Backdoor Roth vs Mega Backdoor Roth for Nurses: Which Strategy Fits? episode artwork

EPISODE · Feb 17, 2026 · 29 MIN

Backdoor Roth vs Mega Backdoor Roth for Nurses: Which Strategy Fits?

from MoneyRx for CRNAs and NPs · host Brett Fellows, CFP®

If you're a CRNA or nurse practitioner earning over the Roth IRA income limits, you're locked out of one of the best retirement accounts available. But there's a legal workaround. In this episode, Brett Fellows explains two powerful tax strategies that can save you hundreds of thousands of dollars over your career.In this episode, Brett covers:How the backdoor Roth IRA works and why it's been IRS-approved since 2010The exact step-by-step process to execute a backdoor Roth conversionWhat the pro-rata rule is and how to avoid the biggest mistake that trips people upHow the mega backdoor Roth lets you contribute up to $72,000 annually to tax-free accountsWhether your employer plan allows mega backdoor Roth contributions (and what to ask HR)Real-world examples showing how nurses can accumulate $4.5 million tax-freeCommon mistakes to avoid when executing these strategiesTax reporting requirements and which forms you need to fileHow self-employed CRNAs can maximize these strategies with a solo 401(k)Whether you're just starting out or nearing retirement, these strategies can help you build millions in tax-free savings and potentially save over $1 million in taxes throughout your career.Key Timestamps:(0:45) Why "High-Earners" Are Locked Out of Roth IRAs(2:54) The Backdoor Roth IRA: A Simple 2-Step Process(4:54) The Pro-Rata Rule: Avoiding the #1 Backdoor Mistake(7:09) Step-by-Step: How to Execute a Clean Backdoor Conversion(8:59) What is a Mega Backdoor Roth?(11:49) Two Must-Have Features Your 401(k) Plan Needs(15:44) Common Mistakes: From Missing Conversions to Paperwork Messes(17:49) The $43,000 Strategy: Can You Do Both?(21:19) Case Study: Saving $1 Million in Taxes Over a Career(24:49) What to Do if Your Plan Doesn't Allow the "Mega" Strategy#CRNA #TaxStrategies #RothIRA #NurseFor more information and resources related to this episode, please visit the show notes. 

If you're a CRNA or nurse practitioner earning over the Roth IRA income limits, you're locked out of one of the best retirement accounts available. But there's a legal workaround. In this episode, Brett Fellows explains two powerful tax strategies that can save you hundreds of thousands of dollars over your career. In this episode, Brett covers: How the backdoor Roth IRA works and why it's been IRS-approved since 2010The exact step-by-step process to execute a backdoor Roth conversionWhat the...

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Backdoor Roth vs Mega Backdoor Roth for Nurses: Which Strategy Fits?

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This episode is 29 minutes long.

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This episode was published on February 17, 2026.

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If you're a CRNA or nurse practitioner earning over the Roth IRA income limits, you're locked out of one of the best retirement accounts available. But there's a legal workaround. In this episode, Brett Fellows explains two powerful tax strategies...

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