Boston, Massachusetts, is one of the top 10 retiree-friendly cities in the nation, according to Caring’s 2022 Senior Living report. It boasts low health care costs to two nationally-ranked health care facilities for geriatrics, Brigham and Women’s Hospital and Massachusetts General Hospital. An extensive public transportation system makes it easy for seniors to get around, and the city is regarded as one of the most “walkable” in the country. 

According to Genworth Financial’s 2021 Cost of Care Survey, Boston residents pay an average of $6,292 per month for non-medical home care services. Home health care, which includes light medical services such as medication management or wound care, costs slightly less at $6,244.

Below we’ve compiled a comprehensive directory of every home care provider in Boston– 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.

Directory of Home Care Services in Boston, MA

2020, 2021, 2022

Right at Home Boston, Southwest

56 Leonard Street, Unit 6, Foxboro, MA, 02035

They staff quality people. They’re responsive and professional.
They staff quality people. They’re responsive and professional.

2022

Always Best Care of Boston

375 Concord Avenue, Suite #102, Belmont, MA, 02478

David was recommended to me by two different social workers as someone to help us find the right assisted living facility for my mom. He walked me and my sister and partner through the process of narr … (read more)
David was recommended to me by two different social workers as someone to help us find the right assisted living facility for my mom. He walked me and my sister and partner through the process of narr … (read more)

Home Instead – Melrose, MA

One Nelson Ter, 1st Floor, Melrose, MA, 02176

Home Instead, as an agency, has constantly and consistently pivoted to meet my needs for my father. They have truly been my partner in his care. I appreciate their transparency, heart, inventiveness a … (read more)
Home Instead, as an agency, has constantly and consistently pivoted to meet my needs for my father. They have truly been my partner in his care. I appreciate their transparency, heart, inventiveness a … (read more)

Goldstar Home Care Services

40 Crescent St , Waltham, MA, 02453

Gold Star Home Care Services is best known for their professional and compassionate care they give to the seniors and others who are vulnerable, allowing them to live safely in their homes. It’s ou … (read more)
Gold Star Home Care Services is best known for their professional and compassionate care they give to the seniors and others who are vulnerable, allowing them to live safely in their homes. It’s ou … (read more)

Right at Home Somerville, MA

‌2 Florence St ‌, Malden, MA, 02148

Let me start by saying RIGHT AT HOME has been taking care of my mother for sometime now all the workers do a great job however this one young lady that works Monday and Saturdays from 7: am to 7: pm s … (read more)
Let me start by saying RIGHT AT HOME has been taking care of my mother for sometime now all the workers do a great job however this one young lady that works Monday and Saturdays from 7: am to 7: pm s … (read more)

Arise and Shine Homecare Inc

24 Kenmar Dr, Billerica, MA, 01821

Arise and Shine Home care provides first class home care for Seniors. Our wide array of services help Seniors age in the comfort of their homes; while staying happy and healthy. Your comfort is our pa … (read more)
Arise and Shine Home care provides first class home care for Seniors. Our wide array of services help Seniors age in the comfort of their homes; while staying happy and healthy. Your comfort is our pa … (read more)

Home Instead – Waltham, MA

440 Totten Pond Rd, Suite 300, Waltham, MA, 02451

Home Instead, and in particular, Susan and Kathy, handled every aspect of my Dad’s care. From initial consultation to arranging excellent caregivers, everything was expertly handled. Our family woul … (read more)
Home Instead, and in particular, Susan and Kathy, handled every aspect of my Dad’s care. From initial consultation to arranging excellent caregivers, everything was expertly handled. Our family woul … (read more)

Senior Helpers Boston North

153 Andover St, Suite 203, Danvers, MA, 01923

We have Senior Helpers Boston North for my mother. They offer light cleaning and companionship. They will come and cook her meal. They’re just there with her at night before she goes to bed to assist … (read more)
We have Senior Helpers Boston North for my mother. They offer light cleaning and companionship. They will come and cook her meal. They’re just there with her at night before she goes to bed to assist … (read more)

