
Retirement living vs Assisted Living vs Residential Aged Care in Australia
Retirement living, assisted living and residential aged care are often spoken about as though they are the same thing. They are not, and the difference matters.
Most people encounter the aged care system for the first time during a crisis, often feeling overwhelmed and unsure where to start. The best outcomes usually come from planning early, before urgent decisions need to be made.
As a Registered Nurse and a former Aged Care Executive, we sit on your side of the table, helping you navigate the system with confidence and clarity.
Whether you’re planning for the future or managing something urgent, call (03) 9969 4455 or (02) 8395 4455
No family should have to navigate aged care alone. Between us, we’ve seen it from both sides – the bedside and the boardroom.
Louise Greene is a registered nurse with an MBA and more than forty years in health and aged care. She has held executive roles with major providers, founded and sold a home care business, and chairs clinical governance committees today. She knows what good care looks like at the bedside, and how decisions about it get made everywhere else.
Kerry Mann spent thirteen years as chief executive of an aged care and retirement living group, and chaired its governing body. She knows how fees are set, how staffing is decided and how an agreement is written, because she used to write them.
*We accept no commissions, referral fees or incentives from any provider. Introductions to trusted partners are made on merit, with no fee paid or received either way.
Most people arrive here in the middle of something. Find the sentence that sounds like your situation.
The best decisions get made before anything goes wrong. We will show you what to put in place now, so that one bad week does not turn into a rushed decision.
Downsizing is one option among several. Staying home with help, retirement living, or moving closer to family are the others, and each carries different costs and different consequences for care later on. We will help you weigh them up.
You are not the first family to be stuck here. Refusal is almost always about independence rather than about the help itself, which is why pushing harder tends to make it worse. There are ways to open the conversation that do not feel like a takeover, and small first steps that are usually accepted.
Everything follows from the assessment. An algorithm sets the outcome, and what is recorded in that session determines the services you are allocated and where you sit in the priority queue. Most people understate how they are managing, and almost nobody is prepared for the questions.
Several government programs fund care at home. CHSP for entry-level needs, Support at Home for higher care needs, and specialist programs covering things like assistive technology, home modifications, restorative care and end-of-life care. Private care is an option for some people. We will explain what fits and what you pay.
A hospital admission can set off a cascade of events. Discharge planning moves fast, and decisions made in those few days are hard to undo, so it matters that you have the right information. We will help you understand the options and make the best decision rather than the quickest one.
Finding a home is a combination of urgency, availability, care needs, preferred location and affordability. We will help you work out how to look for the right home for the person, rather than being won over by a good tour or a good brochure. And if you would rather, we can find one for you.
Aged care pricing, and the language used to describe it, is genuinely confusing. There are a number of factors to consider, and the first number you see may not be the figure that is relevant to you. We will work through what is fixed, what is means tested, and what is optional or negotiable.
Most families meet the aged care system at a time of crisis, leaving them little time to consider the options. Planning early means you make informed decisions rather than taking what is available on a Friday afternoon. We help you work out what is likely to be needed, how to plan for it, what to research and organise now, and what can wait until closer to the time.
My Aged Care is the front door to the whole system. There is a lot of information, it can be very overwhelming, and it is hard to know where to start. We help you register, get through the phone line and the online portal, understand referral codes and the service finder, and work out what to do when the answer you are given does not match the situation in front of you.
Your aged care assessment determines what funding is approved and how quickly it comes. Assessors see one snapshot, and older people routinely understate how much they are struggling. We help you prepare the evidence, brief the family, and describe a normal week honestly.
Help at home comes through two programs. CHSP provides entry-level support such as cleaning, meals, transport, social support and minor home maintenance, with a contribution set by the provider. Support at Home funds higher and more complex needs through eight classification levels and a quarterly budget, split across clinical care, independence and everyday living, with a different contribution rate for each, based on your financial circumstances. Two short-term pathways, for restorative care and for end of life, sit outside the ongoing classifications and do not carry the same wait. Care can also be purchased privately at any time. We explain which route fits, what you can expect to pay, and how long you are likely to wait.
