Considered among the best places to retire in Caring’s 2021 Senior Living Report, St. Louis, Missouri, finished 19th in Senior Living and Housing, 39th in Health Care and 48th in Community Involvement out of a total 302 localities. Genworth’s 2020 Cost of Care Survey found that seniors living here typically pay $4,481 per month for home care services, which is identical to the national average. However, home care differs from home health care in that it doesn’t include medical services. St. Louis is close to three of the Show-Me State’s top five hospitals: top-ranked Barnes-Jewish Hospital, Mercy Hospital St. Louis and Missouri Baptist Medical Center, both of which are tied for third place.
Below we’ve compiled a comprehensive directory of every home care provider in the St. Louis area – 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 St. Louis, MO
2018, 2020, 2021, 2022, 2023
121 Hunter Ave, Ste 202, Saint Louis, MO, 63124
I asked if they could do a meet and greet. They don’t do that but I think that’s helpful.
We were impressed with the case manager. They were extremely compassionate.
I asked if they could do a meet and greet. They don’t do that but I think that’s helpful.
We were impressed with the case manager. They were extremely compassionate.
655 Craig Road Suite 120, Creve Coeur, MO, 63141
BrightStar Care of West St. Louis County and St. Charles is available to you 24 hours a day, 7 days a week to make more possible for you and your loved ones. Our Joint Commission Accredited agency pro
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BrightStar Care of West St. Louis County and St. Charles is available to you 24 hours a day, 7 days a week to make more possible for you and your loved ones. Our Joint Commission Accredited agency provides the highest standard of companion, personal and highly skilled nursing services. Our Director of Nursing supervises and coordinates all care we provide. Our caregivers and nurses are highly trained, fully screened and selected for you based on your specific requests and requirements.
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BrightStar Care of West St. Louis County and St. Charles is available to you 24 hours a day, 7 days a week to make more possible for you and your loved ones. Our Joint Commission Accredited agency pro
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BrightStar Care of West St. Louis County and St. Charles is available to you 24 hours a day, 7 days a week to make more possible for you and your loved ones. Our Joint Commission Accredited agency provides the highest standard of companion, personal and highly skilled nursing services. Our Director of Nursing supervises and coordinates all care we provide. Our caregivers and nurses are highly trained, fully screened and selected for you based on your specific requests and requirements.
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9893 Manchester Road, Saint Louis, MO, 63119
When Moving Isn’t An Option… Assistance Home Care is committed to honoring one’s wishes to stay at home and enrich the journey of aging with compassion, dignity, and respect.
Established in 2011,
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When Moving Isn’t An Option… Assistance Home Care is committed to honoring one’s wishes to stay at home and enrich the journey of aging with compassion, dignity, and respect.
Established in 2011, Assistance Home Care was founded by Allen & Sally Serfas, who started their home care journey in honor of Sally’s mother whom she lost to Alzheimer’s disease.
Assistance Home Care has grown to serve two major areas in Greater St. Louis, Missouri and Chicago, Illinois. Our team prides itself in its ability to provide customized and specialized care for seniors and elderly needing personal care assistance or who are struggling with the challenges they face with age-related disease or conditions such as Dementia, Alzheimer’s disease, Movement Disorders, Parkinson’s disease, MS, ALS, stroke, and hospice & palliative support care at home.
Our Care Professionals are committed to education to better serve others and themselves by fulfilling 12 hours of continued education each year. All Assistance Home Care employees undergo a rigorous & selective 16-step Screening and Onboarding process – so selective in fact, we hire less than 5% of all candidate applications.
Assistance Home Care provides peace of mind to families in need of full-time care schedules. With neighborhood locations and two dedicated training labs for both Care Professionals and families, you can entrust Assistance Home Care with your loved one’s care needs with confidence.
Contact us today to learn more about the Assistance Home Care difference.
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When Moving Isn’t An Option… Assistance Home Care is committed to honoring one’s wishes to stay at home and enrich the journey of aging with compassion, dignity, and respect.
Established in 2011,
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When Moving Isn’t An Option… Assistance Home Care is committed to honoring one’s wishes to stay at home and enrich the journey of aging with compassion, dignity, and respect.
Established in 2011, Assistance Home Care was founded by Allen & Sally Serfas, who started their home care journey in honor of Sally’s mother whom she lost to Alzheimer’s disease.
