#156 What is a Mega Backdoor Roth, And When Should Doctors Use One?

#156 What is a Mega Backdoor Roth, And When Should Doctors Use One?

Author: Nate Reineke February 25, 2026 Duration: 27:16

If you plan to hit your 401K contribution limit for the year, but see that you can still add money through “after-tax contributions,” you may be wondering if that is a Mega Backdoor Roth and, more importantly, if you should do it. Nate Reineke and Kyle Hoelzle break down what exactly a Mega Backdoor Roth is and some cases where physicians should use it. We also discuss how you can still contribute post-tax dollars, plus some alternatives that may save you taxes in the long run. We also answer your colleagues' questions. A Dermatologist in New Jersey asks, “Is VOO enough exposure to the US market right now?” A Double doctor family in Oregon says, “Should we invest in a condo for our daughter who is going to undergrad and medical school at the same college next year?” A Radiologist in Texas wonders, “I just received a $300k inheritance. When is the right time to invest it, and what should I invest in?” Are you ready to turn worries about taxes and investing into all the money you need for college and retirement? It’s time to make a plan and get on track. To find out if we’re a match visit physicianfamily.com and click get started or, you can ask a question of your own by emailing podcast@physicianfamily.com. See marketing disclosures at physicianfamily.com/disclosures


Finding a clear path through financial planning feels uniquely challenging when your career is in medicine and your heart is at home with family. The Physician Family Finances Podcast exists in that specific, demanding space. Host Nate Reineke, alongside co-host Chelsea Jones, brings their experience as Certified Financial Planner™ professionals directly to conversations with physician parents. They understand the dual pressures of managing a practice, caring for kids, and making smart long-term decisions with your earnings. Each episode moves beyond generic advice to tackle the real questions you face, from navigating student loan strategies and investment options tailored to a physician's timeline to planning for retirement without sacrificing your family's present. This isn't about quick tips; it's about building a sustainable framework that aligns with your values and goals. Tune in for a candid, practical discussion that makes complex topics like tax laws and wealth building accessible, so you can gain confidence and clarity with your finances. The entire podcast is built on the principle that securing your future should feel like an achievable part of your life's work, not an overwhelming distraction from it.
Author: Language: English Episodes: 100

Physician Family Finances Podcast
Podcast Episodes
#152 A Physician's PE Dilemma: Cross the Finish Line or Another Lap? [not-audio_url] [/not-audio_url]

Duration: 19:53
After years of building your private practice, the time has come to sell. The business you have poured your time, energy, and money into is being bought by private equity. Should you take the payout in PE shares or cash?…
#150 Should Doctors Wait to Close on a New House? [not-audio_url] [/not-audio_url]

Duration: 23:42
New year, new interest rates? It’s a strong maybe. That isn’t the most helpful answer, but if you are close to closing on a new house, should you wait to see if they drop or lock in now? Nate Reineke and Chelsea Jones di…
#148 New Year, New 401K Catch-Up Contribution Rules for Doctors [not-audio_url] [/not-audio_url]

Duration: 27:58
It’s New Year’s Eve! We hope that you have had a wonderful 2025. As we look ahead to 2026, you may be making resolutions or setting goals for yourself. This is a time we all reflect on what changes we’d like to make. As…
#147 What End-of-Year Tax Breaks Should Physicians Utilize? [not-audio_url] [/not-audio_url]

Duration: 33:35
The holiday season brings many fun traditions, like going to see the lights, opening Advent calendars, baking, or shopping for the perfect gift. Since the holidays also signal the end of the year, it can be a time to thi…
#146 Are Mega Backdoor Roths Mega Awesome for Doctors? [not-audio_url] [/not-audio_url]

Duration: 25:03
That benefits packet you skimmed might hide a major opportunity. When it comes to saving for retirement, it can seem like there are a million account types, and it is becoming more common for employers to offer even more…