The 10 Best Home Care Agencies for Seniors in Burlington, NC for 2025

The cost of home care can vary based on location. In Burlington, the average monthly cost for home care is $4,576.  This is higher than the state average of $4,385 but lower than the national average of $4,957. Care is pricier in Durham and Raleigh, where a month of home care averages $4,767 and $4,957, respectively. Lower costs can be found in Greensboro, where prices drop to $4,195, and in Winston, where fees fall further to $3,909 per month.

If home care isn’t the right choice, seniors have other options available. Both home care and home health care average $4,576 despite the additional skilled medical services provided by a home health care agency. Seniors may opt for assisted living if they want access to care around the clock at a lower price, with monthly costs averaging $1,250 less than home care. Those looking for daytime assistance while a primary caregiver works will find adult day health care more affordable, averaging just $1,322 monthly. On the other hand, seniors requiring skilled nursing or around-the-clock medical supervision may benefit from nursing home care, which is the most expensive option, with semiprivate rooms averaging $7,604 per month.

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.