What a reverse mortgage actually is

A reverse mortgage is a loan against your home equity that does not require monthly repayment while you live in the home. Instead of you paying the lender each month, the lender pays you — or makes funds available to you — and the loan balance grows over time as interest accrues. The loan is repaid when you sell the home, move out permanently, or die.

The most common type in the US is the Home Equity Conversion Mortgage (HECM), which is insured by the Federal Housing Administration (FHA) and regulated by the Department of Housing and Urban Development (HUD). Most of what follows applies specifically to HECMs, which account for the vast majority of reverse mortgages originated.

Basic eligibility requirements

  • You must be at least 62 years old (all borrowers on title must meet this)
  • The home must be your primary residence
  • You must have substantial equity — typically at least 50% of the home's value
  • You must complete HUD-approved counselling before closing
  • You must be able to continue paying property taxes, homeowner's insurance, and maintenance
The most important ongoing obligation: You must continue to pay property taxes, homeowner's insurance, and maintain the property. Failure to do so can trigger loan repayment — meaning you can lose the home. This is the leading cause of reverse mortgage foreclosures.

How you receive the money

HECM borrowers can choose from several disbursement options, and the choice significantly affects how useful the product is:

OptionHow it worksBest for
Lump sumAll available equity at closing, fixed interest ratePaying off an existing mortgage or large one-time expense
Monthly payments (tenure)Equal monthly payments as long as you live in the homeSupplementing a fixed income indefinitely
Monthly payments (term)Equal monthly payments for a defined periodBridging a specific gap (e.g., before Social Security)
Line of creditDraw funds as needed; unused balance grows over timeFlexibility and access to funds without using them immediately
CombinationMix of the above optionsPart monthly income, part emergency reserve

The line of credit option is often the most financially advantageous and least used. The unused line of credit grows at the same rate as the loan interest rate — meaning the longer you wait to draw on it, the more is available. Establishing a line of credit early, before a health event reduces your options, is a strategy some financial planners recommend as a precautionary measure.

The real costs — which the ads don't emphasise

Reverse mortgages are among the most expensive financial products available to homeowners. The fees and interest accumulation mean that a reverse mortgage can consume a substantial portion of home equity over time.

Upfront costs

  • Origination fee: Up to $6,000 (HECM cap)
  • Upfront MIP (mortgage insurance premium): 2% of appraised value — on a $400,000 home, that's $8,000
  • Closing costs: Appraisal, title, legal — typically $2,000–$5,000
  • Total upfront typical range: $10,000–$20,000

Ongoing costs

  • Annual MIP: 0.5% of loan balance per year
  • Interest: Accrues on the growing loan balance — typically at variable rates of 5–8% in 2026
  • Servicing fees: Up to $35/month

How equity erodes over time

On a $400,000 home with $200,000 in initial loan proceeds at 6.5% interest, the loan balance grows to approximately $280,000 after 5 years, $390,000 after 10 years, and over $540,000 after 15 years — potentially exceeding the home's value if property values are flat or declining. The FHA insurance protects you from owing more than the home is worth (HECM is non-recourse), but it eliminates the equity that might otherwise be left to heirs.

For heirs: When the borrower dies or moves out, heirs typically have 30 days (extendable to 12 months) to repay the loan or sell the home. If they want to keep the home, they must pay off the loan balance — often by refinancing into a conventional mortgage. Many families are surprised by this process and the timeline pressure involved. Make sure your family understands the loan exists and what happens when it comes due.

When a reverse mortgage makes sense

Despite the costs, there are genuine situations where a reverse mortgage is the right tool:

  • You have significant home equity and limited liquid income, and you need to fund ongoing care costs or home modifications to age in place safely
  • You want to eliminate an existing mortgage payment — converting a mortgage into a reverse mortgage removes the monthly payment obligation, significantly improving monthly cash flow
  • You don't intend to leave the home to heirs — or your heirs have been consulted and understand and accept the trade-off
  • You're using it as a strategic financial planning tool — establishing a growing line of credit as insurance against future care costs, rather than drawing it down immediately
  • You've exhausted other funding options — grants, Medicaid, VA benefits, family support — and the reverse mortgage is genuinely the last practical option

When to consider alternatives instead

  • You might need to move within a few years — the upfront costs make short-term reverse mortgages very expensive per dollar received
  • You or your spouse is under 62 — a non-borrowing younger spouse has complex protections under current rules that need careful evaluation
  • You struggle to pay current property taxes or insurance — the ongoing obligations don't go away and remaining current on them is a loan condition
  • A HELOC would serve your needs — if you have income to make payments, a home equity line of credit provides similar access to equity with lower fees and without the growing loan balance dynamic
  • Downsizing would work better — selling a larger home and moving somewhere smaller or less expensive can release equity cleanly, without ongoing interest accrual or loan obligations

Before you apply: essential steps

  1. Complete HUD counselling honestly. The required HUD-approved counselling session is not a formality. Use it to ask hard questions and explore whether alternatives make more sense for your situation. The counsellor has no financial stake in your decision.
  2. Have the conversation with your heirs. If you have children or others who expect to inherit the home, this conversation needs to happen before you close — not after. The surprise of an outstanding reverse mortgage at the time of a parent's death causes significant family conflict.
  3. Get independent financial advice. Reverse mortgage salespeople are paid on commission. A fee-only financial adviser or elder law attorney has no incentive to push you toward the product and can evaluate whether it makes sense given your complete financial picture.
  4. Verify you can sustain the ongoing obligations. Property taxes, insurance, and maintenance must continue to be paid. Review your budget carefully and consider what would happen if your income decreased.
  5. Compare at least three lenders. Interest rates, fees, and service quality vary between HECM lenders. The HUD HECM lender list is a starting point; independent mortgage brokers can provide comparisons.

Frequently asked questions

Can I lose my home with a reverse mortgage?
Yes, in specific circumstances. The most common cause of HECM foreclosure is failure to pay property taxes or homeowner's insurance — both of which remain your obligation throughout the loan. Moving out of the home for more than 12 consecutive months (for example, an extended nursing home stay) also triggers loan repayment. The loan does not require repayment simply because you're alive and living in the home.
What happens to my spouse if I die first?
If your spouse is a co-borrower on the HECM, they can remain in the home under the same terms after you die. If your spouse is not a borrower (typically because they were under 62 when the loan was originated), they may qualify as an Eligible Non-Borrowing Spouse under current HUD rules — allowing them to remain in the home as long as they continue to meet loan conditions. The rules for non-borrowing spouses changed significantly in 2014 and 2021; verify current protections with a HUD-approved counsellor.
Does a reverse mortgage affect my Social Security or Medicare?
Reverse mortgage proceeds are loan proceeds, not income, so they generally do not affect Social Security or Medicare eligibility or benefits. However, they can affect Medicaid and SSI eligibility if the proceeds remain in your bank account at the end of the month in which you receive them, pushing your countable assets above programme limits. If Medicaid eligibility is a consideration, discuss timing of disbursements with an elder law attorney.
Is a reverse mortgage the same as selling my home?
No. You retain ownership of the home throughout the life of the loan. You can sell at any time — the reverse mortgage is simply repaid from the sale proceeds. You remain responsible for property taxes, insurance, and maintenance. The lender does not own your home; they hold a lien against it, just as a conventional mortgage lender does.

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