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Financial Preparation for End-of-Life: Insights from a Death Doula

Writer's picture: Beth MontgomeryBeth Montgomery
forest, final costs, funeral costs, financial planning for end of life care

Facing the reality of end-of-life planning is difficult for many, and financial preparation is often one of the most daunting aspects. But as a death doula, my role is to help ease these transitions, providing comfort, clarity, and support through each step.


Here, I’ll guide you through the essentials of financially preparing for end-of-life from a compassionate and practical perspective. Knowing what to expect and how to plan can empower you and your loved ones during a time when peace and emotional connection should come first.


Understanding the Importance of Financial Planning for End-of-Life


When we talk about preparing financially for end-of-life, we’re discussing more than just paying for medical bills or funeral costs. This process involves ensuring that your financial matters are in order, so your loved ones can focus on healing and honoring your legacy, not grappling with unexpected expenses or logistical roadblocks.


Many people avoid planning for end-of-life finances, often because it’s overwhelming or seems unnecessary. But as a death doula, I see the emotional relief and sense of peace that comes when someone has taken the time to prepare. Financial planning allows you to take control and make decisions that align with your values and wishes. By addressing this now, you can make your journey smoother for both yourself and your loved ones.


Step 1: Assessing Your Financial Needs and Priorities


Financial planning at end-of-life begins with understanding your personal needs and goals.


Consider the following questions to clarify your priorities:

  • What type of care do I want at the end of my life? Do you want to stay at home, receive hospice care, or stay in a healthcare facility? Each option has different costs.

  • Who depends on my financial resources? Consider any dependents or loved ones who rely on your income or assets, such as a spouse, children, or even pets.

  • What are my legacy goals? You may want to leave an inheritance, donate to a cause you believe in, or fund something specific in memory.


By understanding these key elements, you’ll have a clear view of the financial resources you’ll need to set aside or allocate.


Step 2: Documenting Essential Financial Information


One of the most loving actions you can take for your family is organizing your financial documents and keeping them in one secure place. This “financial file” can help family members easily access critical information, reducing stress and confusion.


Include documents such as:

  • Wills and trusts: These legal documents ensure your assets are distributed according to your wishes and can help avoid probate.

  • Power of attorney and healthcare directives: Assign a trusted individual to make financial and medical decisions on your behalf if you’re unable to do so.

  • Insurance policies: Include life insurance, health insurance, and any long-term care insurance policies, which can help cover end-of-life expenses.

  • Bank and investment account details: List all financial accounts, including passwords if applicable, to ensure your family can access these funds if needed.

  • Debts and liabilities: Document any outstanding debts to prevent your loved ones from facing unexpected financial responsibilities.


Consider creating both a physical and digital copy of these documents and let your family or trusted representative know where to find them.


A Death doula can help guide you in preparing for these appointments and often can make referrals.


Step 3: Planning for Medical Costs and Long-Term Care


Medical expenses can add up quickly, particularly if long-term care or hospice services are required. Researching your options and understanding what is covered by your insurance, Medicare, or Medicaid can prevent unexpected costs. If you’re planning to pay out-of-pocket for specific care services, begin setting aside funds early.


In addition to traditional health insurance, consider purchasing long-term care insurance if you can. This type of insurance covers some or all the costs associated with extended care, from in-home support to hospice. If long-term care insurance isn’t accessible, a dedicated savings fund can help offset medical expenses.


Step 4: Preparing for Funeral and Burial Costs


Funeral expenses are often higher than expected, with services, burial plots, and memorials costing thousands of dollars. Pre-planning your farewell arrangements can relieve this financial burden for your family. Beyond traditional options, there are increasingly meaningful alternatives available that align with specific values, and a death doula can help guide you in exploring these choices.


For instance, green burials offer an environmentally-friendly option, allowing the body to return naturally to the earth without embalming or a traditional casket. Alternatively, home funerals provide a deeply personal experience, giving families the chance to care for their loved one at home and participate directly in the ceremony. Options like these can often be more cost-effective and align closely with values of simplicity, environmental stewardship, or family closeness.


Whether you’re considering prepaying for funeral services, creating a dedicated savings account, or exploring these alternative options, clear communication of your wishes will help ensure your legacy aligns with what feels most meaningful to you.


Options for preparing include:

  • Prepaying for funeral services: Many funeral homes offer prepayment plans, which can lock in today’s prices and ensure that your family isn’t faced with unexpected costs.

  • Creating a dedicated savings account: Setting aside funds specifically for funeral expenses can give your family the freedom to make decisions without financial pressure.

  • Communicating your wishes: Whether you prefer burial, cremation, or a unique celebration, communicate these preferences so your family can honor your wishes without uncertainty.


Step 5: Talking to Loved Ones About Financial Plans


Though it may feel difficult, discussing your financial plans with loved ones can create a shared understanding and bring peace of mind to everyone involved. You may choose to have these conversations one-on-one, or gather your family members together to explain your end-of-life plans in a safe, comfortable setting. Be open and encourage questions, as this clarity can reduce stress and help your loved ones feel prepared.


As a death doula, I often facilitate or support these conversations, helping families approach sensitive topics with empathy. This step is invaluable for creating transparency and strengthening family bonds.


Moving Forward with Peace and Confidence


Financial preparation for end-of-life can be a healing process. By taking these steps, you’re giving a gift to both yourself and your loved ones—helping them to focus on celebrating your life and cherishing memories rather than worrying about costs or logistics. Just as a doula offers support through the emotional and practical aspects of life’s transitions, financial planning for end-of-life is an act of care, love, and intention.


Remember, you don’t have to do this alone. Seek support from financial advisors, legal experts, or compassionate professionals like death doulas who can guide you through the process. Your journey can be one of peace, resilience, and connection, with financial planning as a comforting foundation for the road ahead.

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