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Written by J.R. Dunigan, DOReviewed by MedMoneyGuide EditorialUpdated June 2026Fact-checked
2026 Comprehensive Review

Best Physician Mortgage Loans for 2026

Side-by-side comparison of the Top 5 lenders offering exclusive home loan programs for doctors. Zero down payment, no PMI, and real physician testimonials. Read our comprehensive Physician Mortgage Guide to understand exactly how these loans work, or combine with student loan refinancing to free up maximum monthly cash flow.

0-5% Down Payment NO PMI Required Closes Before Start Date

Lender Comparison Table

Loan terms and limits current as of June 2026. Qualifications vary by state and individual financial profile.

LenderMin Down PaymentMax Loan AmountPMIDTI LogicAvailability
Huntington Bank$0Up to $1MNoneFlexibleMidwest / East
TD Bank10%Up to $2MNoneAggressiveEast Coast
BMO$0 - 10%Up to $2MNoneFlexibleNational
Truist$0VariesNoneStandardNational (30+ states)
KeyBankVariesUp to $3.5MNoneFlexibleRegional

Huntington Bank

RESIDENT FAVORITE
Our Rating
5/5

Pros

  • 100% financing up to $1 Million with absolutely no PMI
  • Excellent customer service reputation and responsive loan officers
  • Can use future employment contract to close before starting job

Cons

  • Limited footprint — must be buying in a state where they operate
  • Max loan amount of $1M for zero-down limits luxury market purchases
Best For:ResidentsNew AttendingsFirst-Time Buyers

The Bottom Line: If you are buying a home in their footprint, Huntington is often the unbeatable choice for your first home. The ability to buy a $1M home with zero down payment is a massive advantage for new attendings trying to preserve cash.

We bought our $800k house during my last year of fellowship. Zero down, no PMI, and they used my signed attending contract to qualify us. The process was incredibly smooth.

Anesthesiology attending, 2025

How we scored 5/5

Huntington scores 5.0 because their zero-down, no PMI product up to $1M is exactly what residents and new attendings need most. Their customer service consistently receives top marks from physician borrowers.

TD Bank

HIGH LOAN LIMITS
Our Rating
4.8/5

Pros

  • Up to $2 Million with roughly 10% down payment
  • Flexible DTI calculations for borrowers with high student loans
  • Allows closing before starting job (up to 90 days)

Cons

  • East Coast focus — not available nationwide
  • Requires a down payment for very large loans (no 100% financing for $2M)
Best For:High Cost of LivingLuxury Homes

The Bottom Line: For physicians in high-cost-of-living areas (NYC, Boston, Philly), TD Bank is a top contender. Their willingness to lend large amounts with relatively small down payments makes luxury markets accessible.

Bought a $1.8M property in Boston right out of fellowship. Only needed 10% down and avoided the jumbo loan hassle. My student loans didn't stop the approval.

Surgical Oncologist, 2024

How we scored 4.8/5

TD Bank scores 4.8 for providing exceptional leverage in high-cost markets. While they don't offer $0 down for the largest loans, their 10% down option up to $2M is an incredibly valuable tool for coastal physicians.

BMO

CONSTRUCTION PROS
Our Rating
4.7/5

Pros

  • One of the few lenders offering a dedicated Physician Construction Loan
  • Up to $2 Million loan amounts for building your dream home
  • Competitive ARMs (Adjustable Rate Mortgages)

Cons

  • Construction loan process is naturally more complex than standard purchases
  • Slightly stricter underwriting for custom builds
Best For:Building a HomeMajor Renovations

The Bottom Line: If you plan to build your dream home or do a massive renovation, BMO is the specialist you need. Most physician loans are for existing homes only, making BMO a unique and essential player in the market.

We couldn't find an existing home we liked, so we built. BMO's physician construction loan let us finance the land and the build with minimal cash out of pocket.

Orthopedic Surgeon, 2025

How we scored 4.7/5

BMO scores 4.7 for filling a critical gap in the market: construction loans. While standard purchases are great, BMO's unique product offering makes them the go-to for physicians building custom homes.

