Aged Care Accommodation Payments Explained and FAQ's
The fees payable in Aged Residential care fall into one of 4 categories:
- A Basic Daily Fee - paid by all people who receive care in an aged residential care, regardless of their financial situation;
- A Means Tested Care Fee - an additional contribution towards the cost of care that some people may be required to pay, based on an assessment of their income and assets;
- Fees for Extra or Additional Optional Services - residents may elect to pay for additional, optional services, such as the internet, pay TV, etc. Fees for extra or optional services must be agreed with the resident beforehand and it is not permitted for residents to be charged certain for certain costs, such as:
- maintenance inside and outside the aged care home;
- any repairs or replacements necessary because of normal wear and tear;
- general refurbishment of the resident's room after they have left the aged care home;
- services or activities that would form part of the general operation of the aged care home, or are required in order to deliver residential care to the individual;
- employment of administration staff where the staff member is primarily undertaking activities related to the general operation of the aged care home; and
- capital costs, asset management or replacement.
- An Accommodation Payment - a payment for accommodation in addition to the basic fee and means-tested care fees above; some people will have their accommodation costs met in full or in part by the Australian Government, while others will need to pay the accommodation price agreed with the aged care home, based on an assets and income assessment. These payments take the form of lump sum payments - RADs or RACs - or their daily payment equivalents - DAPs and DACs.
The following "Frequently Asked Questions" might help in understanding RAD/ DAP accommodation payments:
Q: What is the relationship between the RAD and the DAP?
A: If you need to pay an accommodation payment, you may choose not to pay the entire accommodation payment as a lump sum (RAD), but instead elect to pay some (or all) of it as a Daily Accommodation Payment (DAP). In essence, the DAP is the interest charged on the unpaid RAD, as follows:
To provide some indication of how the MPIR has tracked over time, see the chart below - it is currently at an historic minimum.
Q: The required accommodation payment will be based on an assessment of your income and assets. What income is included in the assessment?
A: Income, for the purposes of aged care, is not the same as taxable income. Your assessed income can include:
- income support payments from the Australian Government such as the Age Pension, a Service Pension or an Income Support Supplement
- deemed (not actual) income from financial investments (see Age Pension page )
- net income from rental property
- War Widow or Widower Pensions and some disability pensions
- net income from businesses, including farms
- superannuation and overseas pensions, and income from income stream products such as annuities and allocated pensions
- family trust distributions or dividends from private company shares
- deemed income from excess gifting
- if you enter care on or after 1 January 2016, rental income from your former home is also included
Q:The required accommodation payment will be based on an assessment of your income and assets. What assets are included in the assessment?
A: All of your assets (and financial investments) are considered but special rules apply in some situations. Financial investments include:
- bank, building society and credit union accounts
- term deposits
- cheque accounts
- friendly society bonds
- managed investments
- listed shares and securities
- loans and debentures
- shares in unlisted public companies
- gold and other bullion.
Other assets include:
- household contents and personal effects (these are typically valued at $10,000)
- foreign assets including investments, business interests and real estate
- investment property
- special collections such as stamps, art works or antiques
- superannuation balances
- private trusts, family trusts and private companies
- net retirement village entry contributions
- refundable deposits (RAD) paid for accommodation in an aged care home
Q: Will my former home be counted as an asset?
A: Part of the value of your former home may be counted in your assets assessment, but there are some exceptions. It won't be counted as an asset if:
- your partner or dependent child is living there, or
- a carer eligible for an Australian Government income support payment has been living there for at least two years, or
- a close relative who is eligible for an Australian Government income support payment has been living there for at least five years.
The full value of your home may not be included in the assessment of your assets; instead a capped amount of $169,079.20 (as at 1 October 2019) will be included or the net market value of your house, whichever is lower.
Where the home is included as an asset, and the person is a member of a couple, 50% of the net market value of the home will be attributed to each member of the couple, and each member's proportion will be subject to the full value of the cap that applies at that time. It will be the lower amount of either the cap or the net value of each member's part of the home that will be included as an asset.
Q: How much will the government contribute to my accommodation payment (if at all)?
