Physician Loan for Doctors

Home Loans for Doctors and Medical Professionals

A physician loan is a mortgage option for doctors and eligible medical professionals that may offer low down payment, no mortgage insurance, and more flexible qualification for student debt and future income. This includes options for residents, fellows, and new attendings.

Subject to credit approval, program eligibility, and state restrictions. Program availability may vary. Not a commitment to lend.

Understanding the Product

What Is a Physician Loan?

A physician loan, sometimes called a doctor mortgage or physician mortgage loan, is a home financing product designed for doctors and certain other medical professionals whose financial profile may not fit standard mortgage guidelines.

Medical professionals often have strong long-term earning potential but face real early-career barriers: high student debt, limited cash reserves from years of training, and income tied to a new employment contract rather than an established pay history. Standard mortgage underwriting may not reflect those realities accurately.

Physician loans are designed to address those specific friction points for eligible borrowers, offering features like low or no down payment, no mortgage insurance, and more flexible treatment of student debt and future income in qualifying scenarios.

Who May Qualify

  • Physicians — MD / DO
  • Dentists — DDS / DMD
  • Residents, Fellows & Interns with an eligible degree
  • Pharmacists — PharmD
  • Veterinarians — DVM / VMD
  • Podiatrists — DPM
  • CRNAs with qualifying credentials

Common Physician Loan Benefits

  • Low or no down payment options
  • No mortgage insurance (PMI) required
  • Flexible student loan treatment in certain scenarios
  • Employment contract may support qualifying
  • Higher loan amounts for eligible borrowers

Understanding the Product

How a Physician Loan Works

Four features that make this program different from standard mortgage options for eligible medical professionals.

Built for a Different Borrower Profile

Traditional mortgage guidelines may create friction for borrowers with high student debt, limited early-career savings, or income that has not yet started. This program is designed to address those realities more thoughtfully for eligible borrowers, subject to guidelines and documentation.

Manual Review for Nuanced Scenarios

This program uses manual underwriting rather than AUS findings, allowing underwriters to evaluate the full borrower profile when a more standard automated approach may not tell the whole story.

No Mortgage Insurance Required

Within program parameters, mortgage insurance is not required, even at high LTV financing. This can help eligible borrowers preserve more cash each month without waiting to reach 20% equity.

Future Income May Be Considered

For eligible borrowers, a properly documented employment contract or offer letter may support qualifying before a new position officially begins. Certain 1099 or contract-based scenarios may also qualify, subject to program guidelines and documentation.

At-A-Glance

Physician Loan vs. Traditional Mortgage

Feature FHM Physician Loan Traditional Mortgage
Down Payment As low as 0% to 5% in eligible scenarios Often requires more cash depending on loan type
Maximum Loan Amount Up to $2,000,000 for eligible borrowers May require a standard jumbo structure at higher loan amounts
Mortgage Insurance None required within program parameters Required until 20% equity is reached
Student Loan Treatment May allow more flexible treatment in certain scenarios Typically follows more standard repayment calculations
Future Income Signed contract may qualify W-2 borrowers up to 150 days from note date Current documented income typically required
Underwriting Manual review for more nuanced borrower profiles Often more dependent on automated underwriting findings
Minimum Credit Score 680 FICO minimum 620–740+ depending on product and lender

*Program terms apply. Not all borrowers will qualify for all features listed. Comparison is for illustrative purposes only.

Physician Loan Eligibility

Who Qualifies for a Physician Loan

Property & Loan Details

  • Loan Amount: Up to $2,000,000 maximum
  • Property Type: Primary residence, 1-unit properties
  • Occupancy: Primary residence only
  • Purpose: Purchase transactions and eligible rate/term refinances.
  • Appraisal: Full appraisal required. Appraisal waivers are not available under this program.

