In-Home Care in Florida
Florida’s well-deserved reputation as a great place to retire probably explains why an increasing number of seniors are moving there. The 2020 Census revealed over 4.5 million of its residents are aged 65+, an increase of almost 1.25 million since 2010. The Sunshine State doesn’t tax its residents’ incomes, allowing seniors to hold on to more of their pensions, Social Security benefits and other earnings. It also boasts many nationally ranked medical facilities, such as the Mayo Clinic-Jacksonville and Adventhealth Orlando.
With so many seniors choosing to live there, it isn’t surprising Florida has numerous in-home care and home health care agencies dedicated to helping them age comfortably. In-home care is a nonmedical service focused on custodial services and companionship, which typically includes light housekeeping and assistance with personal care. Home health care adds basic medical support to those services, often delivered by skilled nurses and occupational therapists. Florida’s average monthly fee for both options is $4,767.
This guide explains what in-home care offers seniors who want the advantages of care services without relocating to an institution. It also covers likely costs and how Medicare and Medicaid can help, in addition to listing some senior-friendly resources.
The Cost of In-Home Care in Florida
Florida’s in-home care costs published in the 2021 Genworth Cost of Care Survey, are a pleasant surprise. On average, the typical Floridian pays $190 per month less than the typical American, who pays $4,957. Costs don’t compare so well with neighboring states, however. For example, Alabama and Mississippi both average $3,813 per month, Louisiana costs $3,623 and South Carolina averages $4,433. Despite this, Florida is the only one of the six states not to tax incomes, which may offset its costlier in-home care fees.
Many factors influence in-home care fees, including location. In Crestview, the average is $5,005, while in Jacksonville, it’s a more welcome $4,481. The Villages can be costly, with fees averaging $5,720, while Sebastian, although above the state median, is more affordable, at $5,100. Seniors in and around Punta Gorda can expect to pay about $4,767 for in-home care, while their peers down in Naples typically pay $953 more per month. It’s possible to find significantly below-average costs too, such as in Miami, where they’re around $4,195 — an annual savings of $6,864 when compared to the state’s median fee.
Prices for different care types are mostly dictated by the level and quantity of services and the provider’s costs. This is why Florida’s adult day health care facilities, with lower overhead per senior, can offer care for $1,517 per month. Compare this with in-home care and home health care agencies, whose fees average $4,767. They provide one-on-one care within the senior’s home and, in the case of home health care, qualified professionals to deliver limited medical support. Assisted living is more affordable at $4,000 per month because all services are contained within one location. Nursing homes typically charge $8,654, reflecting narrower staff-to-resident ratios and care administered by physicians and skilled nurses.
Does Medicaid Cover Home Care in Florida?
Medicaid doesn’t directly cover home care costs but the Statewide Medicaid Managed Care Long-Term Care Program can. Its purpose is to provide all the assistance a senior would receive in a nursing home but within their own home, including non-medical services. Another waiver, the Program of All-Inclusive Care for the Elderly, also aids seniors at home by combining elements of Medicaid and Medicare to cover all care needs.
The Home Care for the Elderly waiver provides a basic subsidy to all applicants and tailored subsidies to cover needs specific to each senior enrolled in the program. The final waiver is Community Care for the Elderly, which is available to all seniors whose needs fall within its scope, although it is primarily focused on those at risk of elder abuse.
Home Care Waiver Programs in Florida
The following waivers can help Florida seniors receive the help they need at home, including personal care, medical assistance, counseling and subsidies.
(800) 963-5337
The waiver delivers care within the home for adults aged 60+. There's a basic subsidy of $160 per month to cover some medical expenses, with special subsidies also available for other necessities, such as wheelchairs, assistive devices, home health aides and home accessibility modifications. To be eligible, a senior must have an income and assets below the Institutional Care Program standards, be at risk of entering a nursing home, receive SSI and have an adult caregiver residing with them.
(800) 963-5337
Community Care for the Elderly is a waiver for functionally impaired Floridians aged 60 or older, with priority given to those referred by Adult Protective Services due to the risk of elder abuse. It can pay for a wide range of in-home medical and non-medical services. These include companionship, counseling, personal care, home nursing and legal assistance. Although administered by the Department of Elder Affairs, the work is subcontracted to agencies by the local Area Agency on Aging.
