Why don’t you qualify for IBR or PAYE? Is it because your income is too high to reduce your payments? If that’s the case, and you’ve exhausted all your options, then I am at a loss in terms of what to suggest other than to encourage you to continue to pay as much as you can and check back into those programs from time to time to see if requirements have changed. Student loan debt is an enormous problem and for many there is no simple solution.
Second, there's no guarantee that creditors will accept a partial payment. They may refuse any terms that a bankruptcy alternative proposes, leaving you potentially in worse shape than when you began. Finally, late fees and interest accrue on unpaid balances. That's money you'd have to pay, on top of any exorbitant fees the credit agency itself may be charging. 
Some creditors may report that a credit counseling agency is repaying the account. Don’t worry if they do. FICO, the data analytics corporation that calculates consumer credit risk, ignore such reports. An individual lender may care, but FICO doesn’t. Of course, any late payments or high balances on accounts will continue to impact your credit score.
I will tell you about how to get out of debt from my perspective, the way that typically works best for people, and I’ll describe how to avoid common pitfalls along the way. As I do so, I promise not to call names, make fun of you, or mix in other messages at the same time. I will also be honest, passionate, and fairly blunt, if that wasn’t apparent already.

Debt settlement: This is what National Debt Relief is best at. National Debt Relief has been doing debt settlements for years and knows the ins and outs of the laws around debt settlements. While debt settlement is a good option for people who are drowning in debt, it does have some downsides, including wrecking your credit score. Be sure to know the risks surrounding debt settlement before you start the process. National Debt Relief has all the information you need to know about debt settlement on its website.
After the initial credit counseling session, if you need additional assistance to eliminate debt, your counselor will develop a customized debt management plan (DMP) for you. With the Union Plus Debt Management Plan (DMP) grant, you don't need to pay any of the DMP set-up fees. Union members who complete one year on a DMP are also eligible to apply for reimbursement of the monthly fees.
The rule also specifies that the consumers’ money set aside to pay debts be maintained in an account at an insured financial institution; that the consumer owns the funds and any interest accrued; that the debt settlement company does not own, control or have any affiliation with the company administering the account; and that the provider does not exchange any referral fees with the company administering the account, the FTC says.
American Consumer Credit Counseling is a nonprofit organization that offers credit counseling services, debt management services, and financial education to consumers nationwide. With branches in various parts of the country, as well as certification to do business in all 50 states, ACCC aims to help Dallas residents manage their credit card debt and gain financial peace of mind.
McClary says the best time to go to creditors for help is before the situation is out of control. Don’t wait until an account is about to be closed because you’ve had several months of late or missed payments. Tell the creditor you’d like to pay down your balance faster and want to know what services are available to help you manage your debt better.
I’ve done some research on debt consolidation loans from financial institutions, and have found one for a $10,000 loan @ $197/month for 5 years, fixed rate of 6.99%. This will allow us to consolidate all of our credit card & medical bill debt (normally costing around $1000-1500/month) and allow us the cash to get her car fixed, paying one low monthly cost. Once we get her car fixed we are going to start paying more than the $197/month to pay the loan off quicker.

No. All eligible unsecured debt must be accounted for in a debt management plan, even those bills that you typically have no problem making payments on. The credit counseling agency in charge of your debt payment plan will want a full accounting of income and expenses in order to arrive at an accurate amount available to make the monthly DMP payments so be prepared to include all eligible debts.
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