Retirement Living and Aged Care


 

When we think of retirement, we think of how we will enjoy the freedom of our post career years, but we also need to forward think where we will spend them and what type of living arrangements we will want and need.

The Right Advice


The right advice is essential to help plan your financial future to preserve your assets and income so you have maximum choice at this time. The best time to think about these issues and plan ahead for how they will be afforded is in your couple or in-between years, and your pre-retirement years. Having good information and getting the right advice means you make sound decisions. As a member of Count Financial we can offer your retirement and aged care advice such as:

  • the different options for seniors’ accommodation
  • the types of services that could help you as you get older and want to stay living in your own home
  • how to know if you’re eligible for services
  • who pays for these services
  • when is it time to transition from independent living to aged care
  • the options for paying for aged care

If you sell your home and opt for retirement community style living you are likely to have some funds left over. It makes good sense to consult with your financial advisor to preserve this remaining equity to give you a greater choice of aged care when the time comes.

Preserving choice and being able to afford the aged care accommodation we want is one of the main reasons people engage a financial advisor and develop a wealth creation strategy.

Retirement Villages | All-Apartment Retirement Living


Many retirees downsize from their family home into a retirement community. Retirement villages or all apartment retirement living complexes are popular choices because:

  • they are cheaper than median priced homes in the same area
  • they allow you to unlock equity in your home
  • they allow you to ‘lock up and leave’ if you wish to travel
  • accommodation is designed to support physical independence
  • they provide a safe environment
  • they support the early stages of deteriorating health
  • a village based community provides opportunities for social contact and interaction.

Most villages or complexes offer a community centre, emergency call facilities, organised community outings and activities, regular transport to the shops and visiting health and personal care providers

The first comprehensive census of retirement living organisations commissioned by Price Waterhouse Coopers (PWC) and the Property Council of Australia (PCA) in 2015 revealed some interesting facts:

  • the average entry cost of entry for a retirement village is $385,000 which is 65% of the median house price in the immediate area
  • two thirds of residents are female
  • the average age of entry is 73
  • the average age of residents is 81
  • the average stay is 7 years
  • the average service fee is $434 per month which is just over 25% of the monthly pension for full single pensioners
  • villages in Queensland have an average occupancy of 89%

Read the census report

Important things to consider


Retirement Living
Deferred Management | Exit Fees


An important issue to discuss with your financial advisor is the Deferred Management Fee or Exit Fee which is paid when your unit is sold when you leave the village or complex. The deferred payment structure varies with each village, and it is worth making sure you understand the fine print as some people are not prepared for, and have not allowed for, the amount of the payment. Typically, the deferred payment percentage will increase the longer you stay in the village up to a maximum capped amount. The maximum deferred payment percentage for most villages lies between 30% and 40% over a 10-13 year period.

Services to keep you living independently


The Commonwealth government provides a range of services which allow you to keep living independently in your home or retirement complex. They are mainly funded by the government but in some cases you may need to pay a contribution depending on the amount of services you need and want.

To be considered for these services you need an assessment of your care needs by an Aged Care Assessment Team (ACAT). The ACAT assessment looks at how you are coping at home and what your care needs are. It may recommend you remain at home with extra services or it could recommend you move into an aged care facility. You can find your local ACAT service here.

On February 27, 2017 the legislation on Home Care Packages and Commonwealth Home Support Programme care packages changed. Packages are calculated and assigned directly to you, rather than to a service provider, allowing you greater choice in the care you want and who provides it.

There will be four levels of home care packages ranging from $11,693.65 to $52,545.40 over 12 months depending on your needs.

The Rising Cost of Aged Care


The cost of aged care is increasing, and you will want the financial freedom to choose the location and type of care you want. Currently the entry cost of aged care accommodation is anywhere between $300,000 and $1 million (source: Australian Financial Review, 21-22 January 2017).

