You keep the title to your house. Instead of paying monthly home mortgage payments, though, you get a bear down part of your home equity (buy to let mortgages how do they work). The cash you get usually is not taxable, and it generally won't impact your Social Security or Medicare benefits. When the last making it through borrower dies, sells the home, or no longer lives in the home as a principal residence, the loan has to be paid back.Here are some things to consider about reverse home mortgages:. Reverse home loan lenders usually charge an origination charge and other closing expenses, as well as maintenance fees over the life of the home mortgage. Some also charge home mortgage insurance coverage premiums (for federally-insured HECMs). As you get money through your reverse home mortgage, interest is included onto the balance you owe monthly.