Assistance Home Care has grown to serve two major areas in Greater St. Louis, Missouri and Chicago, Illinois. Our team prides itself in its ability to provide customized and specialized care for seniors and elderly needing personal care assistance or who are struggling with the challenges they face with age-related disease or conditions such as Dementia, Alzheimer’s disease, Movement Disorders, Parkinson’s disease, MS, ALS, stroke, and hospice & palliative support care at home.
Our Care Professionals are committed to education to better serve others and themselves by fulfilling 12 hours of continued education each year. All Assistance Home Care employees undergo a rigorous & selective 16-step Screening and Onboarding process – so selective in fact, we hire less than 5% of all candidate applications.
Assistance Home Care provides peace of mind to families in need of full-time care schedules. With neighborhood locations and two dedicated training labs for both Care Professionals and families, you can entrust Assistance Home Care with your loved one’s care needs with confidence.
Contact us today to learn more about the Assistance Home Care difference.
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1736 Westpark Center Dr., Fenton, MO, 63026
Interim HealthCare is very good. They have a nurse come in for my dad to do stuff for him. They also clean, they help with bathing, cooking the meals, and laundry. The caregiver is very polite and pro
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Interim HealthCare is very good. They have a nurse come in for my dad to do stuff for him. They also clean, they help with bathing, cooking the meals, and laundry. The caregiver is very polite and professional.
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Interim HealthCare is very good. They have a nurse come in for my dad to do stuff for him. They also clean, they help with bathing, cooking the meals, and laundry. The caregiver is very polite and pro
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Interim HealthCare is very good. They have a nurse come in for my dad to do stuff for him. They also clean, they help with bathing, cooking the meals, and laundry. The caregiver is very polite and professional.
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8147 Delmar Blvd, Suite 215, Saint Louis, MO, 63130
The staff was professional and caring. They spent the time that was needed to learn about my Mom to give her the best services possible. They recognized how hard this process was for me as an individu
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The staff was professional and caring. They spent the time that was needed to learn about my Mom to give her the best services possible. They recognized how hard this process was for me as an individual having to acknowledge Mom needed outside care, and that the process of creating a comprehensive care plan for her was, at times, difficult for me. The caregiver they matched Mom up with is perfect.
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The staff was professional and caring. They spent the time that was needed to learn about my Mom to give her the best services possible. They recognized how hard this process was for me as an individu
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The staff was professional and caring. They spent the time that was needed to learn about my Mom to give her the best services possible. They recognized how hard this process was for me as an individual having to acknowledge Mom needed outside care, and that the process of creating a comprehensive care plan for her was, at times, difficult for me. The caregiver they matched Mom up with is perfect.
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111 W Port Plaza, Florissant, MO, 63146
744 Spirit of Saint Louis Blvd Suite I , Chesterfield, MO, 63005
Thanks to our steadfast caregiving team, our services are provided with excellence, quality, and compassion. Their work ethic and integrity paved the way for better health outcomes in every client we
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Thanks to our steadfast caregiving team, our services are provided with excellence, quality, and compassion. Their work ethic and integrity paved the way for better health outcomes in every client we serve. Thus, you can always count on our caregivers when it comes to a higher level of supportive home care services.
With AmeraHealth, your welfare and safety are guaranteed as we strictly adhere to a meticulous hiring process that requires all aspiring caregiver applicants to undergo a series of interviews, screenings, training, and background/quality checks.
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Thanks to our steadfast caregiving team, our services are provided with excellence, quality, and compassion. Their work ethic and integrity paved the way for better health outcomes in every client we
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Thanks to our steadfast caregiving team, our services are provided with excellence, quality, and compassion. Their work ethic and integrity paved the way for better health outcomes in every client we serve. Thus, you can always count on our caregivers when it comes to a higher level of supportive home care services.
With AmeraHealth, your welfare and safety are guaranteed as we strictly adhere to a meticulous hiring process that requires all aspiring caregiver applicants to undergo a series of interviews, screenings, training, and background/quality checks.
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12101 Woodcrest Exec. Drive Ste. 260, St. Louis, MO, 63141
504 Marshall Ave, Saint Louis, MO, 63119
They just have a dependable person there and allow me to cancel if needed.
I like that the agency is very organized and respective.
They just have a dependable person there and allow me to cancel if needed.
