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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
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On the National Priority System (NPS) waiting list, or
These clients are protected by a “no worse off” principle under the Support at Home reform.
What this means for you:
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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
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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:
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You will move to the standard Support at Home arrangements on 1 November 2025
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Your care and contribution arrangements will follow the new SAH pricing and fees framework from that date
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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:
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If you currently receive a Home Care Package, you’ll automatically become a Transitioned Client on 1 November 2025
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Your transition will be automatic — there’s no need for reassessment
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Your care level and services will continue
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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.
Home Care Types
There are three service categories under the Support at Home program:
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Clinical support (e.g., nursing, physiotherapy)
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Independence support (e.g., personal care, assistive technology)
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Everyday living support (e.g., cleaning, gardening)
Care 4 The 1 is here to make managing your supports easier.
Services
In-home Nursing
Qualified nurses provide personalised health care in the comfort of your home. Services include wound care, medication support, health monitoring, and post-hospital recovery assistance.
Personal Care
Gentle, respectful supports with everyday personal activities such as showering, dressing, grooming, and toileting. Promotes comfort, dignity, and independence.
Personal Care - Telehealth
Virtual assistance for daily routines, wellbeing monitoring, or guided care check-ins by phone or video.
Social Support and Community Engagement
Friendly visits and outings for companionship, conversation, and connection. Helps reduce isolation and encourages participation in community life.
In-home Respite
Short-term care delivered in your home, allowing family carers time to rest or attend to other commitments while ensuring ongoing comfort and safety for their loved one.
Respite Sleepover
Overnight care at home for reassurance and peace of mind when carers need extended rest or a night away.
Transport
Safe, reliable transport to appointments, shopping trips, social activities, or community events, with caring door-to-door assistance.
Domestic Assistance
Support with everyday household duties such as cleaning, vacuuming, dishwashing, laundry, and general tidying. Helping you maintain a safe and comfortable home.
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.
When you choose Care 4 The 1...
While the Government sets the 10% care management fee, providers and coordination partners 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 |
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