Purchasing a home in Louisiana presents a distinctive challenge for physicians, given their specific financial situations.
The extensive education and accumulated student loan debt often pose obstacles, making it hard for many doctors to qualify for a conventional mortgage. However, there's a solution in the form of physician mortgage loans, which offer favorable terms and minimal or no down payment requirements.
To aid you in taking the next step towards homeownership, we have compiled a list of the finest physician home lenders catering to doctors in Louisiana.
Best Doctor Mortgage Loans in Louisiana
In Louisiana, where the housing market can be competitive, it can be even more challenging for doctors to secure a mortgage that meets their unique financial needs.
Physician mortgage loans have emerged as a popular option for medical professionals who are looking to purchase a home.
Doctor mortgages offer favorable terms, such as low or no down payments, no private mortgage insurance, and flexible debt-to-income ratios, making homeownership more accessible to physicians in Louisiana.
Here are the best physician mortgage loans available to medical professionals in Louisiana.
First Western Trust
First Western Trust – Professional Loan Program
First Western Trust offers a sophisticated mortgage solution tailored to doctors, dentists, attorneys, and CRNAs, recognizing the unique financial trajectories of high‑earning professionals. With loan amounts ranging from $600,000 to $1,500,000, the program allows for minimal or no down payment depending on the amount.
Borrowers benefit from flexible, premium features carefully designed for busy professionals:
No Private Mortgage Insurance (PMI)
No escrow reserves required
Student loan deferrals of 12+ months are excluded from debt-to-income calculations
ARM options available in 5‑, 7‑, or 10‑year terms
Qualify as early as 60 days before official employment begins
Minimum FICO score: 720
Why choose First Western Trust? Their boutique, relationship-driven model means all underwriting is handled in-house—no call centers, no off-site delays—ensuring a seamless, personal experience backed by exceptional service.
Terms:
Loan amounts from $600,000 to $1,500,000.
$0 down up to $1,000,000
5% down up to $1,500,000
10% down up to $2,500,000
15% down up to $3,500,000
Available to doctors, dentists, DVMs, and CRNAs.
No PMI. No escrow reserves.
ARM options: 5‑, 7‑, 10‑year.
Student loans deferred 12+ months excluded from DTI.
Min FICO: 720.
Qualify up to 60 days pre‑employment.
Must have a fully executed employment offer and contract specifying all terms of the employment
First Western Trust Bank generally offers interest rates below the market average—for instance, about 0.11% lower than other lenders overall. Closing costs are also lower, by approximately $561, earning the bank a solid 4‑star rating out of 5 for rates and costs combined MortgageWaldo.com.
A 2025 analysis from True Rate highlights that for a $400,000 loan, you could save approximately $825 in the first year and nearly $4,900 over 10 years, thanks to rates about 0.14% below the median tomo.com.
2. Extensive Loan Product Variety
First Western Trust offers a broad array of mortgage products to suit different borrower needs:
Conventional loans (including programs for first-time buyers with down payments as low as 3%)
Jumbo loans, including those up to $5 million
FHA, VA, USDA loans, with flexible guidelines and sometimes no down payment required First Western Trust Mortgage+1
Professional loans tailored for doctors, dentists, attorneys, CRNAs—often with options like no down payment up to $1M First Western Trust Mortgage
Down payment assistance, CRA loans, HELOCs, construction-to-permanent loans, portfolio loans, and ADU financing First Western Trust Mortgage+1
Coverage across all 50 states, making them accessible even beyond their base in Colorado First Western Trust Mortgage
3. Relationship-Based, Personalized Service
The bank emphasizes a local, team-based approach—you’ll deal with a dedicated mortgage team available seven days a week, ensuring streamlined communication and personalized attention First Western Trust Mortgage.
Borrowers benefit from individualized planning from pre-purchase through closing, with closing figures provided at least 72 hours in advance to help clients stay informed and prepared First Western Trust Mortgage+1.
4. Strong Appeal for High-Net-Worth & Complex Borrowers
With deep expertise in serving high-net-worth individuals, First Western Trust tailors mortgage solutions that integrate seamlessly with broader financial, estate, and tax planning First Western Trust Mortgage.
Their professional loan offerings cater to borrowers like physicians and attorneys, often with minimal or no down payments on higher loan amounts First Western Trust Mortgage.
The bank has a long history of minimal credit losses, thanks to a relationship-driven, conservative underwriting strategy—including requirements like low loan-to-value ratios and multiple repayment sources SEC.
Their financials reflect consistent growth and strong capital positions, with rising loan and deposit portfolios and classification as well-capitalized in regulatory reports GlobeNewswire.
6. Cost‑Effective Lending in Practice
Origination data from 2023 shows their average closing cost of around $5,339, notably lower than the industry average of approximately $9,089 Origination Data.
Their approval rate is high—at 98.8%, indicating efficiency in their underwriting process Origination Data.