I like that the agency is very organized and respective.
11710 Administration Dr, Saint Louis, MO, 63146
It takes a load off of me.
Communication could be better, and I would like a better way to bay bills. They could let me know of changes and if a bill is not paid yet.
It takes a load off of me.
Communication could be better, and I would like a better way to bay bills. They could let me know of changes and if a bill is not paid yet.
2190 S. Mason Rd., Suite 204, Saint Louis, MO, 63131
It has allowed me to no longer be the primary caregiver anymore. I no longer have to be exhausted from the heavy lifting.
The owner has follow up and communication. They’re very prompt, if there’s an
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It has allowed me to no longer be the primary caregiver anymore. I no longer have to be exhausted from the heavy lifting.
The owner has follow up and communication. They’re very prompt, if there’s and issue they fix it.
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It has allowed me to no longer be the primary caregiver anymore. I no longer have to be exhausted from the heavy lifting.
The owner has follow up and communication. They’re very prompt, if there’s an
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It has allowed me to no longer be the primary caregiver anymore. I no longer have to be exhausted from the heavy lifting.
The owner has follow up and communication. They’re very prompt, if there’s and issue they fix it.
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6255 Knox Industrial Drive , St. Louis, MO, 63139
They are wonderful my mother needed them the nursing director came to the nursing home she was at on day she was discharged to meet us she was very warm and caring explained everything to us and the
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They are wonderful my mother needed them the nursing director came to the nursing home she was at on day she was discharged to meet us she was very warm and caring explained everything to us and the caregiver that was assigned to her met us at her home she greeted my mom and helped get her out of car and into her home then helped me bring all of belongings into house I most definitely would recommend them to anyone that needed home health services they truly are the best!
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They are wonderful my mother needed them the nursing director came to the nursing home she was at on day she was discharged to meet us she was very warm and caring explained everything to us and the
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They are wonderful my mother needed them the nursing director came to the nursing home she was at on day she was discharged to meet us she was very warm and caring explained everything to us and the caregiver that was assigned to her met us at her home she greeted my mom and helped get her out of car and into her home then helped me bring all of belongings into house I most definitely would recommend them to anyone that needed home health services they truly are the best!
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320 Brookes Drive Suite 217, Hazelwood, MO, 63042
My husband currently receives care from FirstLight. I cannot say enough good things about this company. They have met every need that he has even though he is a "difficult" client. The caregivers h
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My husband currently receives care from FirstLight. I cannot say enough good things about this company. They have met every need that he has even though he is a "difficult" client. The caregivers have been professional, reliable, and kind while he is going through his medical emergency. Thank you FirstLight for the excellent care you are giving him and for the respite care you are giving me. Your company is a life saver!
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My husband currently receives care from FirstLight. I cannot say enough good things about this company. They have met every need that he has even though he is a "difficult" client. The caregivers h
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My husband currently receives care from FirstLight. I cannot say enough good things about this company. They have met every need that he has even though he is a "difficult" client. The caregivers have been professional, reliable, and kind while he is going through his medical emergency. Thank you FirstLight for the excellent care you are giving him and for the respite care you are giving me. Your company is a life saver!
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6900 Delmar Blvd., St. Louis, MO, 63017
Private Care did an amazing job of having caring staff and always keeping me informed if they could not make the time alotted for my mother. They really did show care and compassion and that made my m
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Private Care did an amazing job of having caring staff and always keeping me informed if they could not make the time alotted for my mother. They really did show care and compassion and that made my mom feel so good.
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Private Care did an amazing job of having caring staff and always keeping me informed if they could not make the time alotted for my mother. They really did show care and compassion and that made my m
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Private Care did an amazing job of having caring staff and always keeping me informed if they could not make the time alotted for my mother. They really did show care and compassion and that made my mom feel so good.
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428 McDonough Street, St. Charles, MO, 63301
This is an awesome resource. I used Griswold for temporary care after surgery and found the people to be wonderful and the scheduling process very accommodating. Highly recommended.
This is an awesome resource. I used Griswold for temporary care after surgery and found the people to be wonderful and the scheduling process very accommodating. Highly recommended.
2705 Dougherty Ferry Road, Suite 200, Saint Louis, MO, 63122
I called this company last week and spoke to a senior specialist. He was very knowledgeable in the veterans services that are offered.
