Physician Mortgage Loans: What Doctors Need to Know

A physician mortgage loan is a specialized financing option designed for doctors and other medical professionals, offering favorable terms like no private mortgage insurance (PMI) and flexible debt-to-income ratios. Eligible candidates typically include medical doctors, dentists and other medical professionals early in their careers.

Choosing a physician mortgage loan over a traditional mortgage can be beneficial if you have significant student loan debt or need to maximize your borrowing power without a large down payment. We’ll walk you through the nuances of physician mortgage loans, helping you understand how they work, their pros and cons and whether they’re the right choice for you.

Key Takeaways

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Physician mortgage loans are specialized home loans for medical professionals, offering low or no down payments and no PMI with more flexible qualifying requirements than conventional loans.

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Eligible borrowers typically include doctors, dentists and some healthcare professionals. Qualifications are often based on a medical degree and a signed employment contract.

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Physician loans allow you to qualify despite having high student debt, but you’ll typically get higher interest rates and variable terms.

What Are Physician Mortgage Loans?

A physician mortgage loan, or doctor loan, is a type of financing designed specifically for medical professionals, including doctors, dentists and sometimes other healthcare practitioners. These loans are crafted with the unique financial situations of medical professionals in mind, offering more flexible terms and looser qualifying requirements than conventional mortgages.

Doctors, particularly recent graduates, often face challenges securing a traditional mortgage due to high student loan debt, limited savings and a short work history. Physician mortgage loans address these challenges by allowing for little or no down payment and often waiving the need for private mortgage insurance (PMI). They also consider a doctor’s future earning potential and job security rather than just their current financial situation.

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Benefits of Physician Mortgage Loans

A doctor mortgage loan is designed with the unique financial needs of medical professionals in mind. Unlike conventional loans, these loans offer several benefits that make homeownership more accessible for doctors, even early in their careers.

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    No PMI requirement

    Unlike conventional loans that require private mortgage insurance (PMI) if your down payment is less than 20%, doctor mortgage loans typically waive this requirement. This can save you a significant amount of money each month.

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    Consideration of medical school debt

    Lenders offering doctor mortgage loans understand that student loan debt is a necessary investment in your career. Many exclude deferred student loans from your debt-to-income (DTI) ratio or offer more favorable terms to accommodate this debt.

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    Specialized lender terms

    These loans are tailored for medical professionals, offering flexibility in terms like employment verification. For example, you might qualify based on a signed employment contract, even if you haven’t started your job yet.

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    Higher loan limits

    Doctor mortgage loans often come with higher loan limits — sometimes up to $1 million or more — allowing you to borrow more than you might with a conventional loan.

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    Favorable debt-to-income ratios

    Doctor loans often allow for higher DTI ratios, recognizing that your future earning potential offsets your current debt load. This means you can qualify for a mortgage even with high student debt.

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Drawbacks of Mortgage Physician Loans

While a doctor mortgage loan offers many benefits tailored to medical professionals, it's best to be aware of potential drawbacks. Understanding these can help you determine whether this type of loan is right for you.

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    Higher interest rates

    Doctor mortgage loans often have higher interest rates than conventional loans. Many lenders also offer variable rates, which can start low but may increase over time, potentially leading to higher monthly payments in the future.

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    Lender availability

    Not all lenders offer these loans, which can limit your options. You may need to spend more time finding a lender that offers competitive terms and is willing to accommodate your financial situation.

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    Property eligibility

    Some doctor mortgage loans may restrict the type of property you can purchase. For example, they might exclude investment properties or require that the home be your primary residence, which could limit your choices.

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    Risk of an Underwater Mortgage

    Since doctor mortgage loans often allow for a 0% down payment, you start with no equity in the home. If the property value decreases, you could end up with an underwater mortgage, which can be financially challenging if you need to sell or refinance.

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WHAT IS AN UNDERWATER MORTGAGE?

An underwater mortgage occurs when you owe more on your home than its current market value, resulting in negative equity. This situation can happen if property values drop after you’ve taken out a loan, especially with a 0% down physician mortgage loan. Negative equity makes it challenging to sell or refinance your home, as you’d need to cover the difference between the mortgage balance and the home’s worth.

