Level 4 home Care Package: What does it include?

what does level 4 home care package

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Did you know that, as per health.gov.au, around 500,000 older individuals actively seek access to aged care services each year? If you find yourself among this group, understanding the significance of a Level 4 Home Care Package becomes paramount.

For you in your golden years desiring the highest level of support to gracefully age in the comfort of your own home, the Level 4 Home Care Package emerges as an incomparable source of empowerment. In the pursuit of overall well-being, health extends beyond the physical realm, encompassing emotional, social, and psychological dimensions, all integral to leading a truly fulfilling life.

Acknowledged as the pinnacle of assistance within the four levels of home care packages, ranging from home care package level 1 for minimal basic care to level 2 for low-level care and level 3 for intermediate care—the Level 4 package is designed for high-level or complex care needs. It offers a transformative experience by addressing diverse requirements and fostering independence.

Embark with us on a captivating journey as we unveil the marvels of a Level 4 Home Care Package, where individualised care takes centre stage, and the potential for a gratifying life knows no bounds.

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Services and Supports Included in a Level 4 Home Care Package

  1. Personal Care: Trained care workers provide assistance with activities of daily living (ADLs) such as bathing, dressing, grooming, and mobility support. This ensures individuals can maintain their personal hygiene and independence in their daily routines.
  2. Complex Nursing Care: Registered nurses are available to provide specialised clinical care, including medication management, wound care, pain management, and monitoring of chronic conditions. These services aim to maintain and improve the overall health and well-being of individuals with high-level and complex nursing care needs.
  3. Household Assistance: Caregiver provides support for essential household tasks, including light housekeeping, laundry, and general cleaning. This assistance ensures that the home environment remains safe, clean, and conducive to the well-being of the individual.
  4. Transport and shopping assistance: Assistance with transportation is offered to help individuals attend medical appointments, social outings, grocery shopping, or other necessary errands. This service promotes independence and enables individuals to engage with their community.
  5. Nutrition and meal preparation: Assistance is provided for meal planning, grocery shopping, meal delivery, and preparation in the individual’s home to ensure balanced and nutritious meals.
  6. Allied Health Service: Access to allied health professionals such as physiotherapists, occupational therapists, and speech therapists is included. These professionals provide specialised interventions to address rehabilitation needs, improve mobility, enhance communication, and support overall functional abilities.
  7. Social Support and Companionship: Social isolation is addressed by providing social support and companionship services, such as organising social activities, facilitating participation in community events and providing companionship to promote emotional well-being and social engagement.
  8. Respite Care: Respite care services are available to provide temporary relief for family caregivers. This allows caregivers to take a break and attend to their own needs while their loved ones receive professional care in a residential setting or at home.
  9. Garden maintenance: Assistance is provided for garden maintenance, including tasks like mowing, weeding, and upkeep, to ensure a safe and pleasant outdoor environment.
  10. Care Coordination and Case Management: A care coordinator is assigned to manage the overall care plan, working closely with the individual, their family, and healthcare professionals to coordinate services and ensure effective communication.


What is excluded from the home care package inclusion list?

A Home Care Package comes with specific limitations on funding allocation, excluding certain items and services. These exclusions encompass expenses traditionally covered by general income, the purchase of food unless essential for enteral feeding requirements, and payments for permanent accommodation such as home purchases, mortgage payments, or rent.

Additionally, fees related to other types of care funded or jointly funded by the Australian Government, home modifications or assets unrelated to specific care needs, travel and accommodation for holidays, entertainment activities like club memberships and sporting event tickets, and engagement in gambling activities are not covered. Furthermore, services and items falling under the purview of the Medicare Benefits Schedule or the Pharmaceutical Benefits Scheme are also not funded through a Home Care Package.


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Who is eligible for a Level 4 HCP?

Meeting high-level care needs, such as those associated with dementia, hearing or visual impairments, continence management issues, chronic illnesses, cognitive impairments, multiple health conditions, or those who require substantial assistance with activities of daily living, generally satisfies the requirements for qualification under a Level 4 care package.

However, eligibility for a Level 4 Home Care Package hinges on undergoing an assessment conducted by either the Aged Care Assessment Team (ACAT) or the Aged Care Assessment Service (ACAS) in Australia. This assessment meticulously examines an individual’s care needs to determine the appropriate level of support required.

