Best Physician Mortgage
Loans 20260% Down. No PMI. Up to $3.5M. Student Debt Excluded.
You finished residency. You have a $250K signing bonus coming. But $380K in student loans is blocking your mortgage. Physician loans exclude your student debt from DTI entirely. No PMI. No down payment. Loans up to $3.5M for attending physicians. Here are the best lenders in 2026 — ranked.
No obligation • Soft pull • 2-minute form • Lenders compete for your business
📊 Physician Loan vs Conventional: The Exact Comparison
| Feature | Conventional Mortgage | 💎 Physician Loan |
|---|---|---|
| Down Payment | 3-20% required | 0% available |
| PMI Required | Yes (if <20% down) | Never |
| Student Debt in DTI | Full balance counted (0.5-1%) | Excluded or IBR only |
| Income Documentation | 2 years W-2 required | Offer letter accepted |
| Max Loan Amount | $806,500 (conforming) | Up to $3.5M |
| Residents Eligible | Rarely (no income history) | Yes — offer letter OK |
| Interest Rate | Lower (6.25-6.75%) | Slightly higher (6.50-7.25%) |
| Monthly PMI Cost | $150-400/month | $0 forever |
💰 The Real Math: $800K Home, 0% vs 20% Down
| Conventional (20% Down) | 💎 Physician Loan (0% Down) | |
|---|---|---|
| Home Price | $800,000 | $800,000 |
| Down Payment | $160,000 (20%) | $0 (0%) |
| Loan Amount | $640,000 | $800,000 |
| Rate | 6.50% | 6.75% |
| Monthly Principal + Interest | $4,047 | $5,187 |
| Monthly PMI | $0 (20% down) | $0 (no PMI ever) |
| Total Monthly Payment | $4,047 (+ $160K tied up) | $5,187 (no cash needed) |
| Cash Preserved | $0 | $160,000 → invested at 7% = $11,200/yr |
| Net advantage | — | $160K compounding beats $1,140/mo difference in 8-10 yrs |
Bottom line: The $160,000 you preserve by using a physician loan — invested at historical 7% market returns — generates $11,200/year, which exceeds the payment difference within 8-10 years. Physicians who put 20% down are leaving wealth on the table.
💎 Best Physician Mortgage Lenders 2026 — Ranked
Flagstar Bank
Down payment options: 0%, 5%, 10%
TD Bank
Down payment options: 0%, 5%
6.50-7.25%
Est. 2026 rate
Truist (SunTrust)
Down payment options: 0%, 5%, 10%
6.50-7.00%
Est. 2026 rate
First National Bank
Down payment options: 0%, 5%
6.25-6.75%
Est. 2026 rate
Fifth Third Bank
Down payment options: 0%, 5%, 10%
6.50-7.25%
Est. 2026 rate
KeyBank
Down payment options: 5%, 10%
6.75-7.50%
Est. 2026 rate
PHYSICIAN EXCLUSIVE
Get Your VIP Rate in 2 Minutes
0% down. No PMI. Student debt excluded. Lenders compete for physician borrowers — you have leverage. Use it.
❓ Physician Mortgage FAQ
What is a physician mortgage loan?
Who qualifies for a physician mortgage loan in 2026?
What are physician mortgage rates in 2026?
Do physician loans count student debt in DTI?
Can a medical resident get a physician mortgage?
💎 You Earned This — No Down Payment, No PMI, No Compromise
Physician loans exist for exactly your situation. Use the leverage you've earned.
📚 Related Premium Mortgage Guides
Meet Michael
Reverse Mortgage & Senior Specialist
Michael Thompson is a leading expert in reverse mortgages and senior financing solutions with 15 years of specialized experience. As a certified HECM specialist, he has helped thousands of seniors access their home equity for retirement planning. His compassionate approach and deep knowledge of FHA reverse mortgage guidelines make him a trusted advisor for families navigating senior housing and financial planning decisions.
EXPERTISE:
KEY ACHIEVEMENT:
Helped 3,000+ seniors access $500M+ in home equity