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How is aged care paid for in Australia?: A Guide to Government Subsidies and Personal Contributions

4 min read

According to a 2025 report on government services, aged care services received an allocation of $36.4 billion in government expenditure for 2023–24. This funding is primarily spent on residential care and home care services, with the remainder coming from personal contributions. So, how is aged care paid for in Australia? The cost is shared between the Australian Government and the individual, determined by a financial assessment.

Quick Summary

Aged care funding in Australia involves government subsidies and individual contributions, determined by a means assessment for residential care or an income assessment for home care. The amount paid depends on income, assets, and the type of care received, with financial hardship support available for those unable to afford costs. Key components include basic daily fees, means-tested fees, and accommodation payments.

Key Points

  • Shared Funding Model: Aged care in Australia is funded through a combination of Australian Government subsidies and the individual's personal contributions.

  • Financial Assessment is Crucial: The amount you personally pay is determined by an assessment of your income and assets, conducted by Services Australia.

  • Residential Care Fees Have Three Parts: These include a non-means-tested basic daily fee, a means-tested care fee, and accommodation costs.

  • Home Care Contributions Depend on Income: For Home Care Packages, your contribution may include a basic daily fee and an income-tested care fee, which is based only on your income.

  • Cost Protections and Hardship Support Exist: Annual and lifetime caps limit the amount of means-tested or income-tested care fees you pay, and financial hardship assistance is available for those unable to afford costs.

  • Accommodation Payments Offer Flexibility: For residential care, you can pay for accommodation with a lump sum (RAD), daily payments (DAP), or a combination of both.

  • Private Fees are Unsubsidised: Additional 'hotel-type' or extra services offered by a provider are not subsidised by the government and must be paid for in full by the individual.

In This Article

The Core of Australian Aged Care Funding

The funding model for aged care in Australia is a shared responsibility between the government and the individual seeking care. The government pays a subsidy to aged care providers on behalf of the resident, while the resident contributes to the costs based on their financial situation. The assessment of a person's financial situation is a key step in determining their individual contribution.

The specific fees vary depending on the type of care, whether it is delivered in a residential aged care home or in your own home through a Home Care Package. It is important to have a clear understanding of these financial structures to make informed decisions about your future care. Government resources like the My Aged Care website and financial hardship assistance programs are designed to provide support and information throughout this process.

How Residential Aged Care is Paid For

Residential aged care fees generally consist of three main components. These fees contribute to the overall costs of living and care in a residential facility.

  • Basic Daily Fee: This is a standard, non-means-tested amount that every resident pays for day-to-day living costs. It covers basic services such as meals, cleaning, and laundry. As of late 2025, this fee was set at 85% of the single Age Pension, and it is indexed twice a year.
  • Means-Tested Care Fee: This is an additional contribution towards the cost of personal and clinical care, determined by a financial assessment of your income and assets. Your individual fee can be between $0 and a daily maximum, and annual and lifetime caps apply to limit the total amount you will pay.
  • Accommodation Costs: This covers the cost of your room, and whether you pay this in full, in part, or not at all depends on your means assessment. You have several options for payment, including a refundable lump sum (Refundable Accommodation Deposit, or RAD), a non-refundable daily payment (Daily Accommodation Payment, or DAP), or a combination of both.

Funding for Home Care Packages

For those who wish to remain in their homes, a Home Care Package (HCP) provides funding for a range of support services. Similar to residential care, funding is a combination of a government subsidy and the individual's contribution. The government subsidy amount depends on your approved package level, with higher levels for greater care needs.

Your individual contribution is determined through an income assessment, which calculates two potential fees:

  • Basic Daily Fee: This is a non-means-tested fee that providers may ask you to pay. Not all providers charge this fee, so it is important to check when choosing your provider. This fee adds to your total package funds.
  • Income-Tested Care Fee: If your income exceeds certain thresholds, you may be asked to pay an income-tested care fee. Like the residential care fee, this has annual and lifetime caps.

Support for Financial Hardship

It is a core principle of the Australian aged care system that no one will be denied the care they need due to an inability to pay. The government provides financial hardship assistance for those who cannot afford their aged care costs for reasons beyond their control. If you are eligible, the government may pay some or all of your basic daily fee, means-tested care fee, and/or accommodation costs.

Comparison of Residential and Home Care Funding

Funding Aspect Residential Aged Care Home Care Package
Government Contribution A subsidy and supplements paid directly to the aged care home. A subsidy (and supplements if eligible) paid to your home care provider.
Individual Contribution A basic daily fee, a means-tested care fee, and potentially an accommodation payment. A basic daily fee (if charged by provider), an income-tested care fee (if applicable), and any additional service fees.
Means Test Both income and assets are assessed to determine means-tested care fees and accommodation costs. Only income is assessed for the income-tested care fee.
Accommodation Costs Covered by a refundable deposit (RAD), a daily payment (DAP), or a combination, based on your means assessment. Not applicable, as care is delivered in your own home.
Maximum Fees Annual and lifetime caps on the means-tested care fee apply. Annual and lifetime caps apply to the income-tested care fee.
Financial Hardship Assistance is available for basic daily fees, means-tested care fees, and accommodation costs. Assistance is available for the basic daily fee and income-tested care fee.

Key Considerations for Planning

When planning for aged care, it is crucial to start by completing an assessment. For residential care, this is the Combined Assets and Income Assessment, while for home care, it's the Home Care Package Calculation of your cost of care form. These are processed by Services Australia and will determine the level of government subsidy and your required contribution.

Seeking independent financial advice can help you understand how your specific financial situation will impact your aged care costs and which payment options are most suitable for you. Whether you choose residential care or a home care package, understanding the funding model is the first step toward securing appropriate and affordable care.

Conclusion

Paying for aged care in Australia is a joint effort between the government and the care recipient, with subsidies and individual contributions making up the total cost. The amount an individual pays is dependent on a financial assessment and the type of care received. For residential care, this includes a basic daily fee, a means-tested care fee, and accommodation costs. For home care, fees include a basic daily fee and a potential income-tested care fee. Annual and lifetime caps provide financial protection, and hardship assistance is available for those with limited means. To navigate this system effectively, obtaining an assessment through My Aged Care and seeking professional advice are recommended steps.

Frequently Asked Questions

A means-tested care fee is an additional contribution toward your aged care costs, based on an assessment of your income and assets by Services Australia. It is different for everyone, and not everyone is required to pay it.

No, while everyone pays the same basic daily fee, the means-tested care fee and accommodation costs vary based on a financial assessment of your individual income and assets.

Home Care Packages are funded by a government subsidy, paid directly to your provider, and your personal contribution, which is determined by an income assessment and may include a basic daily fee and an income-tested care fee.

A Refundable Accommodation Deposit (RAD) is a lump sum payment for accommodation that is refunded when you leave. A Daily Accommodation Payment (DAP) is a non-refundable daily fee paid for accommodation.

Yes, if you can't afford aged care costs for reasons beyond your control, you can apply for financial hardship assistance, and the government may pay some or all of your fees.

The first step is to undergo a financial assessment through Services Australia. You can use online fee estimators on the My Aged Care website to get an estimate or submit the necessary forms for an official determination.

Yes, annual and lifetime caps apply to means-tested fees for residential care and income-tested fees for Home Care Packages. Once these caps are reached, you are not required to pay any more of that specific fee.

References

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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.