Discharge is where most aged care decisions get made, usually in a hurry, and there are more programs available than most families are told about: Transition Care, restorative care through Support at Home, Hospital in the Home, state-based post-acute programs such as ComPacks, respite in its various forms, and privately purchased services. Not everyone goes home, and the destination matters as much as the timing. We help you understand your options, ask the right questions of the discharge team, and get what is needed in place before the discharge happens.
There is a lot to consider. The right answer depends on many factors, including care needs, location and affordability, the type of room someone would like, specialist care services such as dementia or palliative support, and the type of lifestyle they enjoy. My Aged Care star ratings are a starting point rather than an answer. We help you dig deeper, prepare a shortlist, compare homes, work out what to ask when you call and what to ask on a tour, and read what a tour will not show you.
For some older people and families it simply works better to have us do the searching. We can do as much or as little as you need: research availability and come back with a shortlist, or take it all the way through the visits, the application, the transition into care and the settling in. We work for you and are paid by nobody else, and we take no commission from any home we put forward.
Aged care costs come in layers: a basic daily fee, means-tested contributions, and an accommodation payment you can pay as a lump sum, a daily amount, or a combination. We explain what applies to your situation and what it means for the family home.
This section is what we help with. Section 7 is how you work with us. Keeping topics and delivery methods apart avoids the site listing one-to-one guidance and Aged Care School twice under different headings.
Our income comes from the people and families we support. We receive no commissions, referral fees or incentives from aged care providers, and we never will.
This matters more than it sounds. Most services that help families find aged care are free to you because a provider pays them when you move in. That payment shapes the advice, and you are never shown what it excluded.
When we introduce you to someone we trust, whether a provider, a financial adviser or a solicitor, no fee is paid or received in either direction. And if you do not need us, we will tell you that too.
Both of us are actively involved in the aged care sector, and that is deliberate. Rules, funding and standards change constantly, and being inside the sector means we are actively aware of how it currently works.
At Aged Care Conversations, we believe no family should have to navigate the complexity of the aged care system alone.
FREE Fifteen minutes with Louise or Kerry. Tell us where things are up to and we will tell you what we would do next. Small questions often get answered in the call itself, and if a free service can do what you need, we will point you to it.
FREE Bring any aged care question and get a straight answer. No booking, no charge, and you are welcome to listen without saying a word. 9.30am Melbourne / Sydney time, every Monday.
We provide free Education sessions for community groups either online or in person. Clubs, churches, libraries, support groups and neighborhood houses are all welcome.
Some situations do not fit any of the above, and that is fine. If what you need sits outside these options, tell us and we will put together a package that suits you. Everything we offer can be scaled up, scaled back or paused as things change, and you are never locked in.
FREE We work alongside financial planners, solicitors, care managers and other advisers whose clients are facing aged care decisions. These are working relationships, not paid referral arrangements. No fee is paid or received in either direction.
Five written guides covering aged care assessment, Support at Home, residential aged care, hospital discharge and assisted living. Current with the Aged Care Act, and specific enough to act on. From $29.
Live online classes on one topic at a time, with time for your questions and a summary sheet afterwards. Learn how the system works before you are forced to. From $35 a class, or book a bundle.
A focused thirty-minute conversation when you need one thing clarified rather than a full consultation. An assessment question, what to do next after hospital, or an option you have been given and do not understand. $150 plus GST.
Guidance on your own situation, for a single session or right through an assessment, a discharge or a move. We can work with you alone or with the whole family, and we are willing to sit in the room when the hard conversation happens. From $395 plus GST.
We do the search: approaching homes, checking availability against the care needs, and coming back with a shortlist worth visiting. We can take it further, through the visits, the application and the move. No provider pays us, so the shortlist is yours rather than theirs. From $550 plus GST.
If your question isn’t here, that’s a good reason to book a free conversation – or just call us.
