Student Finance

Loans

⚠️ Important Federal Loan Updates⚠️ 
The Graduate PLUS loan program will no longer be available to new borrowers after July 1, 2026 — meaning if you haven’t ever had a Federal Direct Loan (Unsubsidized and/or Graduate PLUS) disbursed by that date, you won’t be able to borrow a Graduate PLUS loan after it.

*Legacy Provision: If a borrower has a Federal Direct Loan made before 7/1/26, while enrolled in a program of study, the borrower can continue to borrow from the program for 3 academic years or the remainder of their expected time to credential, whichever is less.

To finance expenses associated with a medical school education, most students need to borrow loans. Federal and private student loans are available to help pay for medical school and help cover living expenses. It is important to know what types of loans are available and understand the terms and conditions associated with each loan. 

Types of Loans

Offered to students regardless of financial need. Borrowers are responsible for any interest that accrues during the course of study or during grace and deferment periods. Interest begins accruing the day the loan funds are disbursed to your Hofstra account and will continue to accrue until the day the loan is repaid. In addition, there is a loan fee on all Direct Unsubsidized loans (see chart below). The loan fee is a percentage of the loan amount and is deducted from each loan disbursement. This means the money that pays to your Hofstra account will be less than the amount you actually borrowed.

Interest rates on these loans are subject to change each year; however, once a loan is borrowed at a certain rate it will remain fixed at that rate for the life of the loan (see chart below).

Available to graduate or professional students to help pay for education expenses not covered by other financial aid.  A separate loan application is required and must be completed annually at studentaid.gov.  Eligibility is not based on financial need, but a credit check is required. It is considered a “hard hit” meaning a potential borrower expressed interest in opening a new source of credit and is reflected as an actual credit inquiry on the borrower's credit reports. This may impact your credit score and remain on your credit reports for two years. The same result occurs to any endorser, if there is one. Borrowers who have an adverse credit history must meet additional requirements to qualify. 

In comparison to the Direct Unsubsidized loan, interest rates and origination fees are higher, but interest accrual is similar. Interest rates are subject to change each July 1st, however, once a loan is borrowed at a certain rate it will remain fixed at that rate for the life of the loan (see chart below). Interest begins accruing the day the funds are disbursed and will continue to accrue until the day the loan is repaid. Borrowers are responsible for any interest accrual during the course of study, during grace and deferment periods.

In addition, there is a loan origination fee charged by the U.S. Department of Education for the processing of your loan. The origination fee is a percentage of the loan amount and is proportionately deducted from each loan disbursement (see chart below).

For more information, please visit studentaid.gov.

The North Shore-LIJ Health loan is an institutional loan program that is offered based on financial need and availability of funding. To qualify, students must apply for institutional aid.  Being that this is a private, institutional loan program, funds borrowed will not be eligible for Federal loan consolidation, repayment, or forgiveness programs.  Please view the Application and Solicitation Disclosure for more information about this loan.

Current students - log in to your Heartland ECSI account by visiting https://borrower.ecsi.net/.  If you have access to your log in credentials and need to complete your promissory note, you may do so by visiting https://www.ecsi.net/prom8s/.

Alternative loans are offered through various private lenders. These loans are issued by banks or credit unions and in most cases, should be your last resort. Terms and conditions differ from loans that are backed by the Federal government. Some differences include but are not limited to:

  • Interests rates are generally higher and variable
  • Interest and/or payments are not always deferred while you are enrolled in school
  • Deferment and forbearance options may differ or be nonexistent (something to consider when beginning residency)
  • There may be origination or other fees associated with borrowing
  • Repayment terms are often less favorable than federal loans
  • Loans are not eligible for federal loan consolidation or federal income-driven repayment plans

For additional information about federal vs. private student loans, visit studentaid.gov

Hofstra provides a list of lenders that have historically worked with its students and families, displayed through ELM Select

ELM Resources is a not-for-profit organization that supports the student loan industry by providing a secure, open system that connects schools and lenders and enables efficient data exchange and loan processing.

ELM also offers ELM Select, a tool schools can use to display lender options and help students compare and choose loans that best fit their needs. More than 1,800 campuses use ELM Resources to send and receive alternative loan data with lenders of their choice.