Truist

(formerly SunTrust/BB&T)
MOST ESTABLISHED
Our Rating
4.8/5

Pros

  • One of the oldest and most established physician loan programs
  • Available in many states across the US
  • Solid digital banking experience and easy online application

Cons

  • Can be slightly more conservative on underwriting than regional banks
  • Customer service can feel like a large bank (less personalized)
Best For:Most PhysiciansSoutheast / Mid-Atlantic

The Bottom Line: Truist helped invent the physician mortgage. They have a very mature, reliable program that works for the vast majority of doctors looking for 100% financing across their massive footprint.

Used Truist for my first home in residency and again when I upgraded as an attending. They know exactly how to handle residency contracts and student loans.

Emergency Medicine attending, 2026

How we scored 4.8/5

Truist scores 4.8 for reliability and reach. They practically invented the category and offer a seamless, predictable process for physicians in over 30 states.

KeyBank

HIGH NET WORTH
Our Rating
4.7/5

Pros

  • Loans available up to an incredible $3.5 Million
  • Personalized relationship banking for high net worth individuals
  • Can use 1099 independent contractor income effectively

Cons

  • Not available in all 50 states
  • Aimed more at established attendings rather than new residents
Best For:Super High Earners1099 Contractors

The Bottom Line: If you are looking to buy a "Forever Home" in the $2M-$3M+ range, KeyBank is one of the few lenders who can facilitate that with physician-friendly terms and high-touch service.

I'm a 1099 contractor and most banks wanted 2 years of tax returns. KeyBank understood my physician income and got me approved for a $2.4M home with a great rate.

Radiologist, 2024

How we scored 4.7/5

KeyBank scores 4.7 for serving the ultra-high-end of the physician market. Their ability to underwrite complex 1099 income and fund up to $3.5M makes them invaluable for established specialists.

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Down Payment Savings

Cash saved upfront vs a conventional 20% down loan

$500,000 Home
Preserve $100,000
$800,000 Home
Preserve $160,000
$1.2M Home (10% down)
Preserve $120,000
Note: By preserving this cash, you can invest it or keep it as an emergency fund rather than locking it into home equity.

Are Physician Loans Always the Best Option?

Not always. If you already have 20% cash saved for a down payment and your student loans are low, a conventional mortgage will usually offer a slightly lower interest rate than a physician loan. Physician loans are designed to solve a specific problem: high income coupled with high student debt and low cash reserves. If you don't fit that profile, shop conventional rates as well.

Frequently Asked Questions

What is a physician mortgage loan?

A physician mortgage (or doctor loan) is a specialized home financing product designed specifically for medical professionals. They offer unique underwriting criteria that ignore student loan debt (or calculate it favorably), allow for zero to very low down payments, and do not require Private Mortgage Insurance (PMI).

Do I need a 20% down payment?

No. The primary benefit of a physician loan is the ability to finance 100% of the home's purchase price without paying PMI. Many lenders offer zero down up to $1 million, and 5–10% down for loans up to $2 million or more.

Can I close on a home before I start my new attending job?

Yes. Most physician mortgage programs allow you to close on a home up to 60 or 90 days before you actually start your new job, using your signed employment contract as proof of income. This makes relocating for residency, fellowship, or a new attending position much easier.

Is the interest rate higher than a conventional mortgage?

It can be slightly higher — typically 0.125% to 0.25% higher than a conventional mortgage with 20% down. However, because physician loans do not charge PMI, your overall monthly payment is usually significantly lower than a conventional loan with less than 20% down.

Do these loans work for refinancing my current home?

Yes, many lenders offer rate/term and cash-out refinances using physician loan criteria. This can be an excellent strategy if your home has appreciated or you want to drop PMI from a conventional loan you took out during residency.

Disclaimer: Loan limits, down payment requirements, and product availability are current as of June 2026 and are subject to change. Your actual approval and rate depend on creditworthiness, income, DTI, loan amount, and location. This page contains affiliate links — MedMoneyGuide may earn a commission if you originate a loan through our links. This does not influence our ratings, which are based on independent analysis of each lender's physician-specific features and customer experience. This article is for educational purposes only and does not constitute financial or real estate advice.

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Editorial Credibility

J.R. Dunigan, DO | Family Medicine Physician & Founder

I founded MedMoneyGuide to provide physicians with unbiased, specialty-specific financial guidance. My goal is to add transparency and credibility to your financial journey.