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Rising home care costs: how to stay in control amid big changes

It’s important to remember that the ‘no worse off’ principle will apply to everyone whom, as of September 12, 2024, received a Home Care Package, was on the National Priority System or was assessed as eligible for a HCP. They will make the same contributions or lower than they would have under home care arrangements. They will stay on the existing contribution arrangements when they move to residential care, unless they opt to move to the new program

<p>For many people, growing older is a costly affair, but it doesn’t mean that you should feel disillusioned. [Source: PIKSEL via iStock]</p>

For many people, growing older is a costly affair, but it doesn’t mean that you should feel disillusioned. [Source: PIKSEL via iStock]

For thousands of older Australians, receiving support through a Home Care Package has been a lifeline, helping them to live safely, independently and with dignity at home; however, change is on the horizon.

Starting from July 1, 2025, the Federal Government will introduce a significant reform to the aged care system called Support at Home. This reform is designed to simplify access and better tailor services to individual needs. It also introduces a new funding model, which brings new financial pressures that many families are starting to understand.

Here’s what’s changing, what it could mean for you and, most importantly, how you can stay one step ahead.

What’s changing?

Today, Home Care Packages fund a wide range of services, including nursing visits, physiotherapy, cleaning and gardening.

Under Support at Home, services will be grouped into three main categories:

  • Clinical Care: nursing, physiotherapy and medical services — these will remain fully government-funded;
  • Independence Supports: daily activities like showering, dressing or medication management; and
  • Everyday Living Supports: services such as cleaning, gardening and meal preparation.

The biggest shift

Means-tested co-payments will apply to Independence and Everyday Living Supports — meaning that your pay will depend on your financial situation.

For many Australians living on a fixed income, this raises real concerns about aged care.

Real stories, real concerns

For families like Christina Tsobanis‘, these changes are deeply personal.

Christina cares for her mother, a full pensioner living with Alzheimer’s disease, who currently receives 16 hours of home support a week on a Level 4 Home Care Package. However, she expressed her concern that increased fees could force them to reduce essential help in an interview with ABC.

Organisations, like National Seniors Australia, have warned that, without safeguards, many vulnerable Australians could soon face difficult choices between care and cost.

How to take control

While the changes may seem daunting, there are positive steps you can take to stay informed and empowered.

One of the most important resources available is the Aged Care Guide. This free, independent tool helps families navigate their options.

Through the Aged Care Guide, you can:

  • compare providers — understanding fees, services offered and flexibility;
  • stay on top of costs — knowing exactly what you’re paying for today and what you might pay tomorrow;
  • read genuine reviews — hearing directly from other older Australians or their families; and
  • find trusted advice — accessing expertly crafted articles, helpful phone support and straightforward advice.

Visit agedcareguide.com.au/compare.

Practical steps to take now

Review your current care plan

Ask your provider for an itemised statement. Understanding your current services and fees is key to taking control of your care agenda. My Aged Care recommends this for all package recipients.

Understand how changes could affect you

If you’re unsure whether your income or assets will impact future payments, seek advice early through My Aged Care (1800 200 422) or an accredited financial advisor.

Compare your options

Providers vary widely in what they offer and charge. Now is the time to start comparing — and negotiating — the best fit for your needs.

Stay updated

The full details of Support at Home are still evolving. Check the My Aged Care website regularly for updates.

 

Change in the aged care system is inevitable, but feeling anxious isn’t.

With trusted information and early planning, you can protect your future and ensure that care remains affordable, accessible and tailored to your needs.

Above all, remember that you deserve dignified and budget-friendly care.

For more information about Support at Home reforms, visit My Aged Care and stay connected with updates from trusted sources, such as Aged Care Guide.

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