$0 Residential Care Subsidy in New Zealand: Paying for Rest Home and Hospital Care — Quick-Start Checklist

Residential Care Loan NZ: The Interest-Free Option When Your Home Puts You Over the Threshold

When You Own a Home but Can't Afford Rest Home Fees

Many New Zealand homeowners fail the asset test for the Residential Care Subsidy because their family home pushes total assets above the $300,811 threshold. Without the subsidy, standard rest home care is subject to regional Maximum Contribution rates of $1,513.33 to $1,634.43 per week from 1 July 2026, with premium charges potentially additional. Selling the home under that pressure rarely produces a good outcome.

The Residential Care Loan provides a third option. It is an interest-free loan from the Crown, paid directly to the care facility, secured by a caveat registered on the property title. The home stays in the family until it is eventually sold or the loan is repaid.

Who Qualifies

The eligibility criteria are specific. The applicant must have been clinically assessed by NASC as requiring long-term residential care, own (or hold a registered interest in) the property they lived in immediately before entering care, have a home valued above the $300,811 asset threshold, and have other countable assets, including cash, shares, and term deposits, below $15,000 for a single applicant or $30,000 for a couple.

The loan is also available for residents of retirement villages who hold an Occupation Right Agreement (ORA) or Licence to Occupy (LTO), with the loan secured against the termination proceeds of the ORA rather than a land title.

How the Loan Works

Once approved, the loan functions like a line of credit. The Crown pays the resident's care costs (the portion that would have been covered by the subsidy) directly to the rest home. The running total accumulates as a debt owed to the Crown.

A caveat is registered on the property's computer register (land title) in favour of the Crown. This prevents the property from being sold without the loan being repaid. If a commercial mortgage already exists on the property, written consent from the bank or refinancing may be required before the caveat can be registered.

The loan is interest-free while the resident remains in care. If it is not repaid immediately after a property sale or within 12 months after the resident's death, interest begins to accrue at the statutory rate of 10% per year, calculated daily, until the debt is cleared.

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Repayment Terms

The loan must be repaid in full immediately upon the sale of the property, or within 12 months of the resident's death.

If a qualifying co-owner, sibling, dependent child, or long-term caregiver continues to live in the property when the loan becomes repayable, they may apply for the Deferred Loan Scheme (Form RSU09W). The deferral can continue while the qualifying resident remains in the home and maintains the property, insurance, and rates.

The Ministry of Social Development manages loan administration through the Residential Subsidy Unit in Whangārei. Families can request loan statements at any time to track the running balance.

Subsidy vs Loan: Understanding the Difference

The Residential Care Subsidy and the Residential Care Loan serve different populations with different financial positions.

Residential Care Subsidy Residential Care Loan
Type Non-repayable grant Interest-free loan
Who qualifies Assets below threshold Assets above threshold due to home value
Other-asset limit Below asset threshold Under $15,000 (single) / $30,000 (couple)
Security None Caveat on property title
Repayment None Immediately on sale; within 12 months of death

A resident cannot receive both simultaneously. The loan is specifically for people who are asset-rich (due to home ownership) but cash-poor. Once the home is sold and the loan repaid, if remaining assets fall below the threshold, the resident may then qualify for the Residential Care Subsidy going forward.

Common Concerns

Will the government force a sale? No. The caveat prevents the family from selling without repaying, but it does not compel a sale. The property can remain unsold while a partner or dependent lives there.

What happens in a retirement village? For ORA holders, the loan is secured against the termination proceeds rather than a land title. When the ORA is eventually terminated (usually upon death or permanent move), the village's payout is used to repay the loan.

Can the loan be declined? Yes, if the property title is encumbered beyond what the Crown is willing to accept (for example, multiple existing mortgages), or if the applicant does not meet the liquid asset caps.

What if the property loses value? Do not assume that sale proceeds will cover the outstanding loan. Review the loan agreement and ask MSD how any balance would be handled before relying on a sale to repay it.

How the Loan Interacts With Property Ownership

For properties held in joint names, the loan and caveat arrangements depend on who enters care. If one partner enters care and the other continues living in the home, the couple should first evaluate Option A under the subsidy (which excludes the home from the asset test). The Residential Care Loan is typically only needed when the home would otherwise push assets above the threshold and no partner exemption applies.

For properties held in a family trust, the loan is not available because the applicant does not hold a direct registered interest in the property. In these cases, families may need to explore whether the trust can fund care directly.

For retirement village ORA holders, the loan is secured against the termination proceeds of the ORA rather than a traditional land title. The village operator may need to consent to the Crown's security interest.

Applying for the Loan

The Residential Care Loan application is processed alongside the Residential Care Subsidy application by the Residential Subsidy Unit in Whangārei. The applicant needs to provide a recent registered valuation of the property, evidence that the property was their primary residence before entering care, confirmation that other countable assets are below the $15,000/$30,000 threshold, and a copy of the current title search showing existing encumbrances.

Contact the Residential Subsidy Unit on 0800 999 727 to start the process.

The NZ Residential Care Subsidy Guide walks through both the subsidy and loan application processes side by side, with a decision flowchart that helps families determine which pathway applies to their situation.

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