Multiple Providers
The Program for All-Inclusive Care for the Elderly, often referred to as PACE, is a waiver that blends Medicaid and Medicare to provide all the medical and non-medical care the senior requires at home. Depending on the senior's tailored care plan, this may include restorative therapies, personal care, meal deliveries and social support. It's available to adults aged 55 and older at risk of institutionalization. PACE is only available in limited areas, so potential applicants should check with their Aging and Disability Resource Center for local PACE providers.
(800) 963-5337
This waiver comprises two programs: the Long-Term Care Managed Care Program and the Managed Medical Assistance Program. Together, they deliver a comprehensive range of care options for seniors in the home and institutional care facilities. For seniors with qualifying incomes, assets and health care needs, it can provide nursing care in the home, training for caregivers, home-delivered meals, homemaker services, medications and medical equipment. Eligible applicants are aged 65 or older and assessed as being at risk of moving to a nursing home care facility.
How to Know if You’re Eligible for Medicaid in Florida
As of 2022, single adults applying for assistance must provide proof their countable income doesn’t exceed $11,964 per year and their assets are worth no more than $5,000. If both spouses in the household apply, the figures are $16,116 annually for income and $6,000 for assets. Be aware that there is likely to be a check on your sale of assets for the previous 5 years to determine if they’ve been undersold in anticipation of your application.
2022 Medicaid Income Limits for Seniors in Florida
Single Person
$11,964
$5,000
Two-Person Household
$16,116
$6,000
*per year
Other eligibility requirements include:
- Aged 65 years or older
- U.S. citizen or legal permanent resident
- Florida resident
- Require care provided in a nursing home facility
How to Apply for Medicaid in Florida
Seniors without Medicaid should apply via ACCESS Florida or visit their nearest ACCESS Florida Service Center to apply in person. Alternatively, they can call (850) 300-4323 to request an application form, which should be completed and mailed to their nearest ACCESS center.
What Information You Will Need
You’ll need to provide evidence to support your application. This typically includes Social Security and Medicare cards as proof of identity, wage stubs and 60 months of bank statements as proof of income and life insurance policy numbers. You may also need to provide property deeds and pre-need burial contract documents.
How to Get Help Applying for Medicaid
Some people may become confused and stressed about applying for Medicaid. Fortunately, there are several organizations that can help guide applicants through the process or simply provide information and links to nearby advisors.
Online Only
Statewide
The organization's website provides detailed information about Florida's Medicaid program for people who want to conduct their own research. It also includes useful tools to help visitors determine if they're eligible and how much of their assets they need to spend down to qualify for Medicaid.
Online Only
Statewide
The federal website contains up-to-date information about Medicaid and guides visitors through the application process. It also allows applicants to check the status of their applications and renew their Medicaid cards if they already qualify.
(877) 711-3662
Statewide
The state government's website contains a wealth of information about Medicaid and waiver programs. It also helps visitors learn what plans they're eligible for and provides details for each. There are links to addresses and phone numbers for visitors who want to contact an advisor directly.
Does Medicare Cover In-Home Care in Florida?
In general, Medicare does not cover the cost of non-medical home care. That being said, there are situations in which Medicare provides some coverage for medical home care, referred to as “Home Healthcare.” There are several eligibility restrictions for coverage, including that individuals must be homebound and have a referral from their doctor specifically for home healthcare services.
Below is an overview of some of the skilled medical professionals whose in-home services are typically covered by Medicare – for more in-depth information, refer to our Guide to Home Healthcare.
- Physical Therapists: Physical therapy is used to help patients recover from injuries (broken bones, knee injuries, etc.), treat ongoing conditions such as arthritis, and assist in recovery from surgeries and procedures such as a knee or hip replacement.
- Visiting Nurses: Licensed nurses can provide a number of medical services for those who don’t need to stay in the hospital, but do need regular medical services such as wound care, changing feeding tubes, etc.
- Occupational Therapists: Occupational therapists help seniors regain or maintain the ability to accomplish normal, daily tasks, such as bathing, dressing, eating, and other daily activities.