Dedicated Homecare Services Inc

681 Main Street, Waltham, MA, 02451

This place is on another level. The care givers are always on time and I’ve never received this kindness before. Everyone is hands on and always with a smile and most importantly I didn’t have to … (read more)
This place is on another level. The care givers are always on time and I’ve never received this kindness before. Everyone is hands on and always with a smile and most importantly I didn’t have to … (read more)

Home Instead – Boston, MA

6 Beacon St, Suite 525, Boston, MA, 02108

We’ve used four other agencies. Home Instead has been better. The caregivers we’ve had from Home Instead have both been good. When the schedule needed adjustment it was done quickly. Communication … (read more)
We’ve used four other agencies. Home Instead has been better. The caregivers we’ve had from Home Instead have both been good. When the schedule needed adjustment it was done quickly. Communication … (read more)

HouseWorks – Newton, MA

One Gateway Center, Suite 902 (300 Washington Street), Newton, MA, 02458

Our story begins, not surprisingly, at home. As the primary Caregiver for her aging mother and father, our founder Andrea Cohen saw firsthand the difference that comfort, safety, and familiarity of ho … (read more)
Our story begins, not surprisingly, at home. As the primary Caregiver for her aging mother and father, our founder Andrea Cohen saw firsthand the difference that comfort, safety, and familiarity of ho … (read more)

Visiting Angels Chelsea

100 Everett Ave Suite #4, Chelsea, MA, 02150


Perfect Care Match

638 Adamsville Road, Westport, MA, 02790

We Provide Stress-Free, Supportive Care Relationships. <p></p> Professional Care Match Provides CONSISTENCY with <p></p> Live-In and Hourly Caregivers <p></p> Caregiving Services Provided By < … (read more)
We Provide Stress-Free, Supportive Care Relationships. <p></p> Professional Care Match Provides CONSISTENCY with <p></p> Live-In and Hourly Caregivers <p></p> Caregiving Services Provided By < … (read more)

My Personal Home Health Care, LLC

99 Derby St Suite 200 , Hingham, MA, 02043

We are a locally owned husband and wife team serving Massachusetts. The needs of your family are always in our focus and everything we do is dedicated to your family’s well-being. <p></p> Our serv … (read more)
We are a locally owned husband and wife team serving Massachusetts. The needs of your family are always in our focus and everything we do is dedicated to your family’s well-being. <p></p> Our serv … (read more)

CS&R Quality Home Care LLC

45 Dan Road Suite 24, Canton, MA, 02021

CS&R Quality Homecare, is a Non-Medical and family owned local business, built on the foundation of Integrity, Dignity, love, Respect, and Quality of care. <p></p> We are fully committed to being in … (read more)
CS&R Quality Homecare, is a Non-Medical and family owned local business, built on the foundation of Integrity, Dignity, love, Respect, and Quality of care. <p></p> We are fully committed to being in … (read more)

Brookline Harmony Home Care LLC

1051 Beacon St 511C, Brookline, MA, 02446

Many services you receive in a hospital or a nursing home can also be available to you in your own home. Brookline Harmony Home Care has gathered the best team to provide adequate and high-quality car … (read more)
Many services you receive in a hospital or a nursing home can also be available to you in your own home. Brookline Harmony Home Care has gathered the best team to provide adequate and high-quality car … (read more)

Friend In Need Elderly Concierge Services

867 Boylston St. Suite 500 , Boston, MA, 02116

We offer non-medical home care which includes assistance with bathing, maintaining personal hygiene, shopping , light house keeping e.t.c as well as companionship and supervision for your love ones.
We offer non-medical home care which includes assistance with bathing, maintaining personal hygiene, shopping , light house keeping e.t.c as well as companionship and supervision for your love ones.

