The 5 Best Home Care Agencies for Seniors in Goldsboro, NC for 2025

According to Genworth Financial’s Cost of Care Survey for 2020, seniors in Goldsboro pay $3,449 per month for in-home care or home health care. Local rates are $364 lower than the state median of $3,813, and seniors save $1,032 compared to the U.S. average of $4,481. Home care prices are similar in Rocky Mount at $3,432. Seniors in Fayetteville and Greenville pay $3,623, an increase of $174, and rates rise to $4,004 in Raleigh, an increase of $555 or 16%.

Home care is a competitively priced option for seniors who need help with household chores, personal care and errands. Average prices are similar for home health care, which includes medical monitoring and help with medications. Assisted living costs $224 more per month, including room and board. Prices for skilled nursing rise dramatically. The average cost for a semiprivate room in a nursing home is $8,752 per month, which is about 2.5 times higher than the cost of in-home care. Pricing data for adult day health care programs isn’t available, but these programs cost $1,278 per month across the state.  

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.