To qualify for an HCP Level 4 certification, individuals must meet specific criteria:

  • A minimum age of 65, or
  • For individuals of Aboriginal or Torres Strait Islander descent, a minimum age of 50.


How Much is Home Care Package Level 4 Funding?

An Australian Level 4 Home Care Package funds depend on the individual’s assessed care needs and the availability of government-funded packages. As per myagedcare.gov.au, the daily government subsidy is $163.27, and the fortnightly government contribution is $2,285.78.

Home Care Packages offer funded care services that are not only cost-effective but also more extensive compared to the Commonwealth Home Support Program. Government funding or contributions increase annually to support those with high care needs. The subsidy amount, which varies based on factors like income-tested care fees and package level, is directly paid to the approved provider.

Initiating a fee discussion with your chosen home care service provider will help determine your package subsidy, covering various expenses such as basic daily fees, package management fees, service fees, income-tested care fees, mortgage payments, and payments for permanent accommodations.


Accessing Home Care Package Level 4

Accessing a Level 4 In-Home Care Package involves a structured process to ensure individuals receive the appropriate care and support tailored to their specific needs. Here’s a step-by-step guide on how to access a Level 4 Home Care Package:

  1. Contact My Aged Care: Begin the process by contacting My Aged Care online or by phone (1800 200 422) to initiate a screening process and provide basic information about your needs.
  2. Undergo Aged Care Assessment: A qualified professional from an Aged Care Assessment Team (ACAT) or Aged Care Assessment Service (ACAS) will conduct an in-home assessment to determine your eligibility for a Level 4 Home Care Package.
  3. Receive Assessment Outcome: After the assessment, you will receive a letter detailing the outcome and, if eligible, the recommended level of care. This letter will guide you on the next steps in the process.
  4. Waitlist Placement (if necessary): If no Level 4 packages are available, you may be placed on a national priority waitlist. Stay updated with My Aged Care regarding any changes in your circumstances.
  5. Allocate Package, Choose Provider, and Commence Services: Once a Level 4 Home Care Package becomes available, you will be notified. Choose a home care provider, develop a personalised care plan, and commence services, including personal care, nursing care, and household assistance, to support your ageing journey at home.

Note:  From July 1, 2024, the Department of Health and Aged Care will introduce a new single assessment system that will replace the Regional Assessment Service (RAS) and Aged Care Assessment Team (ACATs). This new system will make it easier and simpler for older people to access aged care services, such as residential respite and entry to residential aged care. The flexible system will be able to quickly adapt to their aged care needs, providing a better overall experience for older Australians.


How many hours is a level 4 home care package accessible?

A Level 4 Home Care Package does not have a fixed number of hours of care. However, individuals with a Level 4 package typically have access to a personalised level of care, which can be approximately 14-15 hours per week, depending on the fees charged by the chosen care provider. This allocation is designed to cater to the individual’s specific needs and ensure a comprehensive and supportive care experience.


What is the timeframe for receiving a Home Care Package?

Once deemed eligible after assessment, the duration to acquire a Home Care Package hinges on the designated package level for eligibility. For individuals with medium priority, the anticipated waiting period for an approved Home Care Package is approximately 1-3 months.

The urgency of an individual’s service requirements can also influence the timeframe. Those with higher or more pressing needs are given priority in service allocation.


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How do Level 4 and Level 3 home care packages differ?

Level 4 HCP is designed for individuals with more complex care needs and higher medical requirements, offering extensive support for daily living activities. They receive more funding from the government, resulting in more comprehensive services and support compared to Level 3 packages. Level 4 packages cover a wider range of services, including complex care, specialised therapies, and additional support for high-level care needs. However, they may involve higher costs and income-tested care fees compared to Level 3 packages.


Then, Is level 4 HCP right for me?

Firstly, consulting with an ACAT is crucial. They can assess your specific care needs and help evaluate if a Level 4 HCP is suitable for you based on your circumstances.

Examining your budget is another important step. Assess whether you can contribute to the costs of your home care package. While government subsidies may be available, income-tested care fees could apply depending on your financial situation. Ensuring financial suitability is vital when considering a Level 4 Home Care Package.

Lastly, consider your preferences and priorities. If you value comfort and prefer to stay independent at home a Level 4 package may align with your needs.


Remember that every individual’s circumstances are unique, and seeking professional advice and thoroughly evaluating options is advisable before making any decisions.

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