Done Right Care

One Mifflin Place suite 400 , Cambridge, MA, 02138

Done Right Care is an in-home care provider serving Cambridge, Massachusetts and the surrounding area. Done Right Care offers non-medical services in the home, such as meal preparation, housekeeping, … (read more)
Done Right Care is an in-home care provider serving Cambridge, Massachusetts and the surrounding area. Done Right Care offers non-medical services in the home, such as meal preparation, housekeeping, … (read more)

Cristinas Home Care LLC

533 Robeson St , Fall River, MA, 02720

We will assign you with a health care worker who will provide you with the assistance you need in all of the following: – Assist with ADL’s – Administer Medications – Reminder’s of Appointments … (read more)
We will assign you with a health care worker who will provide you with the assistance you need in all of the following: – Assist with ADL’s – Administer Medications – Reminder’s of Appointments … (read more)

Havenly Care Solutions

703 Main Street , Waltham, MA, 02451

Havenly Care Solutions is founded by a Registered Nurse with over 8years of caregiving experience. Integrity, Quality, Reliability & Compassion are our core values. We specialize in serving the elderl … (read more)
Havenly Care Solutions is founded by a Registered Nurse with over 8years of caregiving experience. Integrity, Quality, Reliability & Compassion are our core values. We specialize in serving the elderl … (read more)

Paying for Home Care in Boston, MA

The Cost of Home Care in Boston, MA

The average monthly cost of home care in Boston is $6,292, nearly $400 higher than the state average and $1,335 higher than the national average. Around 40 miles west of the state capital in Worcester, the average cost is approximately 9% lower. Farther west in Springfield, home care is significantly more affordable, representing an average saving of just over $950 per month. Barnstable Town in Massachusetts’ southeast corner is the only city in the state where the average monthly home care cost is more expensive, around 6% higher than the Boston average.

$6292

Boston

$5911

Massachusetts

$4957

The United States

$6673

Barnstable Town

$5720

Worcester

$5339

Springfield

$5625

Pittsfield

The Cost of Home Care vs. Other Senior Care Options in Boston, MA

Non-medical in-home care in Boston costs $6,292 per month on average, while in-home health care, which can include certain skilled nursing services and rehabilitation therapies, is around $50 less. Average monthly assisted living facility fees are about $525 higher, and full-time nursing home care is significantly more expensive — over double the cost at $13,155. For some seniors, adult day care, offered outside the home during weekday business hours only, can represent an affordable alternative; prices average less than 26% of the typical cost of home care in the city.

$6292

Home Care

$6244

Home Health Care

$1614

Adult Day Care

$6819

Assisted Living

$13155

Nursing Home Care (semiprivate room)

Financial Assistance for Home Care in Boston, MA

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.

Paying for Home Care in Boston, MA

The Cost of Home Care in Boston, MA

According to the Genworth 2021 Cost of Care Survey, in-home care costs an average of $6,292 monthly in the greater Boston area. This is higher than the Massachusetts average of $5,911. It is also much higher than the national average of $4,957. Elsewhere in the state, costs are slightly lower in Pittsfield at $5,625 and Worcester at $5,720. The lowest monthly average on this list is in Springfield at $5,339. The highest monthly average is in Plymouth at $6,673 per month.

$6292

Boston

$5911

Massachusetts

$4957

United States

$5339

Springfield

$6673

Plymouth

$5720

Worcester

$5625

Pittsfield

The Cost of Home Care vs. Other Senior Care Options in Boston, MA 

In-home and home health care support seniors who wish to remain in their homes. They cost roughly the same. However, in-home care costs $6,292 monthly and assists with non-medical activities of daily life, while home health care costs $6,244 and includes some nursing or medical assistance. Adult day care at $1,614 per month provides daytime care and programming outside the home. Assisted living care costs an average of $6,819 per month. The most expensive senior care is nursing home care, which averages $13,155 monthly in a semiprivate room.