A: A means test measuring a combination of assets and income will be used to determine how much the government will contribute to your accommodation payment, if any. The following threshold amounts (revised in March and September each year, and available here) are relevant:
|Fee / Charge / Threshold||Rates: October 1, 2019|
|Income Free Area, Residential Care, Single Person||$27,463.80 (annual amount)|
|Asset Threshold, Residential Care Means Test: Asset Free Threshold||$49,500|
|Maximum Accommodation Supplement Amount||$57.49 (daily amount)|
|Maximum Permissible Interest Rate||4.98%|
Using the above figures:
- a resident with an income below $27,463.80 and assets below $49,500 is eligible for the Maximum Accommodation Supplement (currently $57.49 per day as at 1 July 2019) - they pay only the basic Daily Care fee.
- If the Maximum Accommodation Supplement ($57.14) is converted to an RAD (i.e. lump sum Refundable Accommodation Deposit), this would equate to $421,362.45 (i.e. $57.49 x 365 / 4.98% = $421,362.45). What this means is that if you are eligible for full government accommodation support and are considering an aged care facility with a RAD of greater than $421,362.45 (or DAP greater than $57.49), you will need to pay the difference yourself - in the form of a RAC or DAC..
Q: How much of the RAD is refundable when I leave the aged care home?
A: The RAD (Refundable Accommodation Deposit), as its name would suggest, is generally fully refundable to the resident (or their estate) within 14 days of their leaving the aged care home, unless the resident has agreed for amounts to be deducted e.g. DAP payments, in which case it would be the balance that would be refunded. Other amounts - such as care fees or the costs of additional services - may be deducted, if agreed between the resident and the provider.
Q: Why would I choose a RAD over a DAP?
A: Paying accommodation costs by a lump sum RAD will avoid paying the comparatively high interest rate (MPIR, as explained above). Depending on your own personal circumstances, you should consider the RAD as if it were a loan - if you have capital available and it is earning less than an after tax rate of 4.98% (the present MIPR rate) then it may make sense to pay your accommodation as a RAD, rather than a DAP. Conversely, if your capital is earning more than a guaranteed net of tax rate of 4.98% then it may be sensible to maintain your investment and pay for your accommodation as a DAP.
Importantly, paying a RAD locks away your capital, and bear in mind that we believe that the level of RADs considerably overstates the actual cost of your residential age accommodation. It is important to have this understanding - many people are underspending in retirement on the false premise that they need to set aside "perhaps $400K, just in case they need residential care. We provide an example below (Lillian's Case) of how we believe that RADs can overstate the apparent cost of residential aged care, and how simply paying a DAP may be an adequate approach unless you have considerable capital which you intend leaving as an inheritance.
Q: Why would I choose to pay my accommodation payment as a combination of RAD and DAP?
A: The Government sets the minimum assets a person must retain when establishing the amount the person can pay towards their accommodation. A person cannot be charged an upfront accommodation payment amount that would leave them with less than the minimum asset amount, currently stipulated as $49,500 (July, 2019) per person for a couple and excludes the family home if a spouse remains within the home. Accordingly, if you don't have enough capital to pay a "full RAD" , then you may need to utilise a combined RAD/DAP strategy - and this might be the best approach in any event, depending on your full circumstances.
Another situation where a combined strategy may apply is where you opt to pay the ongoing DAP out of the RAD (i.e. the resident pays part of the RAD, then the DAP is drawn down from the RAD (with this payment slowly increasing as the RAD is drawn down).
Q: What if I am a member of a couple?
A: Each member of the couple will need to be assessed if they are both thinking about taking up aged care at the same time. Otherwise, only the person entering care needs to be assessed.
If you are a member of a couple, the value of your income will be assessed as half the value of your combined income. The same applies to assets, with your assets assessed as half the value of your combined assessed assets.
You will be considered a member of a couple if you are:
- legally married or in a relationship registered under a state or territory law (providing you are not living separately or permanently apart from the other person)
- living in a de facto relationship.
This applies regardless of the gender of each member of the couple. For aged care purposes, you are considered to be a member of a couple if you are permanently living apart for health-related reasons.