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
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
Eligibility is subject to degree, documentation, and program guidelines. Not all healthcare roles qualify.
Common Physician Loan Benefits
Understanding the Product
Four features that make this program different from standard mortgage options for eligible medical professionals.
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.
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.
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.
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
| 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
Property & Loan Details
Note: Refinance transactions are not eligible in Texas. Purchase transactions only.
Borrower Qualifications
Geographic Availability
Currently offered in Federal Hill Mortgage’s licensed states below, subject to borrower qualification, product availability, and program guidelines:
Note: Refinance transactions are not eligible in Texas. Purchase transactions only in Texas.
Documentation
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
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
Physician Loan Program Reality
Best Fit by Career Stage
Different moments in a medical career create different mortgage challenges. This program may help address each of them.
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.
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.
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.
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.
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