Ways to pay for care

This page covers:

  • Using allowances and pensions,
  • Buying a guaranteed income for life to pay for care,
  • Options for using the value of property.

Paying for social care in older age can be costly and people are often surprised to find they must pay much of the cost themselves. People who pay for care are often referred to as ‘self-funders’. Care often starts off as casual, unpaid family help with occasional paid-for care. As people need more care at home or move into a care home, the weekly costs can become very high and even those with comfortable savings worry about the future costs of care.

Sinclair describes how he feels about paying for care.

Gender Male

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People pay for social care in different ways: from pensions, savings and investments, selling or renting out their property, or  using benefits such as Attendance Allowance.

Jane’s mother used income from various places to pay for her care home.

Age at interview 60

Gender Female

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Attendance Allowance

Attendance Allowance is a benefit for people who need help with everyday activities because they are physically or mentally disabled and over state pension age. There is a lower and higher rate of Attendance Allowance. It is not means-tested so everyone who has care needs that meet the conditions will receive this benefit. Applications for Attendance Allowance should be sent to the Department for Work and Pensions (DWP) on the relevant claim form. See more about Attendance Allowance in Benefits and other help with funding care.

Pensions

Some people cover the cost of their care with their pension income although people told us they had to dip into savings as their care needs increased. Some couples said their pensions were very different, often the woman’s pension was smaller than her husband’s. This can affect how they share the costs of care.

Lynne explains that her father had a good pension income but her mother’s pension was much smaller.

Age at interview 65

Gender Female

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Buying a guaranteed income for life to pay the costs of care (an Immediate Needs Annuity)

Many people do not know that there are financial products that guarantee an income for life to pay for care costs. These products are called immediate needs annuities or immediate need care fee payment plans. The person needing care pays an upfront lump sum for a policy that pays for care until the end of their life. The cost depends on a person’s age, health and medical history. It is called an ‘immediate needs’ annuity because it is only available for people who already have care needs. They can be tax free. It is essential to talk to a registered later life adviser before buying one of these policies. For more about this, see What is an immediate needs annuity?. People we spoke to who bought an immediate needs annuity said they were very happy with the process and the peace of mind it gave to the family and the person receiving care. But it is not something that would be right for everyone.

Mark explains how he found out about immediate needs annuities.

Age at interview 58

Gender Male

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The value of a home or other property

The value of a person’s home will not be included in a financial assessment by the local council if the person needing care, or their husband, wife or someone else who is a dependent, continues to live there. More about this in What is a financial assessment?. But if the person needing care lives alone and then moves into a care home, they may need to think about how to use the value of their home to help pay towards care costs. It might be possible for the local council to pay the care fees as a loan which will be paid back to them when the person’s home is sold. This is called a deferred payment agreement. Not everyone is eligible for a deferred payment agreement so it is worth checking with the local council.

Sharon, Income Services Manager at City of York Council, talks about deferred payment.

Gender Female

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Parting with the family home can be worrying for people paying for care and their relatives. The people we spoke to choose different ways of dealing with this. Some left the property unoccupied for a few months so that their relative could decide about selling when they were ready. Others sold the property as soon as they could and used the money to pay care home fees. Some children of people paying for care had Lasting Power of Attorney and decided not to tell their parents about selling their home because they thought it would be too stressful.

Andrew and his sisters sold their mother’s house to pay towards her care home fees.

Age at interview 58

Gender Male

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Families have to decide how to look after quite large amounts of money after selling a home or other property. Some people decided to keep matters simple and put all the money in one bank account even though they knew they would not be getting the best returns. A few people told us they consulted financial advisers to help decide how to look after the money.

Bella consulted a financial adviser about investing money to pay for care.

Age at interview 69

Gender Female

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Some families rented out their parents’ home and used the rent to contribute towards care home fees. However, others said that renting seemed complicated and they just wanted the finances to be as simple as possible so they sold the property.

Simon did not want to sell his father’s house so he arranged to rent it out as a holiday let.

Age at interview 60

Gender Male

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Complaining about care

This page covers: The importance of talking about concerns with care providers, Examples of problems and how they were resolved. Most people we spoke to...