- Speech Therapists: Speech therapists help seniors who are struggling to adequately communicate due to a stroke, dementia, or any other cause regain the ability to functionally communicate using a variety of means. Additionally, speech therapists help to keep seniors independent by modifying diets, teaching special techniques to swallow safely, and retraining associated muscles.
As mentioned above, in-home care is distinctly different from home healthcare. But, there can be some overlap in services between the two types of care. So, while Medicare doesn’t cover non-medical in-home care, there are in-home care services that may be covered in special circumstances when they’re provided in conjunction with home healthcare (such as an occupational therapist helping with eating or dressing)
Other Financial Assistance Options for In-Home Care in Florida
While the above programs help many people finance in-home care, they will not cover all costs for everyone. There are other ways to pay for in-home care, including out-of-pocket arrangements with siblings, annuities, reverse mortgages, private insurance and more. Read Caring.com’s Guide to In-Home Care Costs to learn more about these alternative payment options.
Free and Low-Cost Resources for Seniors in Florida
Floridian seniors can access a wealth of free and low-cost resources to help them age safely and comfortably in their own homes. Those listed here can pay some energy bills, make homes more energy-efficient, deliver nutritious meals and support caregivers too.
(850) 245-7105
Statewide
The Florida Weatherization Assistance Program supports seniors on limited incomes, helping to make their homes more energy-efficient and comfortable. Operating at a local level through community action agencies, it allocates grants to cover necessary home improvement costs. Depending on the results of the home survey, these can include wall and attic insulation, window and door repairs and the replacement of furnaces and air conditioning systems.
(954) 731-8770
South Florida
Meals on Wheels South Florida serves 1.2 million meals to over 10,000 residents in the region annually. The service is open to homebound Floridians aged 60 and older who struggle to prepare their own food and don't have someone who can regularly assist. The nonprofit can also deliver medically tailored meals. Its pet program includes monthly deliveries of food and a mobile veterinarian service.
Statewide
The Low-Income Home Energy Assistance Program is available to seniors struggling to cope with rising energy costs. Seniors with qualifying incomes can apply up to three times per year for support, with the program paying the energy supplier directly. However, there are some restrictions, such as propane and natural gas bills only being eligible in winter. To qualify, the senior must be a U.S. citizen and Florida resident with an income no greater than 60% of the state median income.
(407) 801-4350
Statewide
Florida Legal Services is a nonprofit organization supported by donations and funding from The Florida Bar Foundation. It advocates for seniors on low incomes who may otherwise be denied justice due to their inability to pay legal costs. Its lawyers and paralegals specialize in civil law, taking on a range of cases, such as seniors denied state medical insurance and vulnerable residents facing elder abuse.
(850) 488-6800
Multiple Counties and Municipalities
In Florida, many counties and municipalities allow for a homestead exemption of up to $50,000. To qualify, the applicant must reside in and own the home, be aged 65 years or older and have an income that doesn't exceed the limit for their area. In some locations, there's also an additional homestead exemption up to the value of homes priced below $250,000 where the senior has resided for at least 25 years.
(850) 414-2000
Statewide
The Department of Elder Affairs administers the Family Caregiver Support Program in Florida. It can help families caring for frail and elderly relatives, providing them with information on how to deliver the best care possible and supporting them in more practical ways, such as transportation and respite care. The department also offers individual counseling to help caregivers cope with the stress their duties may produce.
COVID-19 Rules for In-Home Care Providers in Florida
As of February 28, 2022, all medical and non-medical staff caring for Floridians in their homes must be fully vaccinated against COVID-19. The only exceptions are those granted exemptions or whose vaccines must be temporarily delayed, as recommended by the CDC. Seniors should check with their nearest Area Agency on Aging if they’re unsure about the latest practices because the state and federal governments can change rules at short notice. Also, each care agency may have additional policies and procedures in place to keep their clients and staff as safe as possible, so it’s prudent to check with the appropriate provider too.
In-Home Care Laws and Regulations in Florida
The Florida Division of Health Quality Assurance regulates senior care in the state. The division inspects residential care facilities and takes reports from the public about conditions at the sites it oversees. The table below contains an overview of the laws for senior home care in Florida.
