments
Make Payments
DefermentForbearance
Refer to page 22
©2014 Association of American Medical Colleges. All rights reserved.
Postponement Options
NOTE: For more details, or to request a deferment or forbearance, contact the loan’s servicer.
Must apply and qualifyInterest is waived on subsidized loans
Must request from servicerInterest accrues on all loans Medical Residency Forbearance available
Deferment
Forbearance
Refer to pgs 22-23
©2014 Association of American Medical Colleges. All rights reserved.
Options During Residency
During residency, there are two choices:
Postpone Payments
Make Payments
Select a Repayment Plan
Refer to pgs 25-30
©2014 Association of American Medical Colleges. All rights reserved.
Traditional
$2,600/mo
$1,500/mo
$1,200/mo
Repayment Plans
Monthly payments for the entire repayment term are calculated up-front and disclosed to you
Refer to pgs 26-30
©2014 Association of American Medical Colleges. All rights reserved.
Monthly payments are based on your incomeand other factors. Payments are recalculated annually.
Income-Driven
$660/mo
$420/mo
$280/mo
Repayment Plans
* For new borrowers on or after July 1, 2014, the IBR monthly payment amount will resemble the PAYE monthly payment amount.
Refer to pgs 26-30
©2014 Association of American Medical Colleges. All rights reserved.
Alternatives to Debt
Scholarships
Refer to page 13
www.nhsc.hrsa.govwww.lrp.nih.gov
www.aamc.org/stloan
©2014 Association of American Medical Colleges. All rights reserved.
Alternatives to Debt
Scholarships Suppo
rt
Refer to page 13
©2014 Association of American Medical Colleges. All rights reserved.
Alternatives to Debt
Scholarships
Forgiveness
Support
Refer to page 13
Public Service Loan Forgiveness (p 50)
©2014 Association of American Medical Colleges. All rights reserved.
Alternatives to Debt
Scholarships
Forgiveness
Support
Budgeting
Refer to page 13
©2014 Association of American Medical Colleges. All rights reserved.
Free Money Perkins, PCL, LDS Stafford
PLUS Private
Loans or Credit Cards
Borrow WiselyRefer to page 14
Beyond financial aid monies
©2014 Association of American Medical Colleges. All rights reserved.
How Will You Borrow?Refer to page 15
©2014 Association of American Medical Colleges. All rights reserved.
How Will You Borrow?
Do NOT borrow just because you are eligible
Borrow what you need, not what you want
Decline loans that exceed your need
Accepting loans may affect eligibility for other aid
Avoid forfeiting low rate loans for higher rate debt
Refer to page 15
Financial Aid FactIf a shortfall occurs, previously
declined monies may be obtained – see financial aid for assistance
©2014 Association of American Medical Colleges. All rights reserved.
Living on Borrowed Money
M1 Gets Delivery Pizza (+ tip)... $25.00
After 4 Years of School…….… $32.00
After 4 Years of Residency…... $41.00
10-Year Repayment Term…….. $55.00+
25-Year Repayment Term…….. $84.00+OR
The Total Cost
6.21%
©2014 Association of American Medical Colleges. All rights reserved.
Have a Spending Plan
A Spending Plan in 1-2-3
1) Put it in writing
2) Review periodically to identify leaks
3) Make necessary adjustments
“Live like a student while you are a student…”
Refer to page 41
©2014 Association of American Medical Colleges. All rights reserved.
Have a Spending Plan
www.aamc.org/FIRST
Refer to page 44
©2014 Association of American Medical Colleges. All rights reserved.
Have a Spending Plan
www.mint.com
Refer to page 44
©2014 Association of American Medical Colleges. All rights reserved.
The Basics of BudgetingRefer to page 41
Your Total Income
Your Total Expenses
= Your Discretionary Income
©2014 Association of American Medical Colleges. All rights reserved.
The Basics of Budgeting
UNLOCKS DEEPER INSIGHT
INTO YOUR BUDGET
©2014 Association of American Medical Colleges. All rights reserved.
If Discretionary Income is “Significant”
Ask Yourself 2 Questions
1. Were you honest about your expenses?
2. Do you have enough to start a ‘Nest Egg’?
‘Yes’ and ‘Yes’
Consider sending it back,
Or borrow less next semester
The Basics of Budgeting
©2014 Association of American Medical Colleges. All rights reserved.
If Discretionary Income is a Negative Number
Ask Yourself 2 Questions
1. Are you budgeting for ‘Needs’ or ‘Wants’?
2. What alternatives might there be?
Congratulations…
The purpose of your budget is served!
Review expenses and make adjustments.
The Basics of Budgeting
©2014 Association of American Medical Colleges. All rights reserved.
Spending Wants: Leaks
Small amounts add up over time
It may not seem like much in the short term
GOURMET
$5/day, 5 days/week
$100/month, 10 months
$1,000/year =
$4,000
©2014 Association of American Medical Colleges. All rights reserved.
Spending Wants: Leaks
$4,000 spent during medical school =
GOURMETAfter graduation, grace and 4-yr residency w forbearance
@ 5.41% = ~$7,000, then paid• 10 yr Term = ~$9K• 25 yr Term = ~$13K
Rounded Estimates
©2014 Association of American Medical Colleges. All rights reserved.
Spending Wants: Leaks
Consider the alternatives
Savings can also add up quickly
AT HOME
$10/month
10 months/year
$100/year
$400
©2014 Association of American Medical Colleges. All rights reserved.
$400 spent during medical school =
AT HOMEAfter graduation, grace and 4-yr residency w forbearance
@ 5.41% = ~$550, then paid• 10-yr Term = ~$700• 25-yr Term = ~$1,000
Spending Wants: Leaks
Rounded Estimates
©2014 Association of American Medical Colleges. All rights reserved.
Credit Cards
Reasons to have a Credit Card
Builds Credit
Emergencies
Consumer Protection
Convenience
Refer to page 38
©2014 Association of American Medical Colleges. All rights reserved.
Credit Cards
The DON’Ts of Credit Cards
Don’t use them for cash advances
Don’t charge more than you can pay in a month
Don’t use one card to pay off another
Refer to page 39
TIP: If you can eat, drink or wear an item, it’s usually not a good use of credit.
©2014 Association of American Medical Colleges. All rights reserved.
22.75 years to repay in full
$12,000 in total repayment cost
What could possibly be worth paying more than twice its original value?
The Minimum Payment Trap
Source: BankRate.com
$5,000 balance with an 18% interest rate (Making minimum monthly payments)
Refer to page 43
©2014 Association of American Medical Colleges. All rights reserved.
35%
30%
15%
10%10%
Payment history
Amount owed
Length of history
New credit
Type of credit
A FICO Score is Based On…Refer to page 38
©2014 Association of American Medical Colleges. All rights reserved.
How to Improve Your Score
During medical school, be sure to:
Pay bills on time
Pay down debt on lines of credit
Apply for credit sparingly
Refer to page 37
©2014 Association of American Medical Colleges. All rights reserved.
Refer to page 39
Check your Credit Report
www.annualcreditreport.com
Questions? [email protected]
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