Same circumstance here; working for hospitalist in a for profit group.
already have 4 years of qualified payment in residency, but the fedloan stating I only have 4-6 months
Waiting another 2 years and see if PSLF being given and after the 2020 election before refinance
once you refiance or switch payment plan, the 10 years (120 payments) clock will reset
I just want to clarify two things:
1) PSLF is already being awarded. Only a small percent of those who applied qualified because most didn’t meet the criteria in some form (job not PSLf-eligible, loans not direct loans, didn’t make enough qualifying payments, and actually quite a large percentage didn’t fill out the application correctly...)
Granted, it wouldn’t surprise me to see any changes made to the program. However, to date no proposed changes have been implemented, and anything proposed would not have been retroactive.
2) The 10-year PSLF clock does not restart when you change payment plans, but the 20-25 year income-driven forgiveness plan does. Few people are aiming for that form of forgiveness. I certainly wouldn’t recommend it (currently it’s taxable, and 25 years gives the govt a long time to change the program, so it’s make me nervous to have a ballooning balance for that long)
I switched from IBR to REPAYE. My interest capitalized and I lost the two years of income driven payments from IBR, but I still have credit for those two years towards PSLF.
Refinancing would eliminate everything. Consolidating with a federal loan results in interest being effectively capitalized) and all forgiveness plans reset (it’s effectively a new loan. The only reason to do a federal consolidation is typically to make non-direct loans eligible for REPAYE and PSLF.
OP: I would recommend holding off on refinancing until you’re sure you’re going to keep this job. However, if most jobs in your field (whether PSLF-eligible or not) pay around $400k, then PSLF isn’t really a great plan for you anyway (unless you only need a few more years of eligible payments) and I’d just pay those off ASAP. With that kind of income you should be able to pay off everything in 2 or 3 years.
Whitecoatinvestor has a few articles on companies to refinance with. By far the best rates are with First Republic (rates as low as 1.95% fixed for a 5-year loan), but you have to work/live within their geographical footprint.