Borrower Qualifications

  • Credit Score: Minimum 680 FICO
  • Professions: Eligible borrowers may include physicians (MD/DO), dentists (DDS/DMD), pharmacists (PharmD), veterinarians (DVM/VMD), podiatrists (DPM), and CRNAs with qualifying credentials, as well as certain residents, fellows, and interns with an eligible degree
  • Income: Future income may qualify with a properly documented employment contract. Subject to program guidelines and start date requirements
  • Student Debt: Treatment varies by scenario; IBR, actual payment, or exclusion may apply in certain residency/fellowship cases

Geographic Availability

Currently offered in Federal Hill Mortgage’s licensed states below, subject to borrower qualification, product availability, and program guidelines:

  • Maryland
  • Delaware
  • Pennsylvania
  • Virginia
  • Washington, DC
  • North Carolina
  • Texas
  • Florida

Note: Refinance transactions are not eligible in Texas. Purchase transactions only in Texas.

Documentation

Common Documentation May Include

  • Government-issued photo ID
  • Income documentation — which may include pay stubs, W-2s, tax returns, or a fully executed employment contract or offer letter
  • Asset documentation such as recent bank or investment account statements
  • Student loan documentation, where applicable to the borrower’s profile
  • Professional license, diploma, or other proof of eligible designation
  • Full appraisal required. Appraisal waivers are not available under this program.

Additional Items by Scenario

  • Signed employment contract or offer letter with confirmed start date
  • Residency or fellowship verification letter, if applicable
  • Documentation supporting IBR payment or student loan exclusion, where applicable
  • Additional asset or reserve documentation may be required at higher LTVs
  • Any additional items required by underwriting based on final file review

Documentation requirements vary by borrower profile, income type, transaction type, and underwriting findings. The above is for general guidance only and does not represent a complete or final documentation checklist.

Why Physicians Choose This Path

Why Doctors Choose a Physician Loan

Traditional mortgage guidelines are not always built around the financial realities of a medical career path. This program is designed to address those challenges more thoughtfully for eligible borrowers.

Traditional Mortgage Reality

  • Student debt? Standard models may count the full payment (or 1% of balance) against your DTI.
  • Starting a role? Your income may not qualify until you have paystubs in hand.
  • LTV financing? Expect to pay PMI until you reach 20% equity.
  • Complex profile? Automated systems may not know how to evaluate a resident's or fellow's file.
  • Income tied? Many standard programs will not accept an offer letter as qualifying income.

Physician Loan Program Reality

  • Student loans may be treated more flexibly: IBR, actual payment, or exclusion in certain scenarios.
  • Signed contract may support qualifying for eligible W-2 borrowers up to 150 days before start date.
  • No mortgage insurance required within program parameters, even at high LTV.
  • Manual underwriting means your full profile is reviewed, not just what an algorithm scores.
  • Up to $2,000,000 in loan size for eligible borrowers with strong earning potential.

Best Fit by Career Stage

Who This Physician Loan Is Best For

Different moments in a medical career create different mortgage challenges. This program may help address each of them.

Residents & Fellows

Buying Before Your Attending Salary Starts

If you’re finishing a residency or fellowship with a signed offer letter in hand, the traditional mortgage process can feel impossible. This program may allow certain eligible borrowers to qualify on documented future income before the first paycheck arrives, so you can buy now rather than wait.

New Attending Physicians

Preserve Cash When Transitioning to Practice

You’ve put in the years. Now you’re stepping into an attending role with strong long-term income ahead, but limited cash reserves from years of training. A high-LTV option with no mortgage insurance may let you keep more liquidity as you transition, rather than draining savings on a large down payment.

Established Medical Professionals

Larger Loan Sizes Without PMI Drag

For established physicians, dentists, pharmacists, or other eligible medical professionals considering higher-value primary residences, standard loan structures may create unnecessary friction. With loan amounts up to $2M for eligible borrowers and no MI requirement within program parameters, this program may offer a more workable path in certain scenarios.

Ready to See If You Qualify for a Physician Loan?

We can review your scenario and help you understand whether this specialized program may be worth exploring, with no pressure and no commitment required to start the conversation.

