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The 10 Best Home Care Agencies for Seniors in Fresno, CA for 2024

Fresno is a large city in the San Joaquin Valley near high-performing medical facilities, including Community Regional Medical Center. The city has over 540,000 residents and a 65+ community that makes up about 12% of the population. It’s one of the most budget-friendly places to live in California with affordable housing and health care services, making it a great option for retirees with limited incomes. According to the Genworth 2021 Cost of Care Survey, Fresno seniors pay $5,529 for home care, which includes nonmedical services such as housekeeping and companionship. The monthly rate is the same for home health care in Fresno, which includes skilled nursing services such as wound care and medical monitoring.

Below we’ve compiled a comprehensive directory of every home care provider in the Fresno area – complete with services offered and reviews from families who’ve actually used the service. In addition to our in-depth provider listings, we’ve compiled resources to help seniors and their families to access all the tools they need to age in place safely and gracefully.

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Home Care Agencies in Fresno, CA

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Paying for Home Care in Fresno, CA

The Cost of Home Care in Fresno, CA

Fresno is among the most affordable places in California to obtain home care, with monthly rates averaging $5,529. While this exceeds the national median of $4,957, it’s nearly $600 lower than the California rate of $6,101. Seniors may save about $2,000 annually by living in Visalia, where agencies charge $5,339 per month for home care, and in Merced, residents pay $6,288 for in-home services. San Jose is one of the costliest places in California for home care, with rates averaging $7,102.

Fresno

$5,529

California

$6,101

The United States

$4,957

Visalia

$5,339

Merced

$6,288

San Jose

$7,102

The Cost of Home Care vs Other Senior Care Options in Fresno, CA

Seniors in Fresno pay $5,529 per month for home care, which includes non-medical services such as companionship and meal preparation. Home health care has the same monthly rate despite featuring specialized services such as physical therapy and medication administration. Older adults who want to live at home and obtain cheaper care may consider adult day health care at $1,652 per month. Assisted living, which provides personal care in a residential setting, is also budget-friendly at $3,900. Nursing home care is the costliest option in Fresno at $8,638 per month for shared rooms.

Home Care

$5,529

Home Health Care

$5,529

Adult Day Health Care

$1,652

Assisted Living

$3,900

Nursing Home Care (semi-private room)

$8,638

Financial Assistance for Home Care in Fresno, CA

Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.

  • Long-Term Care Insurance: Long-Term Care Insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
  • Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
  • Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
  • Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living.Contact the Department of Veterans Affairs to learn more.
  • Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.

Free & Low-Cost Home Care Resources in Fresno, CA

Home care is a practical solution for those who want to remain in their homes, but knowing where to begin can be difficult. The following agencies help older adults access the care they need by providing direct services or referrals for community-based resources. They can also help seniors identify ways to pay for home care services.  

ResourceContactService
Fresno-Madera Area Agency on Aging (559) 214-2099The local Area Agency on Aging provides information and referral services to help older adults find low-cost services and programs to supplement paid home care services. The agency also has care managers who help older adults assess their needs and identify and find the services necessary for aging in place.
Agewell Fresno (559) 676-6570Agewell Fresno operates the Meals on Wheels program for the city. Through this program, those aged 60 and over who are homebound can obtain fresh, healthy meals delivered to their door. A monthly donation of $50 is recommended, but no one is denied meals due to an inability to pay.
Valley Caregiver Resource Center (800) 541-8614The Valley Caregiver Resource Center operates support groups for informal caregivers. It also provides access to helpful resources such as free classes and training sessions, family consultations and the Family Caregiver Support Program. It also has HICAP advisors who provide free Medicare counseling to help seniors plan for care expenses.
211 Helpline2-1-1The 211 Helpline is a free phone-based information and referral service available to all Fresno area residents. Seniors can call this number to speak with an advisor who directs them toward community-based services and programs such as volunteer-based transportation, home-delivered meals, durable medical equipment loans and respite care.
Fresno Economic Opportunities Commission(559) 263-1000The local Community Action Agency operates weatherization and utility bill assistance programs that help older adults improve their homes’ comfort and safety while reducing costly energy bills. The agency also provides information and referrals for community-based programs such as Meals on Wheels to support seniors’ independence at home.

Determining Your Loved One’s Need for In-Home Care

Aging can be a difficult process, and loved ones may not always ask for help – oftentimes it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.

Download
Checklist for determining the need for home care
Checklist for determining the need for home care

Guidelines for Talking About In-Home Care

If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.

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Talking with Family and Others about a loved one's needs
Talking with Family and Others about a loved one's needs

Frequently Asked Questions

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Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

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