Understanding how a Home Equity Conversion Mortgage (HECM) functions is the first step in determining if it is the right tool for your care plan. At its core, a HECM is a loan that allows you to convert a portion of your home's value into cash. However, unlike a standard home equity loan or a Home Equity Line of Credit (HELOC), you are not required to make monthly principal or interest payments as long as you live in the home . Instead, the interest and fees are added to the loan balance each month. The loan is eventually repaid when the last surviving borrower dies, sells the home, or moves out permanently .

Eligibility: Who Can Apply?

Not every homeowner can qualify for a HECM. Because these are federally insured products, the Department of Housing and Urban Development (HUD) and the Federal Housing Administration (FHA) set strict guidelines.

Age Requirement: You must be at least 62 years old. If there are two spouses, only one needs to be 62 to apply, though there are specific protections for "non-borrowing spouses" that we will cover later .
Equity Requirement: You generally need to have significant equity in the home—typically 50% to 55% or more. If you still have a small traditional mortgage, the HECM proceeds must first be used to pay off that existing balance .
Property Type: The home must be your primary residence. It can be a single-family home, a 2-to-4 unit owner-occupied dwelling, or an FHA-approved condominium .
Financial Assessment: Lenders will conduct a "financial assessment" to ensure you can continue to pay property taxes and homeowners insurance. If they worry you can't, they may set aside a portion of your loan funds specifically for these expenses .

Payment Options: How You Receive the Money

One of the greatest advantages of a HECM is its flexibility. Depending on your care needs, you can choose how to receive your funds:

Line of Credit: This is often considered the most strategic option for long-term care planning. You only pay interest on the money you actually withdraw. Most importantly, the unused portion of the line of credit grows over time at the same interest rate as the loan itself . This means you could have more money available for care in ten years than you do today.
Tenure Payments: You receive equal monthly payments for as long as at least one borrower lives in the property as a principal residence . This functions like a "private pension" backed by your home.
Term Payments: You receive equal monthly payments for a fixed period of time (e.g., ten years). This might be useful if you know you only need to bridge a specific gap until other benefits kick in .
Lump Sum: You receive all the available funds at once at closing. This is typically only available with fixed-rate HECMs and is often used to pay off an existing mortgage or fund a major home modification .

The Cost of Entry: Fees and Premiums

HECMs are not "free money." In fact, they are often more expensive than traditional mortgages. It is common to pay between 3% and 5% of the home's appraised value in upfront costs .

Upfront Costs

Origination Fee: This compensates the lender for processing the loan. It is capped by the FHA at $6,000. Specifically, lenders can charge the greater of $2,500 or 2% of the first $200,000 of the home's value, plus 1% of the value over $200,000 .
Mortgage Insurance Premium (MIP): You must pay an upfront MIP of 2% of the loan amount at closing. This insurance guarantees that you will continue to receive your payments even if the lender goes out of business or the home's value drops below the loan balance .
Third-Party Charges: These include appraisals (averaging $450+), title searches, inspections, and recording fees .

Ongoing Costs

Annual MIP: You will be charged 0.5% of the outstanding mortgage balance annually .
Interest: Interest accrues on the balance you have borrowed. Because you aren't making monthly payments, this interest "compounds," meaning you eventually owe interest on the interest .
Servicing Fees: Lenders may charge up to $30–$35 per month to manage the account, though many lenders now include this in the interest rate .

The "Non-Recourse" Safety Net

A critical feature of the HECM is that it is a "non-recourse" loan. This means that neither you nor your heirs will ever owe more than the home is worth at the time of sale . If the loan balance grows to $500,000 but the home only sells for $400,000, the FHA insurance covers the $100,000 difference. You or your estate will never be "underwater" in a way that requires paying out of pocket to satisfy the lender .

Step-by-Step: The HECM Application Process

Counseling: Before you can even apply, you must attend a counseling session with a HUD-approved counselor. They will explain the costs, tax implications, and alternatives to ensure you fully understand the commitment .
Application and Assessment: The lender reviews your credit history and income to ensure you can maintain the home (taxes/insurance) .
Appraisal: A professional appraiser determines the current market value of your home. This value, combined with your age and current interest rates, determines your "Principal Limit" (the total amount you can borrow) .
Closing: You sign the final documents and choose your payment plan. Upfront fees are typically rolled into the loan balance so you don't have to pay them out of pocket .