Subject to credit approval, income verification, program eligibility, and state restrictions. Program availability may vary. Not a commitment to lend.

Frequently Asked Questions About Physician Loans

  • A physician loan is a specialized mortgage product designed for doctors and certain other eligible medical professionals. It may offer features not typically available through standard conventional or jumbo loan programs, including low or no down payment, no mortgage insurance requirement, more flexible treatment of student loan debt, and the ability to qualify using a signed employment contract in some cases. These features are designed around the specific financial realities many medical professionals face early in their careers, such as high student debt, limited cash reserves, and delayed income documentation.

  • Eligible borrowers may include physicians (MD/DO), dentists (DDS/DMD), pharmacists (PharmD), veterinarians (DVM/VMD), podiatrists (DPM), and CRNAs with qualifying credentials, as well as certain residents, fellows, and interns with an eligible degree. Not every role in the healthcare field will qualify. Eligibility depends on profession, degree held, documentation, and program guidelines. Reach out to discuss whether your specific profile may fit.

  • Student loan treatment depends on the borrower's situation and documentation. In certain residency and fellowship scenarios, qualifying student loan payments may be excluded from DTI calculations. Other eligible borrowers may use the IBR payment or actual payment rather than the standard 1% of balance calculation. This is one of the program's most meaningful differentiators for early-career medical professionals with significant student debt.

  • For eligible W-2 borrowers, a properly documented employment contract or offer letter may support qualifying up to 150 days before the note date. Certain 1099 or contract-based physicians may also qualify if the start date falls within program requirements and the contract structure meets guidelines. Documentation and underwriter review are required. Eligibility is not guaranteed based on a contract alone.

  • Within the program's parameters and for eligible borrowers, mortgage insurance is not required. This is a significant difference from many conventional low-down-payment options, which often require PMI until sufficient equity is reached. Specific terms apply, and all scenarios remain subject to underwriting review and program guidelines.

  • The program supports loan amounts up to $2,000,000 for eligible borrowers. Maximum loan amounts are subject to LTV, credit, reserve, and income documentation requirements, and may vary by borrower scenario. This makes the program relevant for physicians and other professionals purchasing higher-value primary residences where conforming loan limits are insufficient.

  • The minimum FICO score for this program is 680. This requirement applies regardless of employment status, income trajectory, or down payment amount. Borrowers with credit events such as recent collections, judgments, or major derogatory history may face additional review depending on circumstances and timing.

  • The program supports eligible rate/term refinances in addition to purchase transactions. Cash-out refinances are not available under this program structure.

  • Yes, residents and fellows may qualify for a physician loan if they hold an eligible degree and meet program guidelines. One of the most valuable features for this group is the potential to qualify using a signed employment contract or offer letter, allowing a purchase before a new attending position officially begins. Student loan treatment may also be more flexible for borrowers in residency or fellowship. Certain 1099 or contract-based physicians may also qualify, subject to contract structure, documented start date, and program requirements. We recommend reaching out to discuss your specific scenario.

Important Program Notes

  • Program is designed for primary residence purchases and eligible rate/term refinances only. Cash-out refinances and investment properties are not eligible. Refinance transactions are not eligible in Texas.
  • Manual underwriting is required. Automated underwriting system (AUS) approvals are not accepted under this program.
  • Full appraisal required on all files. Appraisal waivers are not accepted under this program.
  • Student loan treatment (IBR, actual payment, or exclusion) is subject to eligibility determination at underwriting and is not guaranteed
  • Future income qualification requires a fully executed employment contract and is subject to program start date windows and underwriter approval
  • Reserve requirements may vary based on LTV, loan amount, and income documentation type. Projected-income files may carry higher reserve requirements.
  • This is a specialized loan product with unique underwriting guidelines, and not all scenario combinations are eligible
  • Not all healthcare roles qualify; eligibility is determined by profession, documentation, and compliance with program guidelines