I called this company last week and spoke to a senior specialist. He was very knowledgeable in the veterans services that are offered.
1515 N Warson Rd, St. Louis, MO, 63132
Im happy that I choose On The Go Homehealth as my provider. They are Professional and Helpful in many ways. My staff goes above and beyond expectations. I love my Aide more like family…Im very pleas
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Im happy that I choose On The Go Homehealth as my provider. They are Professional and Helpful in many ways. My staff goes above and beyond expectations. I love my Aide more like family…Im very pleased.
Thank you,
Miss J.P.
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Im happy that I choose On The Go Homehealth as my provider. They are Professional and Helpful in many ways. My staff goes above and beyond expectations. I love my Aide more like family…Im very pleas
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Im happy that I choose On The Go Homehealth as my provider. They are Professional and Helpful in many ways. My staff goes above and beyond expectations. I love my Aide more like family…Im very pleased.
Thank you,
Miss J.P.
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113 Hilltop Village Center Dr, Eureka, MO, 63025
Excellent service, caring, professional, dependable. Would be happy to be a reference.
Excellent service, caring, professional, dependable. Would be happy to be a reference.
9191 W. Florissant , St. Louis, MO, 63136
I have been a client of Faith Hope & Love for a few years and they help me with my daily needs. The ladies in the office are very professional and they ALWAYS communicate effectively with me. My c
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I have been a client of Faith Hope & Love for a few years and they help me with my daily needs. The ladies in the office are very professional and they ALWAYS communicate effectively with me. My care attendant is always prompt and very professional as well. I’m blessed to have them as a part of my life.
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I have been a client of Faith Hope & Love for a few years and they help me with my daily needs. The ladies in the office are very professional and they ALWAYS communicate effectively with me. My c
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I have been a client of Faith Hope & Love for a few years and they help me with my daily needs. The ladies in the office are very professional and they ALWAYS communicate effectively with me. My care attendant is always prompt and very professional as well. I’m blessed to have them as a part of my life.
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23 N Gore, Suite 309, Saint Louis, MO, 63119
I am a current client of 2 years. I love them! They are so adorable. I don’t know what I’d do without them. They really helped me with everything. When I first started as a quilter, ‘Melanie’ bought m
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I am a current client of 2 years. I love them! They are so adorable. I don’t know what I’d do without them. They really helped me with everything. When I first started as a quilter, ‘Melanie’ bought me my first big hoop. If I could rate them from 1-5 , I’d go beyond 5! .. Wendy, Ann & Amy are fantastic! I have had some characters to say the least.. But, Some of the cargivers.. when they left I actually cried. I don’t know what I’d do withou them.
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I am a current client of 2 years. I love them! They are so adorable. I don’t know what I’d do without them. They really helped me with everything. When I first started as a quilter, ‘Melanie’ bought m
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I am a current client of 2 years. I love them! They are so adorable. I don’t know what I’d do without them. They really helped me with everything. When I first started as a quilter, ‘Melanie’ bought me my first big hoop. If I could rate them from 1-5 , I’d go beyond 5! .. Wendy, Ann & Amy are fantastic! I have had some characters to say the least.. But, Some of the cargivers.. when they left I actually cried. I don’t know what I’d do withou them.
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Paying for Home Care in St. Louis, MO
The Cost of Home Care in St. Louis, MO
According to Genworth’s 2020 Cost of Care Survey, seniors in St. Louis pay an average of $4,481 per month for in-home care. This rate matches the U.S. average but is slightly higher than Missouri’s statewide average of $4,372 per month. Other cities across Missouri generally have less expensive home care costs with the exception of Kansas City and Columbia, which are tied at $4,576 per month. Home care in Jefferson City, located 130 miles west of St. Louis, costs $4,052 per month. Cape Girardeau, less than 120 miles south of St. Louis, has the most affordable home care services in the Show-Me State with a monthly average of just $3,318.
The Cost of Home Care vs. Other Senior Care Options in St. Louis, MO
Although home health care includes skilled clinical services, it costs the same as basic home care in St. Louis, averaging $4,481 per month. Adult day health, which provides weekday care for seniors, costs just $1,842 per month. Assisted living facilities in St. Louis average $3,750 per month, while nursing homes generally require a monthly fee of $5,355.