Preserving this financial freedom is one of the primary reasons many people engage a financial advisor and implement a wealth creation strategy. Research shows many elderly people are finding they don’t have sufficient resources for the level of care they want, and are falling back on their children to contribute towards the cost.

Your financial advisor can incorporate this goal into your building blocks of wealth creation so you have peace of mind that this matter can be taken care of when the time comes. As a member of Count Financial we are accredited in aged care and can help you plan ahead financially. An ideal time to plan for care later on is in your pre-retirement years when you are at your peak earning capacity and you have less financial commitments.

When the time comes we can negotiate with the home on your behalf, complete the required paperwork, advise on the best way to pay, and ensure the decision is made with your financial interests in mind and with the intention of preserving wealth.

To be considered for residential aged care you need an assessment of your care needs by an Aged Care Assessment Team (ACAT). The ACAT assessment looks at how you are coping at home and what your care needs are. It may recommend you remain at home with extra services or it could be recommend you move into an aged care facility. You can find your local ACAT service here.

There are many different types of nursing homes available, for general and very specific needs. This can be a confusing process when working out availability, location and affordability. DPS Publishing produces the ‘go to’ guide to all types of retirement living and aged care options in Queensland and it is available here.

Moving to Aged Care


Changing our living arrangements as we age is a difficult and emotional decision for either us or for our family to make. It is a conversation no one wants to have and it is very complex due to the number of options available and the ways in which services are funded or paid for.

If you are no longer able to remain living independently, moving into a nursing home can ensure quality of life, comfort and give you peace of mind that you’re well looked after.

The PWC Property Council of Australia report found that only a small number of retirement villages or apartment complexes have integrated aged care, or aged care within 500m so moving to the next level of care generally requires new decision-making.

This can be an anxious and emotional time. Often the decision has to be made very quickly. Aged care options and the different costs of care are quite complex and can be overwhelming. This is where skilled financial advice can make a huge difference.

Low Care Accommodation


Low care accommodation is ideal for those who need a little extra care and support with the demands of daily living but like to remain independent. This gives your family peace of mind as they know you are safe and looked after.

Residential low care provides you with accommodation, access to shared facilities such as lounges, dining rooms and assistance with personal care such as eating, showering and dressing.

In addition, rehabilitation support, health and therapy services can also be provided.

High Care Accommodation


Accommodation in residential high care is for people who are unable to look after themselves and require assistance with most aspects of daily living.

There is access to shared facilities such as lounges and dining rooms. Additional personal care services are available depending on the level of need. These may include assistance with bathing, grooming, eating, managing incontinence, rehabilitation support and access to therapeutic services.

Most aged care facilities have ‘aging in situ’ where you seamlessly transition from low to high care at the appropriate time.

As your financial advisor we are in the best position to advise what, if any assets, including your home, need to be sold to pay for your care, as we have the complete picture of your assets and their value.

How much will it cost and how will I pay?


This is an area of great complexity and given the emotional nature of this decision-making, the help and advice of your financial advisor can make the process as clear and straightforward as possible. Your advisor has insight into your financial affairs and will tell you which payment option is appropriate for your financial circumstances.

New legislation means that there is now no difference in the costs for low or high care in both government and privately run aged care homes.

Means Testing of Your Assets


The Commonwealth Government makes a contribution to the cost of each person’s aged care, but depending on your assets you may also need to make a contribution. As part of this process you will have to have your assets and income means tested by the Commonwealth Department of Human Services or the Department of Veterans Affairs to determine how much the government will subsidise your care and how much you will need to pay yourself.


What if my children contribute financially to my care?


If your children contribute to the costs of your care it is essential to get advice. If not handled correctly this contribution will be means tested as part of your assets which means you may have to pay a higher means tested care fee than if you are assessed on your assets alone. This contribution may also have important estate planning implications.

If your children contribute to your accommodation fee or refundable accommodation deposit (RAD) in the form of a ‘loan’ which will be repaid on your leaving the home or your death, this needs to be clearly documented so the whole RAD does not automatically become part your estate.

