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Average Cost of Home Health Care Services

Vanessa Valerio

Home Care Services

Jun 21, 2024

17 min read

You may be wondering how much home health care services cost on average. The truth is, the cost can vary widely depending on your specific needs and circumstances.

Several factors influence the price you’ll pay for home health care, including where you live, the level of care you require, and the types of services you need.

Let’s take a closer look at the average cost of home health care services and what you can expect to pay.

What is the Average Cost of Home Health Care Services?

The average cost of home health care services varies based on location, level of care required, and type of services provided. 

According to Genworth’s 2021 Cost of Care Survey, the national median cost for homemaker services is $4,957 per month and $5,148 per month for home health aide services.

However, these are just median prices. Actual costs can range from $4,004 to $4,195 per month on the lower end to $5,529 to $6,673 per month on the higher end for full-time care, depending on the factors mentioned above.

Examples of Home Health Care Services

Home health care encompasses a wide range of services, from medical care to assistance with everyday tasks. 

Some common examples include:

  • Skilled nursing care

  • Physical therapy

  • Occupational therapy

  • Speech therapy

  • Medical social services

  • Home health aide services

The specific services you need will depend on your individual health situation and care requirements. A home health agency can assess your needs and develop a personalized care plan.

Factors Influencing Home Health Care Costs

Several key factors can significantly impact the overall cost of home health care services. Understanding these variables can help you better plan for and manage the expenses associated with in-home care.

Geographic Location

Where you live plays a significant role in determining the cost of home health care. Prices can vary widely from state to state and even between cities within the same state. 

States with a higher cost of living, such as California, New York, and Massachusetts, tend to have higher home health care costs compared to states with a lower cost of living, like Mississippi or Alabama. 

It’s important to research the average costs in your specific area to get a more accurate estimate of what you can expect to pay.

Level of Care Needed

The complexity of your medical needs and the amount of assistance required will directly affect the cost of home health care services. 

If you require more intensive medical support, such as skilled nursing care for wound management or intravenous therapy, you can expect to pay more than if you only need basic assistance with daily living activities like bathing, dressing, and meal preparation. 

Similarly, if you need around-the-clock care or multiple visits per day, your costs will be higher than if you only require part-time or occasional support.

Types of Services Provided

The specific services included in your home health care plan will also impact the overall cost. Specialized services, such as physical therapy, occupational therapy, or speech therapy, may come with a higher price tag than standard home health aide services. 

If your care plan includes a combination of skilled nursing care and therapy services, your costs will likely be higher than if you only need basic assistance with daily tasks. 

It’s essential to work with your home health agency to determine which services are necessary for your unique situation and to understand the associated costs.

Duration and Frequency of Visits

The length and frequency of home health care visits will directly influence the total cost of services. Longer visits or more frequent visits will result in higher overall expenses. 

For example, if you require three hours of care per day, five days a week, your costs will be significantly higher than if you only need one hour of care per day, three times a week. 

When developing your care plan, consider your budget and work with your home health agency to find a schedule that balances your needs with your financial resources.

Is Home Health Care Covered by Medicare?

Medicare Part A and Part B cover some home health care services, but there are specific requirements you must meet to qualify for coverage. Your doctor must order the services, and they must be provided by a Medicare-certified home health agency.

You must also be homebound, meaning it is very difficult for you to leave your home and you need help doing so. Additionally, you must need intermittent skilled nursing care or therapy services.

Additionally, you have to take into account the following:

  • Medicare does not cover all home health services: Medicare will not cover 24/7 care at home or personal care services if that is the only care you need. Personal care services include help with activities of daily living such as bathing, dressing, and using the bathroom.

  • You may have out-of-pocket costs: Even if Medicare covers your home health care, you may have to pay 20% of the Medicare-approved amount for durable medical equipment like a wheelchair or walker. You may also have a copayment for some services.

To determine if you are eligible for Medicare coverage of home health care, you can review the requirements on Medicare’s website. If you have questions about your specific situation, contact your doctor or a Medicare representative for guidance.

How to Choose a Home Health Care Provider

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Selecting the right home health care provider is a significant decision that can greatly impact the quality of care you or your loved one receives. When evaluating potential providers, consider the following factors to ensure you find the best fit for your needs.

Here are some recommendations: 

Research Providers in Your Area

Start by asking for recommendations from healthcare professionals, friends, and family members who have experience with home health care. You can also search online for providers in your area and read reviews from other clients to get a sense of their reputation and the quality of care they provide. 

The Home Health Compare tool on Medicare allows you to compare Medicare-certified home health agencies in your area based on quality measures and patient satisfaction surveys.

Verify Medicare Certification and Licensing

If you plan to use Medicare to cover your home health care services, make sure the provider you choose is Medicare-certified. You can check a provider’s certification status on the Medicare website. 

Additionally, confirm that the provider is licensed to operate in your state by contacting your state’s health department or visiting their website.

Inquire About Caregiver Qualifications and Training

The quality of care you receive largely depends on the skills and experience of the caregivers who will be working with you. Ask potential providers about their hiring practices, including background checks, minimum qualifications, and ongoing training requirements for their caregivers. 

A reputable provider should be transparent about their standards and willing to share information about their caregivers’ credentials.

Discuss Costs and Payment Options

Before making a decision, obtain a clear understanding of the provider’s rates and what services are included in their fees. 

Some providers may charge hourly rates, while others offer flat rates for specific services or care packages. Ask about any additional costs that may not be included in the base rate, such as supplies or travel expenses. 

If you have insurance coverage, including Medicare or Medicaid, confirm that the provider accepts your insurance and clarify any out-of-pocket costs you may be responsible for.

