Pricing and Fees
With the new Support at Home (SAH) program, the government has simplified fees so your package funds cover care management and service delivery without multiple seperate charges.
The only government-set fee is the 10% Care Management Fee. Other fees (coordination, portal, admin) are now included in service prices at the provider level. These fees ensure your care is well-managed, compliant, and delivered at a high standard.
These fees include:
- 10% Care Management Fee (Government)
- 30% Coordination Loading Fee (Care 4 The 1)
- 10% Trilogy Portal Loading Fee (Trilogy Care)
Understanding Support at Home (SAH) Fees
What the Government Says vs What Happens in Practice
From 1 November 2025, the Australian Government is introducing the Support at Home (SAH) program — a simpler, more flexible system that replaces the current Home Care Package (HCP) model.
You may have received information from My Aged Care explaining that:
-
Care Management fees are capped at 10% of your quarterly package budget
-
Package Management fees are being removed
-
Administrative costs are added to service prices
This is correct — however, it’s important to understand how this works in practice, especially for clients whose packages are held by Trilogy Care and coordinated by Care 4 The 1.
Our Role under Support at Home
Care 4 The 1 partners with Trilogy Care, who holds your package, manages compliance, and ensures all government requirements are met.
We are qualified and trained Care Coordinators, working closely with you to ensure your supports are managed, compliant, and personalised to your needs.
We handle:
-
Scheduling and rostering of your support workers while ensuring your care matches your needs and preferences
-
Communication with you, your family, and support workers to keep everyone informed and coordinated
-
Managing service changes, reporting, and compliance to maintain quality, safety, and government requirements
-
Sourcing services, including arranging allied health, obtaining quotes for services, liaising with external providers, and coordinating approvals
-
Communicating with Trilogy Care regarding packages, billing, and funding allocations
-
Problem-solving and ongoing support, including handling unexpected changes or urgent care needs
This demonstrates the full scope of the 30% Coordination Fee and the value Care 4 The 1 brings to ensuring your care runs smoothly and efficiently.
What the Government Says (Official SAH Overview)
Fee Type | Who Sets It | Purpose | Limit |
|---|---|---|---|
Service Prices | Provider-set (Government-guided) | Base service cost before coordination and administrative fees | Based on type of support |
Package Management Fee | Removed | N/A | N/A |
Care Management Fee | Government (SAH) | Covers care planning, assessments, communication, and monitoring | 10% of your quarterly package |
The SAH system simplifies the structure — but providers and coordination partners may add administration and coordination costs on top of service prices.
What Happens in Practice (Care 4 The 1 + Trilogy Care)
While the Government sets the 10% Care Management Fee, providers and coordination partners can apply reasonable coordination and administrative loadings added on top of the base service cost.
These are clearly displayed and agreed to before your services begin. Please note that out-of-pocket charges will apply for participants, excluding full pension Grandfathered clients.
Fee Type | Who Sets It | Purpose | How It's Applied |
|---|---|---|---|
Care Management Fee (10%) | SAH (Government) | Care planning, assessments, communication, and monitoring | Fixed 10% from your quarterly package |
Coordination Loading Fee (30%) | Care 4 The 1 | Covers rostering, communication, reporting, sourcing services, liaising with Trilogy Care, problem-solving, and service approvals | Added on top of each service cost |
Portal Loading Fee (10%) | Trilogy Care | Covers digital platform, billing, and administration | Added on top of each service invoice |
Example: Service Cost Breakdown
Component | % | Amount | Explanation |
|---|---|---|---|
Base Service (e.g. Personal Care Visit) | - | $90 per hour | Core cost of the direct service |
Coordination Loading (Care 4 The 1) | 30% | + $27 per hour | Covers rostering, reporting, communication, sourcing services, liaising with Trilogy Care, and managing service approvals |
Portal Loading (Trilogy Care) | 10% (of $117) | + $11.7 per hour | Covers billing, digital platform, and administration |
The total may include out-of-pocket contribution depending on client category (excluding full pension Grandfathered clients)
Client Categories under Support at Home (SAH)
Grandfathered Clients
A Grandfathered Client is someone who, as of 12 September 2024, was:
-
Receiving a Home Care Package, or
-
On the National Priority System (NPS) waiting list, or
-
Assessed as eligible for a Home Care Package
These clients are protected by a “no worse off” principle under the Support at Home reform.
What this means for you:
-
You’ll pay the same or less than under your current Home Care Package
-
If you’re a full pensioner, you will not pay any out-of-pocket fees under Support at Home
-
If you currently contribute fees, the rate may change — but you will never pay more than you do now
-
If reassessed (after 1 July 2025), your contribution may adjust slightly, but only for a fair and equitable outcome
Hybrid Clients
A Hybrid Client is someone who was approved for a Home Care Package between 13 September 2024 and 30 June 2025 (inclusive).
What this means for you:
-
You will move to the standard Support at Home arrangements on 1 November 2025
-
Your care and contribution arrangements will follow the new SAH pricing and fees framework from that date
-
You may have out-of-pocket contributions depending on your assessed income level
Transitioned Clients
The term Transitioned Client refers to all existing Home Care Package recipients who will move from the Home Care Package program to the Support at Home program on 1 November 2025. This includes both Grandfathered and Hybrid clients.
What this means for you:
-
If you currently receive a Home Care Package, you’ll automatically become a Transitioned Client on 1 November 2025
-
Your transition will be automatic — there’s no need for reassessment
-
Your care level and services will continue
-
Your fees and contributions will align with your specific category (Grandfathered or Hybrid)
Pension Status and Contributions
Client Type | Pension / Retiree Status | Clinical Supports | Independence | Everyday Living |
|---|---|---|---|---|
Grandfathered | Full Pensioner | 0% | 0% | 0% |
Part Pensioner | 0% | 0% - 25% (Income Tested) | 0% - 25% (Income Tested) | |
Self-funded retiree with CSHC | 0% | 0% - 25% (Income Tested) | 0% - 25% (Income Tested) | |
Self-funded retiree without CSHC | 0% | 25% (Income Tested) | 25% (Income Tested) | |
Hybrid or New | Full Pensioner | 0% | 5% | 17.5% |
Part Pensioner or Self-funded with CSHC | 0% | 5% - 50% (Income Tested) | 17.5% - 80% (Income Tested) | |
Self-funded retiree without CSHC | 0% | 50% | 80% |
All fees and inclusions are discussed and agreed upon before your services begin. Our goal is transparency — you’ll always know what your fees cover and how your funds are used.
Frequently Asked Questions
There may be out-of-pocket charges under the SAH model, depending on your client category. Full pension Grandfathered clients will not pay out-of-pocket fees, while Hybrid and new SAH clients may.
If you’re an existing client before November 2025, you’ll stay under your current Home Care Package rules until you transition automatically as a Grandfathered or Hybrid client.
This covers the work done by our qualified and trained coordinators, including rostering, communication, reporting, sourcing services (allied health, quotes), liaising with Trilogy Care, managing approvals, and problem-solving to ensure quality service delivery.
This is a fee charged by Trilogy Care to maintain the secure digital system used for billing, reporting, and compliance with Government standards.
Yes! You have full choice and control over who provides your services. Care 4 The 1 helps coordinate your preferred supports and ensures everything runs smoothly.
The new system simplifies funding but may affect how your budget is distributed. We work with you to plan efficiently and get the most out of your package.
Contact Care 4 The 1 for service and coordination queries, or Trilogy Care for package and billing questions.