advertisement...
Senior Resources » Home Care » Everything You Need to Know About Home Care Costs in 2023 (by State!)

Everything You Need to Know About Home Care Costs in 2023 (by State!)

piggy bank with heart and houses in background

90% of seniors want to age at home. And for many, securing home care can be an essential part of aging in place. The costs will vary depending on things like geographic location, services needed, and frequency of the care. But, once you’ve decided to hire some help, it can be useful to know what to expect. So, here’s everything you need to know about the cost of senior care at home for 2023.

Advertisement.

What is home care?

home care aid wearing pink, holding hands of resident on couch

The term home care can actually mean a lot of different things. Essentially, it refers to any care or service that can be obtained and used within the comfort of your own home. It’s meant to help maintain your quality of life and ensure safe aging in place. Types of home care include:

  • Companionship
  • Personal care assistance
  • Skilled nursing
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Meal prep or meal services
  • Homemaker services
  • Transportation
  • Health monitoring
  • And many, many more…

How much does home care cost?

The average cost of home care nationally is just around $5,000 per month. Let’s take a look at monthly averages by state. These totals are based on a 44-hour week and include homemaker and skilled services:

Advertisement.
LocationAverage Monthly Cost
Alabama$3,832
Alaska$5,720
Arizona$5,387
Arkansas$4,190
California$6,101
Colorado$6,387
Connecticut$5,291
Delaware$5,339
DC$5,567
Florida$4,767
Georgia$4,338
Hawaii$5,720
Idaho$5,434
Illinois$5,339
Indiana$4,767
Iowa$5,553
Kansas$4,624
Kentucky$4,767
Louisiana$3,671
Maine$5,720
Maryland$5,148
Massachusetts$5,911
Michigan$5,529
Minnesota$6,793
Mississippi$3,813
Missouri$4,767
Montana$5,339
Nebraska$5,444
Nevada$5,148
New Hampshire$6,102
New Jersey$5,620
New Mexico$4,629
New York$5,434
North Carolina$4,385
North Dakota$5,689
Ohio$5,005
Oklahoma$4,862
Oregon$6,054
Pennsylvania$4,957
Rhode Island$5,839
South Carolina$4,457
South Dakota$5,911
Tennessee$4,576
Texas$4,576
Utah$5,673
Vermont$5,720
Virginia$4,861
Washington$6,563
West Virginia$3,551
Wisconsin$5,625
Wyoming$5,529
Source: Genworth Cost of Care Survey

Here are the 5 most expensive states for receiving home care:

LocationAverage Monthly Cost
Minnesota$6,793
Washington$6,563
Colorado$6,387
New Hampshire$6,102
California$6,101

Here are the 5 least expensive states for receiving home care:

LocationAverage Monthly Cost
West Virginia$3,551
Louisiana$3,671
Mississippi$3,813
Alabama$3,832
Arkansas$4,190
senior home care helping hands

Home Care Versus Other Types of Senior Care

Type of CareNational Monthly Average
Home Care$5,053
Assisted Living$4,500
Adult Day Health Care$1,690
Nursing Home, Semi-Private Room$7,908
Nursing Home, Private Room$9,034

How does 24/7 care affect the cost?

24-hour home care

There may be certain circumstances where a senior may require care for more extended periods of time or even overnight. Though prices will vary by provider, you can usually expect the cost to go up dramatically. The national average for 24/7 care at home (168 hours) is $19,292.

How does hiring an independent caregiver affect the cost?

African American home caregiver and white senior in a wheelchair smiling

Independent caregivers are usually around 20% cheaper than those from an agency. On average, a caregiver from a larger company will charge around $26 per hour, whereas an independent caregiver’s services are about $20 per hour. However, you should keep in mind that when hiring independently, you may be responsible for conducting your own background checks, which will come with a fee.

Does Medicare cover home care?

Medicare sticky notes

Medicare is government-provided health insurance for seniors who are over 65. It will not pay for custodial care but will cover the cost of skilled care at home.

Medicare Part A and Part B will pay for things like:

Advertisement.
  • Part-time skilled nursing care
  • Physical, occupational, or speech therapy
  • Medical supplies for home use
  • Part-time home health aides

Medicare will pay if:

  • Services are part of a plan of care created and reviewed regularly by a doctor.
  • A doctor prescribed skilled nursing care or therapy for a specific medical condition.
  • You are certified homebound by a doctor.

Medicare will not pay for:

  • 24-hour care
  • Meal services
  • Homemaker services
  • Personal care assistance

For more information on what Medicare will help with, visit Medicare.gov.

Or, check out Medicare Moments with Toni King, a podcast that puts Medicare into “people terms.”

How can I pay for home care?

piggy bank with heart and houses in background

Planning ahead for the possibility of long-term care is a great idea! Of course, sometimes we forget to plan until we’re actually faced with major health changes. Regardless, you have several possibilities that can help pay if and when it’s time for home care!

Advertisement.

Long-Term Care Insurance

Traditional health insurance rarely pays for costs associated with long-term care. Help with daily activities and mobility are a pretty big part of receiving long-term care. So, that’s where long-term care insurance can help. It can cover custodial care, meal services, and even housekeeping services.

Medicaid

Medicaid is a joint federal and state program that helps low-income individuals pay for care. It can help with the cost of both custodial and medical care. Every state has different qualification requirements. You can visit Medicaid.gov to learn about eligibility in your state.

Reverse Mortgage

Homeowners over the age of 62, who have considerable equity, can borrow against the value of their home. You don’t need immaculate credit to qualify. And, what’s best? The loan doesn’t have to be repaid until the house is sold!

Read Next: Best Ways To Pay For Home Care Services

How can I find the best home care near me?

elderly man holding phone and confused

Find home care near me.

Having an in-home care provider can be an essential part of aging in place. And, choosing the best provider is an important decision! Here are some steps to take, when beginning your search:

  1. Know your loved one’s needs and determine the proper care.
  2. Get recommendations.
  3. Do your research.
  4. Contact your top choices.
  5. Meet with some in-home care providers.

Read Next: How To Choose The Best In-Home Care In 5 Steps!

Advertisement.

Popular Articles About Home Care

Originally published September 06, 2023

Author(s):

Free Senior Resources

Ultimate Guide to Retirement Communities

The Ultimate Guide to Retirement Communities

Get The Guide
5 Health conditions e-book cover

5 Health Conditions That Affect Baby Boomers and 5 Ways to Avoid Them

Get The Guide
ultimate estate planning checklist and guide

Ultimate Estate Planning Checklist & Guide

Get The Guide

Guide to Adult Day Care

Get The Guide
Show this content while the ad loads.