Selling a property to pay for care home fees is usually the norm. With live-in care, however, the property is not sold as your loved one will receive care in the comfort of their home.
Written below are some examples of how live-in care can be funded.
Lifetime mortgages
A lifetime mortgage is when you borrow money secured against your home, provided it’s your main residence while retaining ownership. You can choose to ring-fence some of the value of your property as an inheritance for your family. Additionally, some providers might be able to offer larger sums to those with certain medical conditions, or even ‘lifestyle factors’ such as a smoking habit. The home still belongs to you and you’re responsible for maintaining it.
Interest is charged on what you have borrowed, which can be repaid or added on to the total loan amount. When you die or move into long-term care, the home is sold and the money from the sale is used to pay off the loan. Anything left goes to your beneficiaries. If your estate can pay off the mortgage without having to sell the property they can do so. If there is not enough money left from the sale, your beneficiaries would have to repay any extra above the value of your home from your estate. To guard against this, most lifetime mortgages offer a no-negative-equity guarantee (Equity Release Council standard). With this guarantee, the lender promises you (or your beneficiaries) never have to pay back more than the value of your home. This is the case even if the debt has become larger than the property value.
If you opt for live-in care with us, we can put you in touch with lifetime mortgage advisors to assist in setting this up.
Home reversion
Home reversion is a type of equity-release scheme that lets you use some of the money that is tied up in your home. You can therefore use this money to pay for long-term care. With a home reversion scheme, you sell all or part of your property at less than its market value in return for a tax-free lump sum, a regular income, or both, but stay on in your home as a tenant, paying no rent. Home reversion plans are however high-risk products as they could have major implications for tax, benefits, inheritance and your long-term financial planning. Anyone over the age of 65 can release equity through home reversion, though it’s worth getting professional advice before you make any of these sorts of decisions.
Local authority funding and direct payments
This is where your care is funded partly by the local authority but only if you have assets that do not exceed £23,500. To find out if you are eligible for funding from your local authority, you need to arrange a free care assessment in person or over the phone. This is where your loved one talks to a nurse or occupational therapist about their healthcare needs (or you can do it on their behalf if needs be). This assessor then comes back to you at a later date to tell you how much they will contribute to a care plan, and also advise on what that plan should consist of. Alternatively, the assessor may agree to contribute to your care and leave it up to you how you use it. These contributions are called ‘__direct payments__’.
NHS continuing healthcare (CHC) funding
NHS Continuing Healthcare covers every penny of your care costs. It is available for anyone with long-term health needs. Many people however do not apply for it because they simply do not realise that it exists or assume they are ineligible. To find out if your loved one is eligible, a GP or dedicated social services professional needs to refer them personally. A multidisciplinary panel of assessors then assesses whether their medical, behavioural, cognitive, physical and other needs are significant enough, and fulfil the criteria for primary health need, in order to justify the extra support.
If CHC funding is approved, the next step is to create a care and support plan that meets your requirements. In some cases, the CHC funders may decide to work with your local authority to cover the costs of care required, in what is known as a ‘joint package’ of care.
Benefits
There are a few types of benefit payments for the elderly, but you should contact the Department for Work and Pensions to find out exactly what your relative is eligible for.
Personal Independence Payment, or PIP, is available to those under the age of 65. Weekly contributions depend on your needs but range from £22 to £141. If you are over 65, you would want to take a closer look at Attendance Allowance, which offers two rates of support: £55.65 and £83.10 per week.
Support and additional information can be gained from organisations like
- AgeUK, which runs a National Advice Line that can answer any questions you may have.
Website: www.ageuk.org.uk
Age UK Advice Line: 0800 678 1602
Lines are open 8 am-7 pm, 365 days a year.
- Carers UK provides a handy online guide to make sense of benefits and entitlements.
Website: www.carersuk.org
Helpline is available on 0808 808 7777
Lines open from Monday to Friday, 9 am – 6 pm
Email: advice@carersuk.org