7. Recognition for Lending Leadership & Tech Savviness
Disclaimer:
Federally insured by NCUA. We Do Business in Accordance with the Federal Fair
Housing Law and the Equal Credit Opportunity Act
Hancock Whitney Bank *
At Hancock Whitney, we are a very highly trusted financial institution serving the Gulf Coast for over a century, and we are committed to helping medical professionals achieve homeownership with exclusive mortgage solutions designed to meet your unique needs. Exclusive discounted rates with a banking relationship can be offered as part of our physician loan. We do also offer other creative financial solutions, and we do have other very attractive loan programs with some of the most aggressive pricing in the south. Whether you are beginning your medical career or are an established professional, our specialized mortgage solutions provide a seamless, stress-free path to homeownership. Experience the difference of working with a bank that understands and supports physicians.
Terms:
100% financing up to $1 million—no down payment required
No Private Mortgage Insurance (PMI)—keep your costs lower
Available to Medical Doctors (MD, DO, DPM, OMS)
Flexible loan options: 15-year fixed rate or 5-, 7-, and 10-year adjustable-rate mortgages on 30 year terms
Available for primary residences
Minimum credit score of 680
No first-time homebuyer requirement
Close up to six months before employment begins—perfect for residency transitions
Deferred student loans (at least 12 months) excluded from debt calculation
Additional rate discounts if you open up a banking relationship with Hancock Whitney Bank
Eligible Professions:
MD, DO, Resident, Fellows, DPM, OMS
Strengths:
Minimum credit score of 680
No First Time Homebuyer requirement
1099 income-based contracts can be used as a form of income for the program
Close up to 6 months before you begin employment
Student loans deferred at least 12 months will not be included in your debt calculation
Aggressively priced loans with additional banking relationships
Powered by North Shore Trust and Savings 100+ years in banking, we are excited to guide you along your home financing journey. We are committed to understanding your unique scenario to uncover the optimal solution for you and your family. Expanded access to a plethora of mortgage options ensures if there is a solution, we will find it to get you home. Client satisfaction is paramount, and my team will strive to exceed your expectations with our knowledge, communication, and on-time execution.
Terms:
100% Financing up to $1 Million
95% Financing to $1.75 Million
89.99% to $2.5 Million
30 Fixed, 15 Fixed, 15/6 ARM, 10/6 ARM, 7/6 ARM, 5/6 ARM, 3/6 ARM and 1/6 ARM
Eligible Professions:
MD, DO, DDS, DMD, Resident, Fellows, DVM, DPM
Strengths:
Available in 46 of 50 States (Excludes AK,CA,HI,NV, DC)
No Points (unless quoted), No PMI, No Prepayment Penalty
680+ credit score solutions available
No Limitations on Time in Practice
W2 employees close up to 90 days in advance of start date * Conditions Apply
1099 employees close up to 60 days in advance of start date * Conditions Apply
Gift Funds OK for down payment, reserves or closing costs
Up to 50% DTI
Cash Out Refinance Financing Available
1-2 Unit Primary Residence including Townhomes, Warrantable Condos and Non-Warrantable Condos *
Conditions Apply
Oak Leaf Community Mortgage – Powered by North Shore Trust and Savings
Company NMLS# 438265, Equal Housing Lender, Member FDIC
Additional Information available at www.myoakleaf.com
All Loans Subject to Credit Approval. Terms and Conditions Apply, Program Terms and Availability Subject to Change
Alliant Credit Union ∅
Alliant Credit Union has created an industry leading Medical Professional Loan Program available in all states except Maryland.
Terms:
No PMI. Closing available 90 days before employment starts. Minimum FICO score of 700 to qualify. Maximum debt to income ratio 45%. Medical Professionals may borrow 100% up to $1,250,000, 95% financing up to $1,500,000, and 90% financing up to $2,000,000. Most lenders require that you have completed training within the last 10 years, Alliant Credit Union has no such limit.
Student Loan Debt omitted in qualifying ratios if deferred at least 12 months
Ability to use income based repayment schedule if not deferred for 12 months
No limit on time elapsed since the completion of training
Financing available for single family, condos, and two family owner occupied residences
Warrantable and non-warrantable condos allowed
Available to US Citizens, Permanent Resident Aliens, Non Permanent Resident Aliens, and Foreign Nationals
For other professionals we have Our First Time Homebuyers program with up to 100% financing available with no PMI.
Second Home Financing available up to 90% financing.
Construction Financing available up to 90% financing (AZ, CO, IL, IN, MI, NC, SC, and WI)
Please contact the Mortgage Loan Officer listed above covering the state in which you are purchasing.
Rates, terms, and conditions are subject to change. The 5/6, 7/6 and 10/6 ARMs offer a fixed rate for the initial period of the loan and adjust to a 6 month ARM after that period. The interest rate and monthly payment may adjust bi-annually based on the 30 day average Secured Overnight Funding Rate (SOFR), plus a margin of 2.75 percentage points with a 5% life time cap.
Rates can vary based on risk factors which include but are not limited to LTV, credit score, and debt to income ratio.
