Financial Planning Tips for Doctors Navigating High Costs in San Diego – Part 1

San Diego is a beautiful city with an enviable climate, but it’s also known for its high cost of living. For physicians practicing in this area, financial planning becomes crucial, not only for personal stability but also for achieving long-term goals. Whether you’re just starting your career or are well-established in the medical field, navigating these financial challenges requires careful planning. Let’s dive into some financial planning tips for doctors that can help address the unique aspects of living and working in this region.

Understanding the High Cost of Living in San Diego

The first step in effective financial planning for San Diego physicians is understanding the city’s economic landscape. San Diego’s cost of living is significantly higher than the national average, particularly in areas like housing, healthcare, and taxes. As a physician, it’s crucial to factor these costs into your financial strategy.

Location and Commute Considerations

Deciding where to live in San Diego can have a big impact on your financial plan. The closer you live to the city center or to major hospitals, the higher the cost of housing. Neighborhoods like La Jolla, Del Mar, and Carmel Valley are popular among professionals but come with hefty price tags. On the other hand, areas like Poway, Chula Vista, or Eastlake might offer more affordable options with a slightly longer commute.

You should weigh the benefits of a shorter commute against the potential savings from living in more affordable areas. Consider your work-life balance, the cost of transportation, and the time you’ll save by living closer to your workplace.

Budgeting and Building a Financial Plan Throughout Your Career

Budgeting is essential regardless of your income level. For physicians, who often have higher-than-average salaries, it might be tempting to forgo a strict budget but doing so can lead to financial pitfalls down the road.

Early Career Physicians
If you’re early in your career, you should focus on paying down student loans, saving for a home, and starting retirement savings. Financial planning for physicians in the early stages of their career should also include building an emergency fund and obtaining adequate life and disability insurance.

Mid-Career Physicians
As you progress in your career, your financial priorities will shift. This is the time to start thinking about investing more aggressively, planning for your children’s education, developing a side-hustle or joining a partnership.

Late-Career Physicians
For those in the later stages of their career, the focus should be on maximizing retirement savings, minimizing taxes, and planning for healthcare in retirement. Whether you’re in private practice or employed by a hospital, having a clear exit strategy and succession plan is crucial. This might involve selling your practice, transitioning to part-time work, or shifting to a consulting role.

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Retirement Planning and Healthcare Insurance Options for Physicians

Retirement planning is a critical component of financial planning for physicians. The earlier you start, the more options you’ll have, but it’s never too late to create a robust retirement plan.

Retirement Savings
One of the most common questions physicians ask is, “How much should I save as a physician?” The answer varies but a general rule of thumb is to aim to replace 70–90% of your pre-retirement income. Some health system benefits package examples (subject to annual revisions) include:

  • Scripps Clinic Medical Group — Has a 401(k), Profit Sharing Plan (PSP), Supplemental Benefits Group Plan, and a Cash Balance Plan.
  • Sharp Healthcare — Has a Retirement Plan, Money Purchase Plan (MPP), and Cash Balance Plan.
  • UC Health — Has a 403(b), 457 plan, and Defined Contribution Plan (allowed to make after-tax contributions)

The complexity of benefits packages like those listed above may feel overwhelming. However, experienced financial professionals can help you choose the best option for your situation.

Healthcare in Retirement
Healthcare is one of the most significant expenses in retirement. As a physician, you likely understand the importance of having comprehensive health coverage. However, planning for healthcare costs in retirement is equally important. Medicare will cover some expenses, but supplemental insurance will be needed.  Saving money in a health savings account (HSA) can help cover additional costs. It’s important to plan for your health insurance needs once you’re no longer covered by an employer plan.

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Should Physicians Have a Financial Advisor?

Given the complexities of the medical profession and the unique financial challenges that come with it, many doctors wonder if they need a financial advisor. The short answer is yes.

Expertise in Physician-Specific Financial Issues
A financial advisor with experience serving physicians will understand the specific issues doctors face. They can provide personalized advice, tailored to your career stage, family needs, and long-term goals.

Time Management
Physicians are often pressed for time, making it difficult to stay on top of financial planning. A financial advisor can take on this burden, allowing you to focus on your career and personal life while ensuring your finances are in order.

Not sure where to start? Read our blog post on how physicians should pick a financial advisor. We’re here to help. Contact us today to schedule a consultation and take the first step toward securing your financial future.


Disclosure: The opinions expressed within this blog post are as of the date of publication and are provided for informational purposes only. Content will not be updated after publication and should not be considered current after the publication date. All opinions are subject to change without notice, and due to changes in the market or economic conditions may not necessarily come to pass. Nothing contained herein should be construed as a comprehensive statement of the matters discussed, considered investment, financial, legal, or tax advice, or a recommendation to buy or sell any securities, and no investment decision should be made based solely on any information provided herein. Links to third party content are included for convenience only, we do not endorse, sponsor, or recommend any of the third parties or their websites and do not guarantee the adequacy of information contained within their websites.

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