The 10 Best Home Care Agencies for Seniors in Melville, NY for 2025

The Genworth Cost of Care Survey shows that in Melville, home care agencies charge approximately $5,339 per month for nonmedical care. This is about $400 higher than the national norm but on par with New York’s median monthly rate. In Glens Falls, monthly care costs are about $525 higher than in Melville, and in New York City, local rates exceed Melville’s average by $190. Seniors in Albany pay a little less for care, with monthly fees averaging $5,148, and in Binghamton, home care clients pay $525 less than Melville residents.

At $5,229 per month, home care rates in Melville are economical compared to most other senior care solutions. Seniors in assisted living facilities pay about $930 more per month for care, and those living in nursing homes pay more than triple the cost of home care, with base fees starting at $16,805. Home health care, which includes skilled nursing, costs the same as home care, and those who attend adult day health care pay lower rates of $1,619.

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 to pay 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 nonmedical 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 services 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 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 tax-free portion of your home's equity in cash. 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 have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.