Schedule an In-Home Assessment

Many home health care providers offer free in-home assessments to evaluate your or your loved one’s specific needs and develop a personalized care plan. 

Take advantage of this opportunity to meet with a representative from the provider, discuss your concerns, and ask questions about their services. 

During the assessment, pay attention to the representative’s professionalism, communication skills, and ability to address your unique situation. 

This meeting can help you gauge whether the provider is a good fit for your needs and preferences.

5 Tips for Managing Home Health Care Costs

Managing the costs of home health care can be challenging, but there are several strategies you can employ to make it more affordable. 

Here are five tips to help you navigate the financial aspects of home health care:

  • Understand your insurance coverage: Review your loved one’s insurance plan to determine what home health care services are covered. Pay attention to any out-of-pocket costs, such as deductibles, copayments, or coinsurance. 

  • Consider long-term care insurance: If your loved one has long-term care insurance, it can be a valuable resource for covering the costs of home health care. These policies typically cover a range of services, including skilled nursing care, therapy services, and personal care assistance. Long-term care insurance can help protect your loved one’s assets and ensure they receive the care they need without placing a significant financial burden on the family.

  • Explore community resources: Many communities offer programs and services designed to support seniors and help them age in place. These resources can include meal delivery programs, transportation services, and respite care options. Some organizations may also offer grants or financial assistance for home modifications or medical equipment. 

  • Create a budget: Work closely with your home health care provider to develop a budget that balances your loved one’s care needs with your financial resources. Be transparent about your budget constraints and prioritize the most essential services. Consider whether any tasks can be handled by family members or friends to reduce costs. Regularly review and adjust your budget as your loved one’s needs change over time.

Comparing Home Health Care Costs to Other Options

When considering long-term care options for yourself or a loved one, it’s important to weigh the costs and benefits of each choice. 

Let’s examine how home health care compares to two other common senior care options: assisted living and nursing home care.

Assisted Living

Assisted living facilities provide a combination of housing, personal care services, and healthcare support in a community setting. The median monthly cost of assisted living in the United States is $4,500, according to Genworth’s 2021 Cost of Care Survey. This price includes rent, utilities, meals, and basic care services.

  • Cost comparison: For seniors who require only part-time or intermittent care, home health care may be more cost-effective than assisted living. However, if you need more comprehensive assistance with daily living activities or 24/7 supervision, assisted living may be a better financial choice.

  • Lifestyle considerations: Assisted living offers a social environment with opportunities for engagement and activities, which can be beneficial for seniors who enjoy community living. Home health care, on the other hand, allows you to remain in the comfort and familiarity of your own home, maintaining a sense of independence and privacy.

Nursing Home Care

Nursing homes provide the highest level of care outside of a hospital setting, offering 24/7 skilled nursing care and medical support for seniors with complex health needs. The median monthly cost of a semi-private room in a nursing home is $7,908, while a private room costs $9,034, according to Genworth’s 2021 Cost of Care Survey.

  • Cost comparison: Nursing home care is significantly more expensive than home health care, even for seniors who require full-time care. However, if you have advanced medical needs that cannot be safely managed at home, a nursing home may be necessary despite the higher costs.

  • Level of care: Nursing homes provide a higher level of medical care than home health care, with round-the-clock access to skilled nursing staff and on-site medical equipment. If your health condition is stable and you don’t require constant medical monitoring, home health care may be sufficient to meet your needs.

Ultimately, the decision between home health care, assisted living, and nursing home care depends on your individual needs, preferences, and financial situation. 

Consulting with a geriatric care manager can help you assess your options and make an informed choice that prioritizes your well-being and quality of life.

Is Home Health Care Worth the Cost?

Home health care can be a significant expense, but for many seniors and their families, the benefits far outweigh the costs. When you choose home health care, you’re investing in your loved one’s quality of life and enabling them to age in place with dignity and independence.

With home health care, you’re getting:

  • Personalized care in a familiar environment: Home health care allows seniors to receive one-on-one attention tailored to their specific needs, all within the comfort and familiarity of their own home. This personalized approach can lead to better health outcomes and a greater sense of well-being compared to institutional care settings.

  • Independence and autonomy: By receiving care at home, seniors can maintain a sense of control over their daily routines and decision-making. This autonomy is essential for preserving cognitive function and emotional well-being, as well as fostering a sense of purpose and self-worth.

  • Reduced risk of infection and hospitalization: Home health care can help prevent complications and hospital readmissions by providing consistent, attentive care in a clean and controlled environment. With one-on-one support from skilled professionals, seniors are less likely to experience falls, medication errors, or other adverse events that could lead to costly hospitalizations.

  • Enhanced family involvement and peace of mind: Home health care enables family members to be more involved in their loved one’s care, fostering stronger relationships and better communication. Knowing that your loved one is receiving high-quality care in the comfort of their own home can provide immense peace of mind, reducing stress and anxiety for both seniors and their families.

While the cost of home health care is a significant consideration, it’s important to weigh the expense against the numerous benefits it provides. A geriatric care manager can help you evaluate your options and determine the best course of action for your loved one’s unique situation. 

By exploring strategies for managing costs, such as long-term care insurance, community resources, and creative budgeting, you can create a sustainable plan that prioritizes your loved one’s well-being and quality of life.

Understanding the costs and options for home health care can be overwhelming. Care Indeed is here to guide you through the process, offering personalized care solutions tailored to meet your specific needs and budget.

Vanessa Valerio


Vanessa Valerio

Chief Operating Officer

Passionate about living life and loving people fully. Has an adventurous spirit and an unusual craving for mangoes. Her mantra: Always be loving and kind.

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