The Best Home Care Agencies for Seniors in Hot Springs, AR for 2025

According to the Genworth 2021 Cost of Care Survey, home care costs in Hot Springs are $4,290 per month, which is about $100 more than the state average but around $600 less than the national average. Lower rates are in northeastern Jonesboro and southeastern Pine Bluff. Prices in neighboring Little Rock are equal to home care in Hot Springs. Seniors in northwestern Fayetteville can expect to pay the highest costs in the state but the same as the national average.

Home care and home health care costs are the same in Hot Springs. Home care provides assistance with daily activities, and home health care involves light medical services and rehabilitation therapy. The most affordable alternative is adult day care at almost $3,000 less per month for seniors who need daytime care. Assisted living communities in Hot Springs charge about $200 more per month and may be more economical for seniors since it includes housing and meal costs. Nursing home care is the most expensive option at almost $2,000 more each month for semiprivate accommodations.

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.