Frequently Asked Questions
Does Florida Medicaid pay for in-home care?
Florida Medicaid does not usually issue direct payments for in-home care, but it can and does reimburse beneficiaries for eligible and pre-approved services.
Are there programs to cover home modifications in Florida?
Florida Home Care for the Elderly (HCE) pays for approved home access modifications. This can include the installation or modification of ramps, doorways and other fixtures. Homes must be inspected and work approved in advance.
Are there transportation assistance programs in Florida?
Find a Ride Florida helps seniors aged 60 and over in each of Florida’s 67 counties find low-cost and free transportation services for medical and personal trips.
What does it mean to age in place?
Aging in place means a senior remains in the home of their choice for as long as they safely can. This may be a private residence, the home of a family member or another arrangement. The term can also include the necessary services and support needed to help seniors stay independent.
What are “Activities of Daily Living?”
Activities of daily living (ADLs) are routine personal tasks that in-home caregivers frequently assist seniors with completing. Examples include bathing, dressing and preparing meals. ADLs do not include instrumental activities, such as managing finances or making medical decisions.
How to Find an In-Home Care Provider in Florida
Whether you are looking for yourself or a loved one, finding a quality home care provider can be a stressful process. When you hire an in-home care aide you’re placing a lot of trust in the hands of the person by inviting them into your home, so you’ll want to be diligent in your search. At Caring.com, we’re here to help – we’ve created a helpful checklist below that can help guide you through the process of both determining your needs and finding a home care agency that will provide the best care possible.
Find Home Care Agencies Near You
To find quality home care providers near you, simply input the zip code or city where you would like to start your search. We have an extensive directory of home care agencies all across the nation that includes in-depth information about each provider and hundreds of thousands of reviews from seniors and their loved ones.
Home Instead – Orlando, FL
3655 Maguire Blvd, Suite 150, Orlando, FL, 32803
Right at Home Orlando, FL
7065 Westpointe Blvd., Unit 309, Orlando, FL, 32835
Right at Home Longwood and Lake Mary, FL
740 Florida Central Parkway, Suite 2056, Longwood, FL, 32750
A Place At Home – Orlando, FL
5449 S Semoran Blvd Suite 234, Orlando, FL, 32822
HomeWell Care Services Orlando
450 S Orange Ave Ste 346 , Orlando, FL, 32801
Right at Home – North Orlando
711 W Colonial Drive , Orlando, FL, 32804
Family Home Care of Central Florida
1326 Palmetto Ave , Winter Park, FL, 32789
HomeWell Care Services – Melbourne, FL
1600 Eau Gallie Blvd , Suite 205 K, Melbourne, FL, 32935
Meetcaregivers Inc – Orlando, FL
1060 Woodcock Rd, Orlando, FL, 32803
Visiting Angels of Orange & Osceola Counties
1707 Orlando Central Parkway, Suite 450, Orlando, FL, 32809
Brevard Affordable Home Care Agency
2460 N. Courtenay Parkway, Suite 103, Merritt Island, FL, 32953
Arosa Orlando
341 N. Maitland Ave., Suite 130, Maitland, FL, 32751
Griswold Home Care of Seminole & North Orange Counties
1850 Lee Road, Suite 320, Winter Park, FL, 32789
FirstLight Home Care of Central Orlando, FL – SW Orlando
2441 West State Road 426, Suite 2021, Orlando, FL, 32765
Partners in Healthcare
815 Orienta Ave., Suite 1060, Altamonte Springs, FL, 32701
Sandcastle Homecare
125 S. Swoope Ave, Maitland, FL, 32751
Preferred Care at Home of Northeast Orlando
2454 E. Micigan Street Suite D, Orlando, FL, 32806
Robinson Tender Touch Home Care
4801 North Pine Hill Rd., Orlando, FL, 32811
Flourish in Place Home Care Solutions
1080 Woodcock Rd Suite 276, Orlando, FL, 32803
Superior Care Home Care
111 N Orange Ave Suite 800, Orlando, FL, 32801
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Home Care Services in Florida (477)
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