The Best Home Care Agencies for Seniors in Brunswick County, NC for 2025
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authentic reviews to help you in your decision. On average in Brunswick County, NC, residents and their loved ones rate In Home Care agencies 4.2 out of 5 stars across the options below.
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Paying for Home Care in Brunswick County, NC
The Cost of Home Care in Brunswick County, NC
The 2021 Genworth Cost of Care Survey estimates Brunswick County’s average cost of home care to be $4,576 per month. This is above the state average of $4,385 but below the national average of $4,957. The survey also reveals Brunswick County’s costs typically exceed those of nearby cities, such as Jacksonville ($4,195), New Bern ($3,813), Fayetteville ($4,004) and Goldsboro ($3,813).
Brunswick County
$4,576
North Carolina
$4,385
The United States
$4,957
Jacksonville
$4,195
New Bern
$3,813
Fayetteville
$4,004
Goldsboro
$3,813
The Cost of Home Care vs. Other Senior Care Options in Brunswick County, NC
The most affordable senior care option in Brunswick County is adult day care, which has a median fee of $1,289. Home care comes next, with fees in the region of $4,576 for personal care services and light housekeeping. Home health care’s average cost is $4,767, which covers limited medical care for registered therapists and nurses. Assisted living is the most affordable option offering accommodation, costing around $5,254, while nursing homes charge approximately $6,844.
Home Care
$4,576
Home Health Care
$4,767
Adult Day Health Care
$1,289
Assisted Living
$5,254
Nursing Home Care (semiprivate room)
$6,844
Note: Data for Brunswick County was unavailable, so data for the nearest city, Wilmington, was used instead.
Financial Assistance for Home Care in Brunswick County, NC
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.
Brunswick County 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 Brunswick County:
| Resource | Contact | Address | Service |
|---|---|---|---|
| Special Assistance In-Home Program (SA-IH) | (910) 253-2197 | 60 Government Center Drive, Building B, Wilmington, NC 28403 | The Special Assistance In-Home Program (SA-IH) provides a cash supplement and support services to low-income adults who could benefit from the support of a residential facility but would prefer to remain living in their own homes. Case managers work with caregivers and family members to develop a care plan that enables the senior to remain living safely in their home. The program is run by Brunswick County Social Services. |
| Meals on Wheels | (910) 754-2300 | 3620 Express Drive, Shallotte, NC 28470 | The Meals on Wheels program provides nutritious meals to seniors residing in Brunswick County. Community volunteers deliver hot mid-day meals right to seniors’ homes on weekdays. This program is run by Brunswick Senior Resources. Inc. and available to adults age 60 or older who are homebound, do not have the support of a caregiver or are unable to shop for groceries and prepare their own meals. |
| Elderly & Disabled Exclusion Tax Program | (910) 253-2829 | 30 Government Center Drive, Bolivia, NC 28422 | Brunswick County's Elderly & Disabled Exclusion Tax Program reduces the amount of annual property tax seniors are required to pay. Through this program, qualifying seniors are exempt from paying either 50% of their home's assessed value or $25,000, whichever is greater. Applicants must be 65 years of age or older and meet income requirements. |
| BSRI Family Caregiver Support Program | (910) 754-2300 | 3620 Express Drive, Shallotte, NC 28470 | Primary caregivers of homebound seniors can receive short-term, temporary relief through Brunswick Senior Resources. Inc.'s Family Caregiver Support Program. An in-home assessment is conducted to determine the level of support and services needed. The organization is also able to provide resources, education and assistance with care management. |
| Low Income Energy Assistance Program (LIEAP) | (910) 253-2077 | 60 Government Center Drive, Building B, Wilmington, NC 28403 | The Low Income Energy Assistance Program (LIEAP) provides financial assistance to low-income seniors to help cover heating costs. A one-time annual payment is made directly to the heating vendor. The program is available to Brunswick County seniors who are age 60 and older. |
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.