Mortgages available in all states except Maryland. Loan approval, interest rate, and downpayment required based on creditworthiness, amount financed, and ability to repay. Rates, terms, and conditions are subject to change and are subject to credit and collateral approval.
Rates can vary based on risk factors which include but are not limited to LTV, credit score, and debt to income ratio.
Citizens Financial Group, Inc. is one of the nation’s oldest and largest financial institutions, with $226.7 billion in assets as of December 31, 2022. Headquartered in Providence, Rhode Island, Citizens offers a broad range of retail and commercial banking products and services to individuals, small businesses, middle-market companies, large corporations and institutions. Citizens helps its customers reach their potential by listening to them and by understanding their needs in order to offer tailored advice, ideas and solutions. In Consumer Banking, Citizens provides an integrated experience that includes mobile and online banking, a full-service customer contact center and the convenience of approximately 3,400 ATMs and approximately 1,100 branches in 14 states and the District of Columbia. Consumer Banking products and services include a full range of banking, lending, savings, wealth management and small business offerings. In Commercial Banking, Citizens offers a broad complement of financial products and solutions, including lending and leasing, deposit and treasury management services, foreign exchange, interest rate and commodity risk management solutions, as well as loan syndication, corporate finance, merger and acquisition, and debt and equity capital markets capabilities.
Terms:
Borrowers may be self-employed physicians (2 year history needed) or medical researcher
Up to 95% financing up to $850,000/89% to $1M/85% to $1.5M on purchase & refinance
Up to 85% on Construction to Permanent loans with 12, 15 or 18 month build & one-time close
NO Private Mortgage Insurance Required
Non US Citizens are eligible
Can use employment contract income & close on your home 90 days prior to start date
SPECIAL banking relationship discount through a Citizens Bank Account
Seller Contributions Allowed
RECAST option available
30yr, 20yr, 15yr and 10yr fixed rate loans, 5,7 or 10 yearARMs.
Minimum credit score of 700
Student Loan Debt omitted in qualifying debt ratios if deferred at least 12 months following closing.
Ability to use IBR payment if not deferred for 12 months
Borrowers must have completed residency or fellowship within the last ten years, be a newly licensed
medical resident or about to begin new employment or residency within 90 days of closing.
Eligible Professions:
MD, DO, DDS, DMD, Resident, Fellows
Strengths:
Superior service, loan exceptions available and flexibility in underwriting.
Working exclusively with medical professionals.
Offer both fixed and adjustable rates with low down payment and no PMI
Also offer construction to permanent loan
Flexibility with student loan payments
Currently we offer several physician programs. Our most popular product will allow the following:
100% financing up to a $1.5 million loan amount
No PMI
No restrictions for time out of residency
Very low reserve requirements
Minimum credit score of 680
Can close up to 6 months prior to employment start date
Eligible Professions:
MD, DO, DPM, OMS
Strengths:
Clearly a strength is our product is more flexible than most of our peers. We have been able to help several physicians who were turned down elsewhere for the product recently. Allowing physicians to be greater than 10 yrs out of residency and still qualify has been helpful to many. The opportunity to provide 100% financing up to $1.5 million, and 95% financing up to $2 million, and 90% financing up to $2.5 million has been strong compared to competitors. Condos are allowable under the product.
Physician loans, also known as doctor mortgages, are designed specifically for medical professionals who may have unique financial situations. These loans offer favorable terms such as low or no down payments, no private mortgage insurance, and flexible debt-to-income ratios. Typically, lenders who offer physician loans will take into account a doctor's potential future income when considering their eligibility, rather than just their current income and debt. This is because medical professionals often have high earning potential, but may also have significant student loan debt that can impact their current financial standing. By taking this into account, physician loans can help make homeownership more accessible for doctors who may not be able to qualify for traditional mortgages. Physician loans are an option for doctors who are looking to purchase a home in Louisiana and can help make their dream of homeownership a reality.
Choosing a Conventional vs Doctor Mortgage When Buying a Home in Louisiana
Once you've made the decision to purchase a home and have the intention of residing in Louisiana for an extended period, giving serious thought to putting down 20% and opting for a conventional mortgage is highly advisable. By doing so, you'll unlock enhanced monthly cash flow, granting you significant financial flexibility to invest and even indulge in expenses.
If you're going to buy a home in Louisiana AND you can't or don't want to put 20% down, then a doctor mortgage loan is a reasonable option and at least as good as the other non-20%-down options.
When comparing conventional vs. doctor mortgages, physician loans do have lots of advantages, but those primarily revolve around easier underwriting requirements. A doctor mortgage can help you qualify for a loan you otherwise couldn't get.
Conventional mortgages are more difficult to qualify for, but there’s a reason for that. If you can qualify for a conventional mortgage, especially if you can make a sufficient down payment to avoid paying PMI, you’ll usually get a lower interest rate and fees. That means a lower monthly payment and a lower overall cost for your loan.
Moving from Louisiana and Need a Doctor Mortgage in a Different State?