Respite care is short-term aged care that gives a carer a break or provides temporary support while longer-term arrangements are made. It can be delivered in the person’s own home, at a day centre, or as a short stay in an aged care home. To access subsidised respite in an aged care home you need an aged care assessment, arranged through My Aged Care. Once approved, you can use up to 63 subsidised days each financial year, and an assessor can approve extensions beyond that.
An aged care assessment determines what government-subsidised aged care a person is approved for, whether that is help at home, respite, or a place in an aged care home. Assessments used to be carried out by ACAT teams and are now arranged through My Aged Care under the Single Assessment System. A trained assessor asks about daily life: mobility, memory, medication, meals, showering, mood, recent falls, safety at home, and the support already in place. Most assessments happen in the person’s home, but they can also be done by phone or telehealth depending on the circumstances. What the assessor records generates the classification and priority level. You can have a family member, friend or carer with you, and it is worth having them there.
Support at Home is the Australian Government program that funds aged care services delivered in a person’s own home. It replaced Home Care Packages on 1 November 2025. Funding is allocated through eight classification levels, paid as a quarterly budget, and split across three categories: clinical care, independence, and everyday living. What you contribute varies by category and by your financial circumstances, and clinical care carries no contribution.
Home Care Packages ended on 1 November 2025 and were replaced by Support at Home. People who held a package moved across automatically and keep their existing arrangements under grandfathering provisions. The main differences are that funding is now allocated across eight classification levels instead of four package levels, budgets are quarterly rather than accumulating indefinitely, and contributions vary by service type rather than being a single income-tested fee.
Residential aged care in Australia has four fees, plus one that is optional. Rates as at 1 July 2026.
The hotelling and non-clinical care contributions are both determined by an income and assets assessment through Services Australia. The optional fifth is a Higher Everyday Living Fee, charged by some homes for additional services and agreed to separately.
A RAD is a Refundable Accommodation Deposit: a lump sum paid to an aged care home for a resident’s room. It is refundable, so the balance is returned to the resident or their estate when they leave, less any agreed deductions. The alternative is a Daily Accommodation Payment (DAP), a daily amount calculated from the room price using the Maximum Permissible Interest Rate, currently 8.43% for agreements made between 1 July and 30 September 2026. You can also pay a combination of the two.
For people entering under the arrangements from 1 November 2025, a retention amount is deducted from a refundable deposit at 2% a year, calculated on the reducing balance, for a maximum of five years. So a RAD is refundable, but not entirely: up to roughly a tenth is retained over five years. Daily accommodation payments are indexed on 20 March and 20 September. This is the single biggest change to how accommodation is paid, and it is central to whether a lump sum or a daily payment suits a particular situation.
Start smaller than you want to. Refusal is almost always about independence rather than about the help itself, so a cleaner or a gardener is accepted far more often than “carers”. Frame it as making your own life easier rather than fixing them, and let it be a trial with an end date. Get the aged care assessment done anyway, because approval lasts and does not oblige anyone to accept a single service. Respite is often the step that works when nothing else has.
The hospital will begin discharge planning, usually faster than the family expects. The options are wider than most people are told: Transition Care, restorative care through Support at Home, Hospital in the Home, state-based post-acute programs, short-term residential respite, or a permanent move into residential care. Not everyone goes home, and the destination matters as much as the timing. You can ask for time to decide, and you should.
At Aged Care Conversations, we believe no family should have to navigate the complexity of the aged care system alone.

Retirement living, assisted living and residential aged care are often spoken about as though they are the same thing. They are not, and the difference matters.

If someone you love is in residential aged care and enjoying the benefits of an additional services package, there is a deadline worth knowing about.
All existing additional service and extra service fee agreements will cease on 31 October 2026.

Your parent or friend needs residential aged care, and you are trying to make the right decision. But as you begin talking to different homes, each conversation seems to reveal another fee, making an already difficult process feel even more overwhelming.
Call us, or book a free 15-minute conversation. If we’re not the right help for you, we’ll say so – and point you somewhere that is.
Weekly Open Line: Mondays 9.30am – 10.30am