Nursing Home Care (semi-private room)
Financial Assistance for Home Care in St. Louis, MO
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 St. Louis, MO
The second-largest city in Missouri, St. Louis is home to many resources that help seniors age in place. Federally funded programs help seniors save money by weatherizing their homes and paying for utility bills. Nonprofit organizations also offer assistance by providing minor home repairs. Seniors can learn more about these programs by reaching out to the agencies below.
Provided by the Urban League of Metropolitan St Louis, a 501(c)(3) nonprofit organization, the Urban League Weatherization Assistance Program lowers seniors' utility bills and improves the comfort and safety of their homes by having professional handymen make repairs and installations that boost energy efficiency. Under the Weatherization Assistance Program, qualified volunteers may caulk air leaks, install insulation, replace doors and replace furnaces.
Funded through a combination of federal and local grants, the Saint Louis Minor Home Repair Program promotes in-home safety and boosts seniors' quality of life by offering nonemergency, minor home repairs to local senior citizens aged 62 and up who own and live in their own home. The organization dispatches trained volunteer handymen to fix electrical, plumbing and HVAC deficiencies. The program can also install security-boosting features, including exterior lights and deadbolt locks, and complete accessibility modifications, such as installing handrails and grab bars.
The Low Income Home Energy Assistance Program is a federal program that helps St. Louis seniors afford utility bills to prevent safety and health hazards caused by insufficient heating and cooling. LIHEAP consists of two subprograms: Energy Assistance, which provides a one-time payment for heating or cooling costs, and the Energy Crisis Intervention Program, which helps seniors through sudden, unexpected resource problems by paying as much as $1,600 toward outstanding utility bills.
St. Louis County offers a lineup of essential services to older adults aged 60 and up who reside in St. Louis County. Allowing three to four days of lead time for scheduling, seniors can arrange rides to local medical appointments and other high-priority destinations thanks to local volunteers. The county arranges volunteers to call homebound seniors by phone to check on their well-being and combat loneliness. Other services provided include senior-oriented presentations, local resource referrals, insurance claims assistance and help filing income tax returns.
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.
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.
Frequently Asked Questions
What’s the difference between in-home care and home health care?
In-home care includes a range of services that collectively give seniors the ability to live at home independently. These services assist seniors with the many activities of daily living, including getting in and out of bed, walking around the home, climbing stairs, using the restroom and responding to emergencies if necessary. Other services provided by home care agencies include transportation to medical appointments, meal preparation, daily reminders and basic financial management assistance. Home health care includes all of these services and is often offered by the same agencies that provide basic in-home care. The factor that sets home health care apart, however, is that it includes skilled clinical services from licensed nursing professionals.
How do you pay for senior care at home?
While Medicare may cover home health care expenses, it generally doesn’t cover nonmedical home care costs. Fortunately, several other payment options exist. Long-term care insurance, which is typically bought from private insurance providers, covers in-home senior care. Seniors can sometimes cash in their life insurance policies for “living benefits” or “accelerated benefits” to cover these expenses. It’s sometimes possible to sell outstanding life insurance policies to senior settlement companies for a lump sum. Seniors who own their homes can also borrow against their home’s equity with reverse mortgages, some of which are federally insured.
What should I look for in a good home care agency near me in St. Louis, MO?
Every reputable home care agency shares the same goal: providing supportive services that help seniors age in place. Still, not every home care provider will fit each senior’s specific needs and preferences. Families should first make a list of several nearby home care providers. Our local home care provider search tool is a good place to start. Good providers should have long track records of successfully serving their communities. They should also provide ample information about their operations, including educational materials about services, eligibility requirements and fees. Good home care agencies willingly provide clients with references, actively include families in decision-making processes and conduct thorough background checks on employees.
What are some popular services for in-home care?
All home care providers offer assistance with the activities of daily living, including bathing, dressing and eating. They also act as mobility aids by helping seniors get around when in public and at home. Other services provided include transportation to medical appointments, meal preparation, grocery shopping, housekeeping and medication management. Additionally, home care agencies provide respite for family caregivers.
What is a home care assessment?
Before home care agencies send personal care attendants, living companions or nurses into seniors’ homes, care specialists conduct home care assessments to assess seniors’ individual needs, learn about their day-to-day schedules and desired lifestyles and set goals for in-home care. Home care assessments may also involve medical assessments where nurses take seniors’ vital signs and conduct a basic physical examination.
