The 10 Best Home Care Agencies for Seniors in Orange County, CA for 2025

Orange County’s seniors typically pay around $5,911 per month for home care, which is competitive when compared to California’s median fee of $6,101. The U.S. average of $4,957 is more affordable, but California’s costs tend to exceed those in most states. The results of the 2021 Genworth Cost of Care Survey show Orange County’s seniors typically pay less than their peers in Riverside, where the median fee is $6,101, and San Diego, where $6,387 is the norm. However, some nearby cities are more affordable, such as Oxnard at $5,815 and Bakersfield at $5,506.

Seniors able to travel to centers can get adult day care for around $1,652 per month. Assisted living includes care, meals and accommodation for approximately $5,250. Home care and home health care sound similar and share a median fee of $5,911, but they’re different. The former offers personal care support and the latter involves registered nurses and therapists delivering medical care. The near-hospital levels of medical care provided in nursing homes result in fees of around $9,125.

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.