By Karen Grainger
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September 16, 2026
Navigating the aged care system can feel overwhelming, particularly when faced with the complex terminology, means testing rules, and various fees that may apply. Many families worry about whether they can afford aged care or whether a loved one will need to sell their home to pay for care. The good news is that Australia's aged care system is heavily subsidised by the Government, and there are protections in place to ensure that everyone can access appropriate care regardless of their financial circumstances. What Fees Apply in Residential Aged Care? If a person moves into an aged care home, there are generally four categories of costs that may apply. 1. Basic Daily Fee The Basic Daily Fee is paid by almost all residents and contributes towards day-to-day living expenses such as meals, cleaning, laundry and utilities. It is set by the Government and indexed regularly. As at March 2026, the maximum Basic Daily Fee is approximately $66.80 per day. 2. Means-Tested Contributions Depending on a person's income and assets, they may be required to contribute towards the cost of their care through means-tested arrangements. For people entering aged care under the newer fee arrangements, contributions may include: · Hotelling Contributions · Non-Clinical Care Contributions These fees are determined following a financial assessment conducted by Services Australia and are subject to annual and lifetime caps. Some residents pay nothing beyond the Basic Daily Fee, while others may make additional contributions based on their financial capacity. 3. Accommodation Costs Accommodation costs are often the most significant expense and are determined by the aged care provider. Residents may pay for accommodation by: · A Refundable Accommodation Deposit (RAD), being a lump sum payment; · A Daily Accommodation Payment (DAP); · Or a combination of both. A RAD is generally refundable when the resident leaves care, less any agreed deductions allowed under the legislation. 4. Additional Service Fees Some aged care homes offer enhanced services beyond the standard level of care. These may include superior accommodation, upgraded meal options, lifestyle programs or additional amenities. Where applicable, providers can charge additional fees for these optional services. Do You Have to Sell the Family Home? One of the most common concerns families raise is whether the family home must be sold to fund aged care. The answer is often "not necessarily." The home is only one factor considered in the aged care means assessment, and various rules apply regarding how much of the home's value is counted. In many cases, families can choose between paying a RAD, a DAP or a combination of both, allowing flexibility in managing cash flow and preserving assets. However, the decision to retain or sell the family home can have significant consequences for: · Aged care fees; · Centrelink entitlements; · Estate planning objectives; · Cash flow requirements; and · Tax outcomes. This is why obtaining specialist aged care advice is often worthwhile before making any major financial decisions. What About Home Care? For older Australians who remain living at home, government-funded home care programs can help support independence. Under the Support at Home framework, contributions are generally determined by a person's income and assets. Clinical services are typically government funded, while contributions may apply to other support services depending on financial circumstances. Unlike residential aged care, there is generally no accommodation component because the individual continues living in their own home. Can Everyone Access Aged Care? A common misconception is that people with significant assets are not entitled to government-supported aged care, or that those with limited resources cannot afford care. In reality, all eligible Australians can access government-subsidised aged care services. The financial assessment process is designed to determine an individual's contribution, while government funding covers the balance of approved care costs. Key Takeaways When considering aged care, families should remember: · Everyone generally pays a Basic Daily Fee. · Additional contributions may be payable depending on income and assets. · Accommodation can be funded using a RAD, DAP or a combination of both. · The family home can significantly affect aged care outcomes. · Government subsidies ensure aged care remains accessible regardless of financial position. · Obtaining financial and aged care advice before entering care can potentially save considerable costs and avoid unintended consequences. Final Thoughts Aged care is one of the most significant financial decisions many families will face. While the fee structure can initially appear complex, understanding the different components and planning ahead can make the process far less stressful. The best outcomes are usually achieved when aged care planning is considered alongside estate planning, tax advice, Centrelink entitlements and broader family objectives. Taking the time to obtain advice before entering care can help ensure that both the older person and their family make informed decisions with confidence.