With debt management, you’re also paying for something you can do yourself. Even if you have tarnished credit, you may be able to get a debt consolidation loan yourself and pay off your debt without the aid of a debt management company. You can also try to negotiate lower interest rates and payments with your creditors on your own. But either solution would require more self-control than debt management, since the burden would be completely on you to stop acquiring new debt.
Having said that, the other posters are correct. You can settle debt on your own without the help of a debt settlement company. It does take a lot of time and energy though. That is why some people choose to use a company to do it for them. Due your due diligence and search for reviews of the companies you are interested in and see what others have to say.

Although a debt settlement company may be able to settle one or more of your debts, these programs can be very risky and have serious negative financial consequences for consumers. Additionally, some debt settlement companies deceive consumers by making promises they do not keep and engaging in other illegal conduct (like charging fees before obtaining any settlements, in violation of the TSR). For information, read Coping with Debt and Settling Credit Card Debts.
Be VERY careful before you decide go with debt settlement and don’t believe the huge savings you will supposedly get. Lower but stretched payments with higher interest will cost much more on the end. These 30-50% so-called savings are in the fact money going into their pockets. Plus, your credit score will be so screwed up that nobody rent you a bicycle.
The benefit of going for this type of debt relief option is that your monthly payment will most likely be much lower than the sum of the payments you are currently making. You may also have any penalty charges waived as well as any fees. Most of all, you will no longer be harassed by your creditors as they will be handling everything through the debt management agency.
Once you've got a list of counseling agencies you might do business with, check each one out with your state Attorney General and local consumer protection agency. They can tell you if consumers have filed complaints about any one of them. (If there are no complaints about them, don't consider it a guarantee that they're legitimate.) The United States Trustee Program also keeps a list of credit counseling agencies approved to provide pre-bankruptcy counseling. After you've done your background investigation, you will want to  interview the final "candidates."
You should take the time to shop around. FICO says there is little to no impact on your credit score for rate shopping as many providers as you’d like in a single shopping period (which can be between 14-30 days, depending upon the version of FICO). So set aside a day and apply to as many as you feel comfortable with to get a sense of who is ready to give you the best terms.

If you have loads of debt but are current on all your payments, your credit score may drop when you enroll in debt management. That’s because as your debt management company renegotiates your credit obligations, they may change when payments are made to creditors, resulting in late payments being reported on your credit history. Additionally, many creditors will close your accounts while you are in debt management, and good history you have with those accounts will be taken off your credit history.
Report any problems you have with a debt collection company to your State Attorney General's Office, the Federal Trade Commission (FTC), and the Consumer Financial Protection Bureau (CFPB). Many states have their own debt collection laws that are different from the federal Fair Debt Collection Practices Act. Your state Attorney General’s office can help you find out your rights under your state’s law.
Hybrid loan option: CommonBond offers a unique “Hybrid” rate option in which rates are fixed for five years and then become variable for five years. This option can be a good choice for borrowers who intend to make extra payments and plan on paying off their student loans within the first five years. If you can a better interest rate on the Hybrid loan than the Fixed-rate option, you may end up paying less over the life of the loan.
Chapter 13: Yes. Chapter 13 also discharges debts, but many of the nondischargeable debts like recent taxes and past due child support must be paid in full in the Chapter 13 plan. Unsecured debt like credit cards will only be paid in a Chapter 13 plan if you have the income to cover it. Sometimes unsecured creditors receive a portion of their debt and sometimes they receive nothing at all. But even if they’re not paid they’ll be discharged if you complete your plan. To see how this works, visit Chapter 13 Bankruptcy Basics. 
If you don’t own your home or if you don’t have much equity you might be able to get and unsecured or personal loan. If you were able to get this type of loan you would probably still have a lower monthly payment but not as low a one as with a home equity loan or HELOC because you would not be offering anything as collateral to offset your lender’s risk. The upside of these types of loans is that you would be rid of all those angry creditors or debt collection agencies that have been harassing you. The downside is that you would have a much longer term than if you were to simply repay your debts as a HELOC can be for seven or even 10 years and a home equity loan might be for 30 years. In either case you will end up paying more interest over the long run than if you were to just repay your debts short-term. And you would need to be very careful to not take on any new debt or you could end up back where you started – struggling to make your payments.
Eliminate and consolidate medical debt to deal with health care costs that are continuing to escalate and that are really out of control. There are ways to consolidate medical debt using assistance programs that are offered by directly hospitals, medical providers, doctors and counselors. These plans are becoming more common in today’s challenging economy and when also considering the aging population. A health care provider will want to find some type of solution for the patient, as in some cases if they do not work with them it can lead to bad public relations. Learn more on how to eliminate medical debt.
This isn't good news for the millions of American consumers who struggle with mounting debts and less-than-perfect credit scores. Since carrying long-term debts increases your chances of missing a payment, running up excessive balances or damaging your credit in either ways, debt consolidation lenders don't have a very big pool of potential applicants at their disposal. Unless you've been fortunate enough to maintain a stellar credit score during your debt struggles, you might have to look elsewhere for help.
The services provided by credit counseling services are nothing consumers can't do by themselves. "You could do it, but it's an involved process," says Kyle Winkfield, partner with financial firm O'Dell, Winkfield, Roseman and Shipp in the District of Columbia. The benefit of using an agency is that they have experience in negotiating debt payments and disputing incorrect information on credit reports. Paying an expert to do these tasks not only saves a person time, but can minimize the stress of having to navigate unfamiliar territory. "If you find a good one, they are worth more than they charge," Winkfield says.

