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The 10 Best Home Care Agencies for Seniors in New York, NY for 2024

Ranking high on the list of best cities to retire in Caring’s 2022 Senior Living Report, the borough of Manhattan, New York, is an ideal setting for seniors who enjoy access to a variety of parks, low-cost, ADA-accessible transportation options, libraries, grocery stores and world-class cultural, arts and entertainment offerings.

According to the 2021 Genworth Cost of Care Survey, the average cost residents pay for home care in this city is $5,529 per month. Although home care assistance differs from home health care, which includes medical services, Manhattan has some of the nation’s highest-ranking medical centers for geriatrics, including Mt. Sinai Hospital’s Geriatric Emergency Department, NYU Langone’s Division of Geriatric Medicine and Palliative Care and New York-Presbyterian Hospital – Columbia and Cornell.

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

Home Care Agencies in New York, NY

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Paying for Home Care in Manhattan, NY

The Cost of Home Care in Manhattan, NY

Because Manhattan is one of five New York City boroughs, its costs for home care equal the New York Area’s average costs of $5,529, according to Genworth Financial’s 2021 Cost of Care Survey. Manhattan average home care costs are equal to the state’s, but are $572 higher than the national average. Some cities north of Manhattan have lower rates, such as Poughkeepsie, Binghamton and Albany. Costs in Ithaca and Syracuse, however, are more expensive.

Manhattan

$5,529

New York State

$5,529

The United States

$4,957

Poughkeepsie

$5,339

Albany

$5,148

Binghamton

$4,814

Ithaca

$6,101

Syracuse

$5,911

The Cost of Home Care vs. Other Senior Care Options in Manhattan, NY

The monthly costs for home care in Manhattan average $221 less than assisted living and $6,942 less than skilled nursing costs. Adult day care programs are another, less expensive option, costing significantly less per month on average than in-home care. These programs offer organized recreational and other types of activities, but seniors must travel to the community center offering them. Home health care in Manhattan averages a bit more per month than home care costs. This senior care choice typically includes light medical services overseen by registered nurses or therapists. 

Home Care

$5,529

Home Health Care

$5,720

Adult Day Health Care

$1,950

Assisted Living

$5,750

Nursing Home Care (semiprivate room)

$12,471

Note: Data for Manhattan, NY was unavailable, so data for the nearest city, New York Area, NY, was used instead.

Financial Assistance for Home Care in Manhattan, NY

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.

Manhattan 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 Manhattan:

ResourceContactAddressService
New York Foundation for Senior Citizens(212) 962-755911 Park Place, 14th Floor, New York, NY 10007-2801This non-profit, non-sectarian organization provides an array of social service programs and activities to help seniors live well in their communities. Some of the services offered by NYFSC include:
Citymeals on Wheels(212) 687-1234355 Lexington Avenue, New York, NY 10017This charity organization has been delivering meals to homebound elderly New Yorkers daily since 1981, including on weekends, holidays and during emergencies. Seniors who are qualified for home-delivered meals must be 60 or older, unable to prepare nutritious meals and able to live safely at home with or without home care services. Citymeals on Wheels partners with individual, corporate and community volunteers to prepare and deliver meals.
Home Energy Assistance Program (HEAP)(800) 342-3009Manhattan HEAP Office, 122 East 124th Street, Lobby, New York, NY 10035This program by the Office of the Temporary Disability and Assistance helps low-income seniors pay for the costs of heating and cooling in their homes. The amount of regular and emergency benefits granted to eligible applicants is based on income, housing size, primary heating source and the presence of seniors 60 and older or permanently disabled residents.
NYC Department of Finance Senior Benefits(212) 639-967566 John Street, 3rd Floor, New York, NY 10038The DOF has the following programs for low-income senior residents who own or rent their homes:
Fresh Food for Seniors(212) 669-8300355 Lexington Avenue, New York, NY 10017This Manhattan Borough initiative in partnership with GrowthNYC allows seniors to purchase fresh, local produce at $8 per bag, which is lower than the retail value of five to six varieties of fruits and vegetables at $12 to $15. Seniors pay a week in advance at participating senior centers throughout Manhattan in order to secure orders at wholesale prices from farmers in New York, New Jersey, Pennsylvania and Connecticut.

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.

Download
Checklist for determining the need for home care
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.

Download
Talking with Family and Others about a loved one's needs
Talking with Family and Others about a loved one's needs
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The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

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