Who’s Eligible for a Physician Mortgage Loan?

Doctor mortgage loans are specifically designed for medical professionals with certain degrees, but eligibility extends beyond education. Lenders consider your professional qualifications, employment status and credit history to determine if you qualify.

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    Medical Degrees

    Commonly eligible degrees include M.D., D.O., D.M.D., D.D.S., D.P.M. and D.V.M. Some lenders may also offer special programs for P.A.s, nurses and therapists.

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    Employment Verification

    New doctors in internships, residencies or fellowships can often qualify by providing a signed employment contract as proof of income instead of traditional pay stubs or tax returns.

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    Credit Score Requirements

    To qualify for a physician mortgage, you’ll generally need a credit score of 700 or higher. This is stricter than many other loan programs, reflecting the low down payment and lack of PMI benefits that these loans offer.

How to Apply for a Physician Mortgage Loan

Applying for a doctor mortgage loan is a straightforward process, but following the steps is important to ensure you get the best terms possible. Here’s how to get started:

  1. Set your budget: Determine how much you can afford to spend on a home, considering your income, current debts and future financial goals. This will guide your search and help you determine the loan amount.

  2. Check your credit scores and reports: Review your credit scores and reports to ensure they meet the lender’s requirements. Correct any errors and address issues that could affect your loan approval.

  3. Research lenders: Find lenders who specialize in physician mortgage loans. Not all lenders offer these loans, so focus on those with experience in working with medical professionals.

  4. Get pre-approved: Submit your financial information to get pre-approved for a loan. This step gives you a clear idea of how much you can borrow and strengthens your position when making an offer.

  5. Gather the required documentation: Prepare necessary documents, such as proof of your medical degree and a signed employment contract. This helps streamline the application process and expedite approval.

  6. Submit your application: Complete the lender’s application form with all required details. You’ll provide your personal, financial and employment information here.

  7. Close the loan: Review the loan terms before signing. Ensure you understand the interest rate, repayment terms and any potential variable rate changes.

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TIPS FOR CHOOSING THE RIGHT DOCTOR LOAN LENDER

When selecting a lender for your physician mortgage loan, start by researching lenders who specialize in working with medical professionals. Look for those offering competitive interest rates and flexible terms. Then, do the following:

  • Compare offers: Get quotes from multiple lenders to ensure you get the best deal.
  • Check reputation: Read reviews and ask for recommendations from colleagues who’ve used physician mortgage loans.
  • Consider customer service: Choose a lender that communicates clearly and is responsive to your questions throughout the process.

Alternatives to Physician Mortgage Loans

While a doctor mortgage loan offers specific benefits for medical professionals, it’s not the only option available. Depending on your financial situation and long-term goals, you might find that other types of mortgages better suit your needs. Here are three alternatives to consider:

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Offers a variety of term lengths and usually comes with lower interest rates if you have good credit.

Borrowers with solid credit, stable income and ability to make a significant down payment.

Requires a lower down payment and allows for lower credit scores, making it easier to qualify.

Provides no down payment options and competitive interest rates for eligible veterans.

Active duty military, veteran and eligible surviving spouses seeking affordable home financing.

FAQ: Physician Mortgage Loans

When considering a doctor mortgage loan, it’s essential to understand how it works and how it compares to other financing options. Here are some common questions about physician mortgage loans to help you make an informed decision.

What is a physician mortgage loan?
How do physician mortgage loans compare to conventional loans?
Can physicians with student loan debt qualify for a physician mortgage loan?
Can physician mortgage loans be used for investment properties?
Are physician mortgage loans available to dentists and other medical professionals?
Are there any special benefits for residents and fellows?
How much can I borrow with a physician mortgage loan?
What happens if I move to a different state after securing a physician mortgage loan?
Can you refinance a doctor loan?

About Zachary Romeo, CBCA


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Zachary Romeo is a certified Commercial Banking and Credit Analyst (CBCA), and the Head of Loans and Banking at MoneyGeek. Previously, he led production teams for some of the largest online informational resources in higher education, with over 13 years of experience in editorial production.

Romeo has a bachelor's degree in biological engineering from Cornell University. He geeks out on minimizing personal debt and helping others do the same through people-first content.