Home Care Packages — Level 4

Level 4 Home Care Package

Level 4 is the highest traditional care package level, designed for people with complex or high-level care needs who require substantial daily support and clinical services to remain living at home.

Annual subsidy

$59,594

Per week (approx)

$1,146

Care hours/week

12–20 hrs

Who is Level 4 for?

Level 4 is for older Australians assessed as having High-level care needs. Common situations include:

  • ✓Complex nursing care — wound management, catheter care, IV therapy
  • ✓Daily personal care across multiple visits
  • ✓Significant allied health and therapy services
  • ✓Cognitive support or dementia care

What services are covered?

Complex nursing care (daily or multiple visits)
Physiotherapy, occupational therapy, speech pathology
Daily personal care across multiple sessions
Dementia support and cognitive care
Continence management
Meal preparation and nutrition support
Equipment, aids and home modifications
Social support, transport, respite

How to get a Level 4 home care package

The same process applies to all levels — assessment first, then matched to a provider.

1

Contact My Aged Care

Call 1800 200 422 or apply online. A phone screen determines next steps.

2

ACAT assessment

A trained assessor visits your home to understand your needs and recommend an appropriate level.

3

Join the queue

Once approved, you're placed on the national queue. You may be offered interim Commonwealth support while waiting.

4

Choose a provider

When your package is assigned, you choose an approved provider. WithSally can help you find and compare the best fit.

How Level 4 compares to other levels

Support at Home program — 2025–26 government subsidy amounts

Level 1 $10,731/yr
Level 2 $18,063/yr
Level 3 $39,310/yr
Level 4 ← you are here$59,594/yr
Level 5 $64,754/yr
Level 6 $70,179/yr
Level 7 $74,495/yr
Level 8 $78,106/yr

Subsidy amounts are government contributions. Additional fees (basic daily fee, income-tested care fee) may apply.

Common questions about Level 4

How much is a Level 4 home care package worth?+
A Level 4 package provides a government subsidy of $59,594 per year (approximately $1,146 per week) in 2025–26. This is the highest traditional package level and reflects complex, high-level care needs.
How many hours of care does a Level 4 package give you?+
Most Level 4 recipients receive approximately 12–20 hours of direct care per week, depending on the mix of services and provider management fees. Clinical services like nursing cost more per hour, while personal care and domestic assistance provide more hours for the same spend.
Who qualifies for a Level 4 home care package?+
Level 4 is for people with high or complex care needs — typically those who require daily clinical nursing, significant allied health services, dementia support, or multiple daily personal care visits. An ACAT assessment determines eligibility. Not everyone who applies receives Level 4.
What is the wait time for a Level 4 home care package?+
Wait times vary. Under the Support at Home program (from July 2025), the government has committed to reducing wait times, but high-level packages like Level 4 can still take months. Your ACAT assessment date determines your queue position. You may be offered interim CHSP services while waiting.

Ready to find a Level 4 provider?

WithSally is a free matching service. We help you compare approved providers, understand your options, and connect with a provider that fits your Level 4 needs.

Get matched — it's free →

No cost to families. No obligation.

General information only. Package subsidy amounts are subject to change — confirm current rates with your approved provider or My Aged Care on 1800 200 422. Estimated care hours are illustrative only and depend on provider management fees and hourly rates. WithSally is an independent referral service and is not affiliated with the Australian Government or My Aged Care.