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What's the difference between CSHC and the Age Pension?

4 min read

Over 2 million Australians receive the Age Pension, but many self-funded retirees over pension age don't realise they may be eligible for the valuable Commonwealth Seniors Health Card (CSHC). Understanding the fundamental distinctions is crucial for older Australians navigating their financial and healthcare entitlements.

Quick Summary

The CSHC and the Age Pension both provide benefits to older Australians, but their eligibility rules are vastly different, with the Age Pension being a means-tested income support payment and the CSHC being a concession card for seniors based only on an income test, with no assets test involved.

Key Points

  • Means-Testing: The Age Pension is assessed on both income and assets, whereas the CSHC is assessed on income only.

  • Primary Benefit: The Age Pension provides a regular income support payment, while the CSHC is a concession card offering discounts.

  • Assets Test Exemption: Self-funded retirees with significant assets may still qualify for the CSHC, as there is no assets test.

  • Automatic vs. Application: The Pensioner Concession Card (PCC) is automatically issued with the Age Pension, but the CSHC requires a separate application.

  • Income Assessment: Both use an income test, but the CSHC test is based on Adjusted Taxable Income and deemed income, which may benefit those with account-based pensions.

  • Entitlement Scope: The Age Pension (with a PCC) generally provides broader concessions than the CSHC.

In This Article

Understanding the Fundamentals: CSHC vs Age Pension

For many Australians approaching retirement, understanding the landscape of government support is a critical part of financial and healthcare planning. The Commonwealth Seniors Health Card (CSHC) and the Age Pension are two primary forms of assistance for older Australians, yet they serve very different purposes and have distinct eligibility criteria. A common point of confusion is how the means-testing for each works, particularly concerning income and assets. Delving into these differences is essential for making informed decisions about your retirement years.

The Age Pension: Comprehensive Income Support

The Age Pension is a regular income support payment provided by the Australian government to help with living costs for eligible older Australians. As a pension payment, it is designed to be comprehensive support, which is why it is subject to both an income test and an assets test. These tests are designed to ensure that those with the most need receive the most support. The tests work in tandem: if you fail either the income test or the assets test, your pension payment will be reduced or not paid at all, whichever results in the lower payment rate.

Key features of the Age Pension include:

  • Means-tested: Both income and assets are assessed.
  • Pensioner Concession Card (PCC): Recipients automatically receive a PCC, which offers a wide range of concessions.
  • Living Costs: Provides a regular payment to cover essential living expenses.
  • Eligibility: Determined by a person's age, residency, income, and assets.

The Commonwealth Seniors Health Card: A Concession for Retirees

The Commonwealth Seniors Health Card (CSHC) is not an income support payment. Instead, it is a concession card providing access to a range of concessions and discounts, primarily on healthcare. It is specifically designed for eligible seniors who have reached the Age Pension age but do not qualify for an Age Pension because they exceed the income or asset limits. Critically, eligibility for the CSHC is assessed on an income test only; there is no assets test. This makes it a valuable safety net for self-funded retirees who are 'asset rich' but have a low enough income to qualify.

Key features of the Commonwealth Seniors Health Card include:

  • Concession Card Only: Provides discounts, not a regular payment.
  • Income-Tested Only: Assets are not taken into account.
  • No Other Government Payments: Generally, you cannot be receiving another government payment like the Age Pension to be eligible.
  • Income Deeming: For those with account-based pensions, income is assessed using deeming rules, not actual earnings.

Key Differences at a Glance

Feature Commonwealth Seniors Health Card (CSHC) Age Pension
Primary Purpose Concession card for healthcare and other discounts. Regular income support payment for living expenses.
Means Test Income test only (no assets test). Both income and assets tests apply.
Assets Test No assets test. Assets are taken into account.
Entitlement Discounts on medications, bulk-billed doctor visits (discretionary), Extended Medicare Safety Net. Regular income payments, Pensioner Concession Card (PCC), various federal and state concessions.
Eligibility Reached Age Pension age and meet the income test, not eligible for another government payment. Reached Age Pension age, meet residency rules, and pass both income and assets tests.
Income Assessment Based on 'Adjusted Taxable Income' and deemed income from account-based pensions. Based on an income test which can reduce or eliminate payments.

Which Option is Right for You?

Deciding between or assessing eligibility for the CSHC and the Age Pension depends entirely on your financial situation. If you have significant assets, like your family home and a large superannuation balance, but your income from those assets is below the relevant threshold, the CSHC could be a fantastic benefit that you might have otherwise overlooked. The absence of an assets test is the defining factor that makes the CSHC accessible to many self-funded retirees.

On the other hand, the Age Pension is for those whose overall means (both income and assets) fall within the government's thresholds. It provides a more comprehensive safety net, including a regular income stream that the CSHC does not. The Pensioner Concession Card that comes with the Age Pension also offers a broader range of state and territory-based concessions than the CSHC.

How Income is Assessed

The way income is assessed for each benefit is another crucial point of differentiation. For the Age Pension, Services Australia calculates your fortnightly income to determine your payment rate. However, for the CSHC, the income test is based on your 'Adjusted Taxable Income' (ATI), plus any deemed income from account-based pensions. Deeming rules are a simplified way of estimating the income from your financial assets, rather than using the actual rate of return. This can sometimes mean that even if your actual investment returns are high, your deemed income may be low enough to still qualify for the CSHC. It is important to note that the income thresholds for the CSHC have been increased over time, making it accessible to more people.

For more detailed information on eligibility and the application process, it is always recommended to consult the official source. Services Australia is the government department that manages both of these programs and provides up-to-date information on eligibility rules and current income thresholds.

Conclusion: Navigating Your Senior Entitlements

In summary, the most significant distinction between the CSHC and the Age Pension is the assets test. The Age Pension is a means-tested income payment for those with limited income and assets, while the CSHC is a concession card for self-funded retirees who meet an income test but are asset-rich. Understanding which category you fall into is the first step towards securing the benefits you are entitled to, ensuring a healthier and more financially secure retirement. Whether you need the comprehensive support of the Age Pension or the valuable concessions offered by the CSHC, knowing the difference allows you to confidently plan for your future.

Frequently Asked Questions

No, you cannot receive both. The Commonwealth Seniors Health Card (CSHC) is for seniors who are ineligible for the Age Pension or any other social security payment.

For the CSHC, your family home is not included in the income assessment as there is no assets test. For the Age Pension, the family home is generally exempt from the assets test, but other assets are counted.

Income for the CSHC is based on your Adjusted Taxable Income (ATI) from the last tax year, plus any deemed income from account-based pensions. Deeming rules estimate an income, regardless of the actual returns.

The CSHC offers access to cheaper medicines under the Pharmaceutical Benefits Scheme, some bulk-billed doctor visits (at the doctor's discretion), and access to the Extended Medicare Safety Net. It may also provide state or territory-based concessions.

If you are a self-funded retiree who has reached Age Pension age and meet the CSHC income test, it is highly recommended to apply. It provides valuable healthcare and other discounts that can save you a significant amount of money.

You can apply for both the Age Pension and the CSHC through Services Australia. Applications can typically be submitted online via myGov, by phone, or with a paper form.

The biggest mistake is assuming that a high level of assets automatically disqualifies you from any benefit. Many self-funded retirees miss out on the CSHC because they wrongly believe an assets test applies, when it doesn't.

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.