Nestled on the banks of the Yellowstone River, Billings is Montana’s largest city, and beckons outdoor-loving seniors with the Rimrocks, state parks, six mountain ranges and miles of jogging and bicycle trails. The Magic City also boasts a vibrant cultural life with the Billings Symphony Orchestra and Chorale, playhouses and museums. Out of its population of 109,577, about 16.4% are aged 65 and older. Seniors here have access to a host of reputable healthcare providers, including the Billings Clinic Hospital and Advanced Care Hospital of Montana.

Billings offers a wide variety of senior services providing in-home support and home health care. According to the 2019 Genworth Cost of Care Survey, seniors in this area pay an average of $4,376 per month for either homemaker or home health aide services. Both services here are comparable to the national averages of $4,290 for homemaker services and $4,385 for home health aide services.

At Caring.com, we’ve compiled a comprehensive directory of every home care provider in the Billings area – complete with types of care provided, services offered and reviews from families who’ve actually used the service. In addition to our in-depth provider listings, we’ve compiled a list of resources to help seniors and their families access all the tools they need to age in place safely and gracefully.

Directory of Home Care Services in Billings, MT

Right at Home Billings, MT

1645 Parkhill Drive, Suite 3, Billings, MT, 59102

On some days they are fine, when they do get here they are very nice, but we never know who they are sending to us. We have not had the same people twice. They should be more on time. We often do not … (read more)
On some days they are fine, when they do get here they are very nice, but we never know who they are sending to us. We have not had the same people twice. They should be more on time. We often do not … (read more)

Home Helpers Home Care of Billings

1925 Grand Ave., Ste. 121, Billings, MT, 59102

AFTER SEARCHING FOR CARE FOR HER OWN MOTHER, ENTREPRENEUR SARA KERN OPENS HOME HELPERS IN BILLINGS <p></p> Home Helpers of Billings, part of the nation’s leading franchise specializing in comprehe … (read more)
AFTER SEARCHING FOR CARE FOR HER OWN MOTHER, ENTREPRENEUR SARA KERN OPENS HOME HELPERS IN BILLINGS <p></p> Home Helpers of Billings, part of the nation’s leading franchise specializing in comprehe … (read more)

Visiting Angels – Billings

1211 Grand Ave, Billings, MT, 59102

She makes his lunch and she helps him with exercising. The caregiver is knowledgeable and efficient with the care.
She makes his lunch and she helps him with exercising. The caregiver is knowledgeable and efficient with the care.

SYNERGY HomeCare of Billings

513 Hilltop, Suite #3, Billings, MT, 59105

I like that they keep me company and that makes me feel better. I like that they are on time and cheerful.
I like that they keep me company and that makes me feel better. I like that they are on time and cheerful.

Interim HealthCare of Billings, MT

3312 Second Ave. North, Billings, MT, 59101


ResCare HomeCare Billings, Montana

1633 Main St., Suite A-343, Billings, MT, 59105


Billings Home Care Resources 

Home care services are only one of the pieces needed for seniors to gracefully age in place. There are many services and programs that are low-cost or free, that enable seniors to enjoy an independent lifestyle in the comfort of their own home, such as help with home modifications, meal delivery services, and more. Below, we’ve compiled a few of the most helpful resources in Billings:

Adult Resource Alliance of Yellowstone County

Address: 1505 Avenue D, Billings, MT 59102
Phone number: (406) 259-2849

The State Office of Aging contracts with the Adult Resource Alliance to bring seniors the assistance and resources needed for aging in place with the highest possible levels of independence, safety and dignity. Its RIDES program takes adults aged 60 and older to and from medical visits, shopping trips and community events. For a nominal contribution, Meals on Wheels volunteers deliver hot, nutritious lunches on weekdays and frozen meals on weekends and holidays.

Medicaid Community First Choice Self-Directed Personal Assistance Program (CFC-SDPAS)

Address: 1201 Grand Avenue, Billings, MT 59102
Phone number: (406) 259-5181

CFC-SDPAS is an initiative that allows seniors and people with disabilities to manage their own in-home care support. Clients can recruit, hire, train and supervise caregivers that work in their residences. Services may include personal assistance with activities of daily living, light housekeeping and laundry, grocery shopping and medical escorts. The nonprofit agency LIFTT acts as a liaison for CFC-SDPAS in Billings.

Low Income Energy Assistance Program (LIEAP) & Energy Share

Address:  7 North 31st Street, Billings, MT 59101
Phone number: (406) 247-4778

LIEAP can pay part of a qualifying applicant’s heating bill during the heating season of October through April each year. Most LIEAP recipients can also get a discount on their bills. Energy Share offers a one-time emergency assistance loan available year-round for eligible individuals facing utility disconnections or furnace repairs or replacements. These programs are partially or wholly funded by the Montana Department of Public Health and Human Services.

Big Sky Senior Services

Address: 935 Lake Elmo Drive, Suite B, Billings, MT 59105
Phone number: (406) 259-3111

Big Sky Senior Services provides comprehensive in-home support services to help older residents and individuals with disabilities maintain their independence. Its Senior Helping Hands initiative offers personal care, nursing services, homemaking support, respite care and safety planning. The Friends Volunteer Program connects volunteers with clients through regular check-up phone calls, visits or shopping trips. Lend-A-Hand Volunteers schedule visits as needed for minor chores, repairs, snow removal or errands. Pet Care Services is available to assist with pet needs as well.

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 – often times 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.