@mmhoss
Admission requirements for MD/DO programs and PhD program are quite different.
You’ll need to buy access to MSAR (Medical School Admission Requirements) from AMCAS to see each school’s specific requirements. Cost $30/year. The 90 credit requirement typically isn’t listed on admission websites because of the assumption that US med school applicants will hold a US/Canadian undergrad degree.
Also be aware that AMCAS, AACOMAS and TMDSAS do not recognize and will not verify international degrees. Thus your international baccalaureate degree may not be considered by med schools as fulfilling the requirement for having received an undergrad degree. You will need to contact each medical school you plan to apply to individually to see if they will consider an international undergrad degree as meeting their admission requirements.
SUNY Upstate requires 90 US credits for admission
SUNY Downstate requires 60 US credits for admission
U Buffalo requires 60 US credits for admission
Stony Brook requires all pre-reqs plus 1 year of full time studies be taken at a US college/university with a US college/university awarding the undergrad degree
Your med school will compute a EFC for you based upon your reported family income and savings. You will be expected to spend a portion of your savings (typically 25% annually) toward paying your COA each year. Med schools/FAFSA will not care that you are supporting your parents and that will not consider that when determining your EFC.
Your first year of med school your FAFSA EFC will use both yours and your wife’s income plus any savings you hold on the date of filing FAFSA in its calculations. You can ask the FA office of the med school for a special circumstance reconsideration, but there is no guarantee it will be granted.
From your example–
If the COA is $60K/year, your aid would be $60K LESS whatever your FAFSA EFC is. Your aid would be awarded as $40,500 minus FAFSA EFC. For any remaining uncovered need, you would be certified to take out Grad Plus loans. I believe you may be able to borrow your EFC as a Grad Plus loan. (but I’m 100% sure of that…)
Because the terms on Grad Plus loans are not favorable, you will want to minimize the amount of Grad Plus loans you take out. The origination fee for Grad Plus loans is 4.3% (per each loan) and the interest rate is 7%. Expect these rates to go up later this year.
For Grad Plus loans, repayment begins immediately upon disbursement, but you can defer repayment until after graduation (but your interest will rollover and capitalize each year).
AMCAS has some really good financial planning tools for medical students.
https://students-residents.aamc.org/financial-aid/
https://students-residents.aamc.org/financial-aid/article/medloans-organizer-and-calculator-mloc/
Here’s info for non-traditional students: https://students-residents.aamc.org/choosing-medical-career/article/medical-school-costs-for-non-traditional-students/