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The 10 Best Home Care Agencies for Seniors in Durham, NC for 2024

Known as the Crossroads of North Carolina, Durham is centrally located to world-class eateries, historical places and top-ranked universities. Approximately 14% of the population is aged 65 and older, which is lower than the national average of roughly 17%. However, a low cost of living, excellent climate and great health care make the area ideal for seniors to retire. Nationally ranked Duke University Hospital is close by to provide treatment in a variety of specialties, including cancer care, cardiology and heart health, neurology and orthopedics. For daily assistance with personal needs, seniors can pay for home care at $4,767 per month. For those who require medical assistance at home, home health care is another option.

Below we’ve compiled a comprehensive directory of every home care provider in the Durham area – 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 Durham, NC

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Paying for Home Care in Durham, NC

The Cost of Home Care in Durham, NC

According to Genworth’s 2021 Cost of Care Survey, Durham’s home care rates are higher than the monthly state average of $4,385. The national rate is $190 more. Durham’s rates are also more than those in Burlington and Fayetteville, which charge $4,576 and $4,004, while seniors in Raleigh pay more at $4,957 per month.

Durham

$4,767

North Carolina

$4,385

The United States

$4,957

Burlington

$4,576

Raleigh

$4,957

Fayetteville

$4,004

The Cost of Home Care vs. Other Senior Care Options in Durham, NC

When comparing senior care costs in Durham, home care and home health care cost $4,767. Home care provides nonclinical care, while home health care includes skilled nursing, hospice and therapy. Assisted living communities provide both room and board and care at $4,800, and adult day health offers a supervised community setting during daytime hours only at $1,636 per month. Nursing homes focus more on medical care for seniors who require constant supervision and semiprivate room goes for $7,026 per month.

Home Care

$4,767

Home Health Care

$4,767

Adult Day Health Care

$1,636

Assisted Living Facility

$4,800

Nursing Home Facility (semiprivate room)

$7,026

Financial Assistance for Home Care in Durham, 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.

Free & Low-Cost Home Care Resources in Durham, NC

Seniors living in Durham can receive daily assistance through many programs and services provided by both public and private organizations. These programs help address daily needs and home upgrades.

ResourceContactService
Durham Home Repair and Rehabilitation(919) 560-1200This program helps seniors bring their homes up to code. Repairs may include plumbing, roofing, HVAC, floors, stairs and electrical systems. To qualify, seniors should live within the Durham city limits and be 62 years of age or older, must occupy the home for at least one year and can’t own additional properties.
Durham Low-Income Energy Assistance Program (LIHEAP)(919) 560-8192LIHEAP helps seniors pay for utility bills to help prevent disconnection. The program provides a one-time payment to water or utility companies during hardship. Seniors may take advantage of the program one time per year.
Weatherization Assistance Program(877) 623-6748The home weatherization program helps address repairs that improve the energy efficiency of a seniors' primary residence. To qualify, an individual’s income must fall below 200% of the federal poverty level. The program covers siding, replacing wood windows and doors, caulking, installing insulation and repairing or replacing HVAC units.
Meals on Wheels of Durham(919) 667-9424Meals on Wheels delivers meals to homebound seniors five days a week and provides companionship and safety checks. Frozen meals are available to provide seniors with nutrition through the weekend or on holidays. The organization also partners with other organizations to provide pet food, fans and books.
Durham County Aging and Adult Services(919) 560-0300Durham’s Aging and Adult Services provides a range of services to seniors in their own homes. The program provides home-delivered meals and assistance with personal care, including bathing, grooming and home management. The agency also offers non-emergency transportation and crisis intervention.

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.

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Talking with Family and Others about a loved one's needs
Talking with Family and Others about a loved one's needs

Frequently Asked Questions

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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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