Residents of special care homes pay a fee – a resident charge – based on their personal income. This charge is based on your annual reported income from Line 150 of your Income Tax Return.
- A resident pays the standard resident charge ($1,152 at January 1, 2021) plus 57.5% of the portion of their income between $1,580 and $4,551.
- For married residents (including common-law couples), the couple's income is combined, divided equally, and then the above formula is applied.
The Ministry of Health continues to subsidize approximately 80% of the overall provincewide cost of long-term care.
The resident and spouse (if applicable) are required to provide:
- The most recent year's Notice of Assessment(s) from Canada Revenue Agency, or
- Pages 1 to 3 of the Income Tax Return(s) upon admission and annually thereafter.
If income information is not provided, the resident charge will be assessed at the maximum rate.
A resident admitted for temporary care must pay the income-tested resident charge if their stay is more than 60 consecutive days.
Examples of resident charges at various income levels
||Monthly Resident Charge
||$ 1,152 (minimum)
||$ 2,860 (maximum)
Married residents living in separate special care homes
Married residents who live in separate dwellings for reasons beyond their control may choose to complete an Optional Designation Form.
- With this designation, only the resident's income is considered when calculating the charge.
- Choosing this designation does not change a couple's marital status.
In addition to the resident charge, there is an additional cost for prescriptions, medications, incontinence supplies, and certain medical and personal supplies and services.
There is also a $22.75 monthly supply charge for personal hygiene items, such as shampoo, conditioner, soap, denture cream, toothpaste, mouthwash, etc. This charge is adjusted annually based on increases to Old Age Security and Guaranteed Income Supplement benefits.
Adjustments to charges
Individual resident charges are adjusted annually on January 1 to take into account any changes in income of the resident and spouse (if applicable) from the previous year.
Resident charges effective January 1, 2021 are calculated using the 2019 tax return(s).
Special care home resident charges are adjusted quarterly in keeping with any changes to Old Age Security and Guaranteed Income Supplement benefits that affect the figures in the above formula.
Recalculating resident charges
A request for recalculation of the resident charge may be made at any time by submitting a written request to the Ministry of Health along with supporting documentation to the Income Assessment Unit.
If there were to be a change in the resident charge as a result of the recalculation, the revised charge would become effective the first day of the month for which the resident's income changed but not beyond the most recent annual review period.