It is based on your After Tax Income such as CPP, OAS, GIS. Is there a cost for long-term care services? If you receive publicly subsidized long-term care services, you will pay a monthly rate of up to 80 per cent of your after tax income towards the cost of secure, supervised housing and care services, subject to a minimum and maximum monthly rate. Your monthly rate is calculated based on your “after tax income” (as defined in the Continuing Care Fees Regulation) in one of two ways: If your after tax income is less than $19,500 per year, your monthly rate is calculated as your after tax income less $3,900 and divided by 12 (Formula A). Note: The $3,900 deduction ($325 per month X 12 months) is set to ensure that most clients have at least $325 of income remaining per month after paying their monthly rate. If your after tax income is equal to or greater than $19,500 per year, your monthly rate is calculated as your after tax income multiplied by 80 per cent and divided by 12 (Formula B). For more information on how your after tax income is calculated, please see: Continuing Care Fees Regulation Hospital Insurance Act Regulations (Division 8) The minimum monthly rate is adjusted each year based on changes to the Old Age Security/Guaranteed Income Supplement (OAS/GIS) rate as of July 1 of the previous year. For 2024, the minimum monthly rate for a client receiving long-term care services is $1,417.00 per month. If you and your spouse are sharing a room in a long-term care home and are both in receipt of the Guaranteed Income Supplement (GIS) benefit at the married rate, your monthly rate will be calculated based on your after tax income, subject to a minimum and maximum monthly rate. For 2024, the minimum monthly rate for a couple sharing a room and both in receipt of the GIS benefit at the married rate is $1,001.69 per month per person. The maximum client rate is adjusted each year based on changes to the Consumer Price Index over the previous year. For 2024, the maximum monthly rate for a client receiving long-term care services is $3,974.10 per month. If you receive support and/or shelter allowance under the Employment and Assistance Act or the Employment and Assistance for Persons with Disabilities Act, you will pay a fixed monthly rate for your long-term care services. For more information on these fixed monthly rates, please contact your health authority. For more general information on the costs of publicly subsidized home and community care services in B.C., please see: Who Pays for Care? If payment of your assessed monthly rate would cause you or your family serious financial hardship, you may apply to your health authority for a temporary reduction. For more information, please see below, "What if I cannot afford my assessed monthly rate?”. What if I cannot afford my assessed monthly rate? If you are receiving long-term care services and payment of your assessed monthly rate would cause you or your family serious financial hardship, you may be eligible for a reduced rate. Serious financial hardship means that payment of your assessed monthly rate would result in you (or your spouse, if applicable) being unable to pay for: adequate food; monthly mortgage/rent; sufficient home heat; prescribed medication; or other required prescribed health care services. For more information on eligibility and how to apply for a temporary rate reduction of your monthly rate, please see: Temporary Reduction of Your Client Rate