$6292

In-Home Care

$6244

Home Health Care

$1614

Adult Day Health Care

$6819

Assisted Living Facility

$13155

Nursing Home Facility (semiprivate room)

Financial Assistance for Home Care in Boston, MA

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 Boston, MA

Numerous resources in Boston help seniors remain living at home as they age. Some are included below and offer programs on the following topics:  healthcare counseling, respite care, legal services, transportation, home repairs and meal services. 

Resource

Contact

Service

Online

Massachusetts provides care management and in-home care to help seniors age in place. Its web page has general information, rate tables and access to Options Counseling, a free service for seniors 60 and over. Residents and their families can call MassOptions toll-free at (800) 243-4636 to connect with a local counselor. 

(617)
451-6400

BSHC keeps vulnerable Boston residents in their own homes for as long as possible. It offers information and referrals and access to a wide range of services and programs, from caregiver training to legal advice and referrals to respite services. The program connects seniors and their families to the support they need.

(617)
635-4366 

An initiative of Boston's Area Agency on Aging, the Commission provides access to food through low-cost dine-in locations and meal delivery. Other vital services include the free Age Strong transportation shuttle, taxi coupons, in-person care assessments, home visits, and more.

(617)
292-6211

Part of the Elder Care Alliance, ElderINFO provides referrals to community programs such as SNAP, which helps eligible seniors pay for groceries, and Adult Foster Care, which applies principles of shared living to give seniors living at home companionship and care.

(617)
723-9713

Part of the Village to Village Network, this organization is a membership-led association of adults 50 and over. It offers an array of support services, social and wellness programs, cultural and educational activities and excursions for Boston seniors.

(617)
635-4663

In partnership with the Boston Home Center, this program provides discounted small home repairs for seniors and zero percent-interest deferred loans for major tasks such as replacing a roof or heating system. The program also runs a foreclosure intervention service as well as other initiatives to help seniors remain in their homes.

(800)
645-8333

Seniors living at home often experience food insecurity, especially as grocery prices rise. Hosted by Project Bread, the FS hotline provides emergency food assistance in 180 languages. It prioritizes seniors for immediate relief with referrals to community nutrition programs, including food pantries, the Boston Food Bank and Meals on Wheels services.

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.

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.

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

Frequently Asked Questions


What is the difference between in-home care and home health care?


The main difference between these two types of senior care is that one offers mostly non-medical assistance while the other involves skilled nursing personnel and simple medical aid. In-home care focuses on helping seniors at home with activities of daily life, such as personal grooming and meal preparation. Home health care provides some medical intervention, such as changing wound dressings and medication and medical device management.


What is the average cost for in-home elderly care in Boston?


The average cost for in-home care in the Boston area is $6,292 per month. This is higher than the state average of $5,911 and much higher than the national average of $4,957. In-home care services can include the following: meal preparation and shopping, personal grooming and bathing, light housekeeping, companionship, help with transportation to medical appointments and other chores. 


How do you pay for senior care at home?


Medicare does not cover most in-home care services, but Medicaid waiver programs may cover some services. Some types of personal insurance, including long-term care insurance, cover in-home care costs. Veterans insurance and pension benefits also allow for some in-home care expenses. Other options, from savings or financial products such as reverse mortgages, can also cover in-home care expenses. 


What is a home care assessment?


Conducted by a health care or care agency representative, a home care assessment determines the types of services needed to keep a senior safe and comfortable in their own home. In recent years, there has been government and community interest in helping seniors age in place. With the right combination of supports determined by an assessment that looks for potential hazards in the home as well as the resident’s individual needs, seniors are often happier in familiar surroundings with a degree of independence.


What is in-home respite care?


In-home respite care relieves the primary caregiver of their duties so that they may rest and get a break from daily care responsibilities. This can involve a temporary replacement care provider who takes over for a period. Caregivers can arrange respite care by a volunteer, a professional or an agency for a few hours per day or week, depending on the needs of the senior being cared for.