Yes, all unsecured debts should be included on your debt management plan. This means that all revolving credit accounts will be closed to further use. The purpose of this debt repayment program is to help consumers get out of debt.  To do this, it’s important that no additional charges are made while are on the program. However, as with any rule, exceptions can occasionally be made. Discuss any accounts you’d like to keep open with your counselor.

Everyone I've talked to has been professional and courteous. They have truly helped to alleviate some of the stress of feeling like you are drowning with nowhere to turn. There didn't seem to be any daylight at the end of the debt tunnel until I spoke with the folks at National Debt Relief. Everyone is very helpful and the explanations of the process have been very thorough. I feel confident that with their assistance this program can work and I can get out of debt within a reasonable amount of time and save money in the process.
Peer to peer lending low interest loans can be helpful in some cases. This is a fairly new business, but a number of peer to peer lending sites may offer help, such as Prosper, Lending Club, and Zopa. The money can often be used for paying any number of bills or handle various forms of arrears. These companies and their services can help you reduce, consolidate and pay off credit cards, automobile loans, medical bills, and other higher interest rate loans. While they do often have minimum credit scores needed (especially when consolidating debt) They can be an option. More on peer to peer loans.
Many times, a credit counselor can offer insights into your financial situation that you may not see on your own. They may see obvious ways you can cut your spending that you may have overlooked, for example. Their extensive knowledge of debt relief options also makes them ideal mentors for consumers who need professional help when it comes to assessing their debts and figuring out a plan that will work.
This involves opening several bank accounts — your regular current account, one for your own wage, another for tax and finally one for a rainy day. You then apply the percentages to your income and as soon as you get paid, you transfer these percentages into the accounts. For example, you have 70 percent as your wages, 10 percent tax and 5 percent for rainy days. This leaves 15 percent in your current account for expenses. After this, you’ll hopefully be in a position to reach your earning target with the sales you already have. However, you can also work backward, using these percentages, to price your services and products.
“When someone meets with a certified credit counselor, they get expert advice for overcoming their most urgent financial challenges,” Bruce McClary, Vice President of Communications at the NFCC said. “Consumers benefit from a comprehensive review of their entire financial situation. Every counseling session is completely confidential with advice that is uniquely designed for each individual.”
Peer to peer lending low interest loans can be helpful in some cases. This is a fairly new business, but a number of peer to peer lending sites may offer help, such as Prosper, Lending Club, and Zopa. The money can often be used for paying any number of bills or handle various forms of arrears. These companies and their services can help you reduce, consolidate and pay off credit cards, automobile loans, medical bills, and other higher interest rate loans. While they do often have minimum credit scores needed (especially when consolidating debt) They can be an option. More on peer to peer loans.
Experian, one of the three major credit bureau companies in the U.S., said the impact on your score should be minimal if you and the agency making payments for you, are on-time every month. If lenders look at your full credit report while you are in a DMP, they will see that you are repaying the debt at a reduced rate and it may affect their final decision on whether to grant you a loan.
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