Hofstra University does not prefer, recommend, promote, endorse, or suggest any of these lenders. You are not required to borrow from any of the lenders appearing on these lists and there is no penalty for selecting a different lender, if you prefer.

Federal and Institutional Student Loan Interest Rates

Loan TypeFirst Disbursed on or after
July 1, 2025, and before July 1, 2026*
First Disbursed on or after
July 1, 2024, and before July 1, 2025*
Direct Unsubsidized LoanFixed at 7.94%Fixed at 8.08%
Direct Graduate PLUS LoanFixed at 8.94%Fixed at 9.08%
North Shore-LIJ Health LoanFixed at 5.0%Fixed at 5.0%

*Interest rates on federal student loans are set by federal law, not the U.S. Department of Education, on July 1 each year 


Federal and Institutional Loan Information

Loan TypeAnnual LimitAggregate LimitOrigination Fee
First disbursed on or after 10/1/20 and before 10/1/26**
Repayment TermsRepayment Period
Direct Unsubsidized  Loan

All MS Level New
Borrowers: $50,000

MS1 Legacy: $42,722

MS2 Legacy: $40,500

MS3 Legacy: $44,944

MS4 Legacy: $47,167

*See below1.057%6-month grace period after graduation or after leaving schoolPayments are made monthly. Eligible for federal consolidation, income-driven repayment plans, and Public Service Loan Forgiveness programs.
Direct Graduate PLUS LoanUp to cost of attendance minus any other financial aid received for the period of enrollment.No aggregate limit 4.228%Graduate PLUS loans do not have a grace period. You'll receive an automatic deferment while you're enrolled in school, and for an additional 6-months after you graduate or leave school. No payments are required during this 6-month deferment period. Interest will accrue during periods of deferment.Payments are made monthly. Eligible for federal consolidation, income-driven repayment plans, and Public Service Loan Forgiveness programs.
North Shore-LIJ Health LoanAnnual limits vary by year and availability of funds.Aggregate limits vary based upon availability of funds.$048-month grace period beginning July 1 following graduation from the MD program. Withdrawal or dismissal from the MD program or graduation from an alternate degree program will have a grace period extending 9-months of graduation/separation. Refer to the Application and Solicitation Disclosure Statement for additional information.Payments are made monthly. Not eligible for federal consolidation, income-driven repayment plans, and Public Service Loan Forgiveness 

**Effective July 1, 2026, new federal legislation changes student loan borrowing limits. Borrowing eligibility will vary based on whether a student is classified as a new or legacy borrower.


*New Federal Loan Borrowers (Effective July 1, 2026):
Medical students who do not have a federal loan disbursement in the MD program prior to July 1, 2026, will be subject to new federal borrowing limits. These students may borrow up to $50,000 annually in Direct Unsubsidized Loans, with a professional student aggregate loan limit of $200,000 and a lifetime federal student loan aggregate limit of $257,500.
 

The lifetime limit includes all federal student loans borrowed for undergraduate, graduate, and professional degree programs, including Direct and FFEL subsidized loans, unsubsidized loans, and PLUS loans for graduate or professional students, regardless of whether any portion of the loans has been repaid or discharged.


For additional information, please visit the FSA Website.

**Legacy Borrowers:
Students who received a federal loan disbursement (Direct Unsubsidized Loan or Graduate PLUS Loan) for the MD program prior to July 1, 2026, and who remain continuously enrolled in the same program, may continue borrowing under the current federal loan limits. Eligible legacy borrowers may continue to access Direct Unsubsidized Loans and Graduate PLUS Loans up to the Cost of Attendance for up to three additional academic years or through completion of the four-year MD program, whichever occurs first.


Under the current federal loan program, the aggregate Direct Loan limit is $224,000, of which no more than $65,500 may be subsidized.

**The loan origination fee is deducted from each loan disbursement you receive. Please keep this in mind when determining the amount you need to borrow. The percentage is determined by the date of the first disbursement of the loan. Any subsequent disbursements of that loan, even if made on or after the relevant October 1, will have the same loan fee percentage that applied to the first disbursement of that loan.  The loan origination fee is determined by the U.S. Department of Education and is subject to change.

Please note that Hofstra University is required to submit loan information to the National Student Loan Data System (NSLDS), and that information is accessible by guaranty agencies, lenders, and institutions determined to be authorized users of the data system. 

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