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Over the years, many families have chosen home care to support elderly loved ones. This arrangement allows seniors to maintain a level of independence and age comfortably where they live. In 2024, 92% of adult Americans reported they would prefer to age in place. Home care can also be a more cost-efficient option than a nursing home.
Explore ways to pay for in-home care, learn about insurance and government assistance programs and plan for long-term care with Village Caregiving.
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Financial planning is crucial in preparing long-term care for older adults. It allows you to set a realistic budget while identifying home care that suits your needs. To prepare, take the time to review your budget and gather financial assistance.
In 2024, the median hourly rate for home health aide service was $33.99 in the United States. This amounts to $6,481 a month and $77,769 a year. However, these prices will fluctuate depending on your needs and where you live.

Ask for home care rates in your area to understand the cost. Home care expenses vary depending on factors such as your state’s cost of living. Other factors that affect the cost of care:
Survey your options and assess the level of care your loved one needs. Do they have mobility issues and specific medical conditions? If you need a more customized arrangement, home care is a flexible option for your older adult loved ones. Consider this when you create a budget for home care services.
If you need customized care at home, you can find providers with personalized care plans that address your needs. Other ways to maximize your budget for home care include looking for family caregivers who offer flat rates, even on weekends or holidays.
Many families and seniors pay for home care using their personal savings. They may pool together funds or use insurance. In other cases, a senior family member may borrow against their home equity through a reverse mortgage.
Here’s how to use private funding to pay for home care:
Long-term care insurance is purchased in advance to cover retirement care expenses for your elderly loved one. Some long-term care insurance can cover care payments for two to five years, while other policies may cover a person for the rest of their life.
Your loved one can surrender their life insurance in exchange for its cash value. Once they receive the lump sum, they can use this to pay for home care services. Seniors who surrender their life insurance also surrender the death benefit that comes with it.
If you do not want to surrender your life insurance, you can access cash from your policy by:
A reverse mortgage allows senior homeowners aged 62 and above to borrow from their property’s home equity. This is possible through the federal government’s Home Equity Conversion Mortgage (HECM). Seniors can use this loan to supplement their retirement plan and pay for home care services.
There are risks to this type of loan, so before taking out a reverse mortgage, ask these questions:
If you have reservations about reverse mortgages, consider other financing options.
Older adults might be eligible for government assistance with home care. They may qualify for Medicaid, Medicare and Department of Veterans Affairs (VA) benefits. Consider these options to pay for in-home care.
Medicaid provides financial coverage for low-income seniors seeking home care. Your loved one may qualify and receive assistance through your state’s Home and Community Based Services (HCBS) Medicaid Waiver program.
How do you qualify for Medicaid? While each state has its rules, Medicaid eligibility generally depends on a person’s health, income and age. Let’s go over these qualifications:
Check the Medicaid state directory for your state’s requirements. You can apply by enrolling online or contacting your state’s Medicaid center.
What about Medicare Assistance for home care? Medicare is applicable for temporary home health care assistance. This means it covers home care for loved ones who are ill or injured. This option helps pay professionals like nurses and physical therapists who can provide their treatment at home.
Is your loved one a veteran? If so, they may be eligible for home-based VA program benefits. The VA can assign a trained homemaker and home health aide to assist them. Veterans are eligible based on their military service record, assigned priority group, disability and income. Depending on their benefits, copays may also apply.
Who is qualified for VA home care assistance? A veteran should satisfy the following requirements:
You can learn more about VA assistance and how to apply through the VA Caregiver Support Coordinator.
Planning for long-term home care involves carefully assessing your elderly loved one’s needs. Check your funds and financing options to create a budget for in-home care services.
When it comes to home care, contact Village Caregiving in your area for fully customizable services. We offer affordable in-home care services at competitive rates with flexible scheduling payment plans. Our experienced family caregivers are here to provide the support you need, just like you’re part of our family.