Contributing to the aged care of a relative is not a decision to be taken lightly, and your financial advisor will be able to advise which of the charges is the appropriate option for your children if they need to make a contribution to your care.


There are four types of charges


  1. an accommodation fee/refundable accommodation deposit
  2. a basic daily care fee
  3. a means-tested fee
  4. extra services fees

Paying for aged care is a complex area and the decision should ideally be in the hands of your financial advisor to determine the best payment option for you. Your advisor can also maximise your Centrelink entitlements, minimise your means tested contributions, minimise tax implications and advise on the decision as to whether assets you hold, including your home, should be rented, sold or retained.

Accommodation Fees / Refundable Accommodation Deposit


There is no pre-determined cost for aged care as each facility determines its own costs on location, size and type of care provided. It also depends on your assets. The average cost of accommodation is around $350,000 – $400,000 but this will vary depending on a range of factors such as location and the quality of the accommodation, which includes factors such as having a private bathroom, the range and standard of meals and the availability of additional services.

If you are seeking care as a couple, you will be considered to own half of the assets held by you and your partner or spouse.

If you are required to make a payment you have 28 days to make a decision from the following three options. It is best to discuss this with your financial advisor as we have the complete picture of your finances and can work out the appropriate option.

Three Options for payment of your accommodation fees


  1. Refundable Accommodation Deposit (RAD) which is a lump sum payment made to the facility. This works like an interest free loan which you get back if you leave the home or it becomes part of your estate when you pass away. The amount is at the discretion of the aged care facility and depends on many factors such as location, standard of accommodation, level of staffing, quality of appointments, meals, ambience and available services; or
  2. Daily Accommodation Payment (DAP) which is a daily interest payment on the RAD if you have not paid one; or
  3. A combination of both meaning you provide a proportion of your payments as a RAD and a proportion as DAPs, in negotiated proportions.
As members of Count Financial and accredited aged care advisors we can work out exactly what additional fees you can afford and the right payment options for your financial situation.

Basic Daily Care Fees


This is an ongoing fee which covers your day-to-day living costs such as food, laundry and cleaning. Basic daily care fees are regulated by the Australian Government and are set at 85% of the maximum single Age Pension.

Currently, this is $48.44 per day/ $17,680.60 per year. This fee increases twice a year with changes to the Age Pension.

Means Tested Fees


Depending on the outcome of your assets and income assessment, you may be asked to pay this fee. The amount will depend on the outcome of your assessment. If your children have contributed to your RAD, their contribution, unless clearly documented as a loan, will increase the amount of means tested fees you need to pay. As at March 1, 2017 this is capped at $26,041.09 a year and a maximum $62,498.66 over a lifetime. Once you have reached this amount, you will not be asked to pay any more fees.

As your financial advisor we are in a position to recommend what, if any financial assets, need to be sold to pay for this charge, as we have the complete picture of your assets and their value.

Extra Service Fees


Some aged care homes offer higher levels of accommodation and additional services. Sometimes these are offered in mainstream aged care homes as a few beds with a higher standard of accommodation and additional services. You will need to pay an extra fee for the higher level of accommodation and the extra services.

Things like daily newspapers, more choice in meals, a higher standard of meals, hairdressing, podiatry, Foxtel, internet access are classified as extra services and you will need to pay. There should be a choice of whether you wish to use these services or not.

Your financial advisor can review these charges and advise on affordability.

Getting financial advice makes a big difference

You deserve the best quality care and your family wants peace of mind. This is such a complicated area, with so much room for error and consequences that can’t often be easily turned around. Even if you don’t have a financial advisor it is worth engaging one for this exercise alone.

We will guide you through any financial decisions you need to make and help you understand the longer term effects of these decisions, including their impact on your age pension, your aged care means-tested fees and your estate planning.

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