#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
#133 Dependent Care FSA: Time Suck or Tax Saver for Doctors? [not-audio_url] [/not-audio_url]

Duration: 21:26
There are a thousand opinions out there on how to raise kids, but the one thing everyone can agree on is that raising kids is expensive. Luckily, there’s a way that doctors like you can save on taxes and use pretax dolla…
#132 Should Physicians Own AI Stock? [not-audio_url] [/not-audio_url]

Duration: 31:58
Before Amazon was Amazon, some people took a huge risk and bought stock in the company. Luckily, that risk paid off for them! Now, history is repeating itself with some AI stocks where they could be the next Amazon, or t…
#129 Will a Summer Splurge Spoil Physicians' Savings Plans? [not-audio_url] [/not-audio_url]

Duration: 35:42
Summer means vacations, and vacations can lead to splurges. While following a plan is important, the occasional splurge is inevitable, even for the pros. Listen in as Nate Reineke, Chelsea Jones, and Kyle Hoelzle reveal…
#126 One (More) Big Beautiful Episode with Ken Eremita, CPA [not-audio_url] [/not-audio_url]

Duration: 30:00
The One Big Beautiful Bill remains long and confusing. Some people think that the new tax laws are barking mad, while others are wagging their tails with delight. Listen in as Ben and Nate are joined by Ken Eremita, CPA…