Quote:
Originally Posted by
Chenz
Cost us $480,000 to get me dad into the nursing home that we felt was right for him and his increasing dementia. When he passes we will get back 80% of this
Don't understand why only 80% is refundable.
Govt regulated nursing homes allow 4 different types of fees. Most people will only pay 2 of the 4 fees.
1 Accommodation Fee. Everybody must pay this. The nursing home sets this fee. It can be anything up to ~$650k but you can pay this fee in ONE of 3 different ways.
a) Refundable Accommodation Deposit (RAD) this is 100% refundable to the estate on death. Effectively you give an interest free loan to the nursing home which they invest. The interest they collect serves to pay for building the accommodation.
b) Daily Accommodation Fee (DAP). This is totally non refundable. If you do not pay the RAD, the nursing home takes a loan on your behalf equivalent to the RAD and charges you ~6% interest pa. So you pay a daily fee which is equivalent to (RAD + 6%) / 365, You get nothing back because you put nothing up.
c) You can choose any combination of RAD and DAP you like, ie 0% DAP / 100% RAD or 50% DAP / 50% RAD or 100% DAP / 0% RAD - whatever. What you do depends on your circumstances.
2 Daily Care Fee. Every body pays this. For a pensioner or self funded the fee is the same. It amounts to ~85% of the pension. In other words Centre Links transfers ~85% of the pension to the nursing home to pay for food, daily care etc. You keep the remainder of the pension but you no longer need to pay rates, bills, food etc. If you not a pensioner then you still pay the same fee but again you no longer need to pay food, rates, bills etc either.
3 Extra Service Fee. Some nursing homes offer this, but not everybody pays this fee. It is paid daily to provide a higher level of service beyond daily care - ie phones, foxtel, wifi, alcohol with meals, newspapers etc. Some people elect to pay this, others sort themselves out.
4 Means Tested Fee. Not everybody pays this fee and Nursing homes don't actually charge this fee - it's a Centre Link thing. After paying DAP (if you have chosen to pay it) Centre Link makes an assessment of your remaining assets. If your remaining assets exceed a certain value and are not 'protected' by certain circumstances then your pension is reduced on a sliding scale plus you pay (from your remaining pension) an additional fee also based on a sliding scale to further cover the cost of care. That is, you pay more than 85% of your pension. Same basic deal if your self funded, you will be required to pay the equivalent of more than ~85% of the pension if you have excess assets.
Obviously if you have assets it is in your interest to place those assets into the RAD to keep Centre Link out of the picture.
So whether your a pensioner or self funded, both actually pay the same and both are expected to contribute to the cost of aged care where possible. Personally I think the system is pretty good.