The 10 Best Home Care Agencies for Seniors in Malden, MA for 2025

According to Genworth’s 2021 Cost of Care Survey, Malden seniors pay higher costs for in-home care services than most other seniors in the U.S. The national average for home care is around $4,957, while Malden’s costs come in just under $1,400 more. Home care costs around the Boston area follow this trend in nearby parts of the state. For example, Marlborough and Worcester’s elderly residents also pay more than the average cost for home care at $5,720 each. Higher costs of care in this region are likely because of its proximity to the Boston area. 

Malden area seniors pay higher costs for home care at around $6,292 per month. Home care costs for employing the services of a home health aide are about $6,244. This represents just a few dollars difference, making the costs for home care and assisted living in the Malden area nearly the same. Assisted living costs in the Malden area are around $6,819, which is about $2,319 more than the national average. Skilled nursing care is by far the most expensive, averaging $13,155 per month.

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.