The 10 Best Home Care Agencies for Seniors in Novi, MI for 2025

As a Detroit suburb, Novi has an average home care cost of $5,720 per month. According to Genworth Financial’s 2021 Cost of Care Survey, this figure is higher by almost $200 compared to the Michigan average of $5,529, and it is nearly $800 above the U.S. median of $4,957. The more affordable options are Flint and Monroe, which save Novi seniors approximately $400-$600 per month. Novi costs almost $100 more than state capital Lansing, but it’s less expensive than Ann Arbor by nearly $400.

Novi’s home care and home health care costs are both $5,720 per month, and the latter option may cost higher based on the level of clinical care that is provided. Assisted living costs approximately $1,500 less than home care and already pays for homelike accommodations, while semiprivate-room nursing home care costs 55% more. Novi seniors who are able to receive nonresidential health support may consider adult day health care, which is only one-fourth the cost of home care.

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.