Paying for Aged Care in NZ
🏥 What Aged Care Costs
At some point, many older New Zealanders need residential care, in a rest home or hospital-level care. It is expensive, but there is government help through the Residential Care Subsidy for those whose assets and income fall below set thresholds. Understanding how it is paid for, and the means testing involved, helps families plan and avoid stressful surprises at a hard time.
Types of Care
- Rest home care for those who need daily support
- Hospital-level care for higher needs
- Dementia and specialist care
It Is Means Tested
Whether the government helps depends on a means assessment of your assets and income. If you are below the thresholds, the subsidy contributes; if you are above, you generally fund your own care until your assets fall to the threshold.
📋 The Residential Care Subsidy
How It Works
The Residential Care Subsidy, administered through Work and Income, helps pay for residential care for people assessed as needing it whose assets and income are under the thresholds. There is also a separate clinical needs assessment to confirm the level of care required.
The Asset Thresholds
There is an asset threshold, and the level differs depending on whether you choose to include or exclude the family home and car in certain situations, such as when a spouse still lives there. The exact figures change each year, so the rule is to check the current thresholds rather than rely on old numbers.
Income and the Cap
Even when the subsidy applies, you generally contribute most of your income toward the cost, while the government tops up the rest. There is also a maximum weekly amount you can be charged for care, which protects you from unlimited fees.
🧮 Paying Your Own Way and Planning
If You Are Over the Thresholds
If your assets are above the threshold, you generally pay for your own care until they reduce to the threshold, at which point you may then qualify for the subsidy. This is why the family home is often a central part of the picture, since it is a major asset.
Beware of Trying to Hide Assets
Some people consider gifting assets to fall under the thresholds. Work and Income can look back at gifting and may include gifts above allowed limits in the assessment. Trying to game the system can backfire, so get proper advice rather than acting on assumptions.
Plan Early
Aged care is easier to navigate when planned for, alongside wills, enduring powers of attorney, and clear family conversations. See our estate planning material, and the NZ Government Benefits reference for current support, and confirm thresholds with Work and Income.
💡 Common Mistakes
Mistake 1: Assuming Care Is Free
Care is heavily subsidised for those under the thresholds, but those above generally pay until their assets reduce. Do not assume it is fully covered.
Mistake 2: Relying on Old Thresholds
The asset and income thresholds and the weekly cap change each year. Always confirm the current figures.
Mistake 3: Gifting Assets to Qualify
Gifting to dodge the means test can be counted back and the rules are complex. Get advice rather than risking it.
Mistake 4: Leaving Planning Too Late
Decisions made in a crisis are harder. Planning ahead, with wills and powers of attorney, makes everything smoother.
A Simple Approach
See our Wills and Estate material for the related planning. Final word: aged residential care is costly, but the Residential Care Subsidy helps those under the asset and income thresholds, with a weekly cap on care fees. Those above generally pay until their assets reduce. The thresholds change and the rules around the home and gifting are detailed, so check current figures and get advice. This is general information, not legal or financial advice.
🎯 Test Your Knowledge
Quiz on Paying for Aged Care (20 Questions)
Related guides
- Paying for Surgery: Public, Private or Self-Pay, a related guide in the same area.