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

Although Raleigh’s average monthly cost for home care is identical to the national average, it’s approximately $575 higher than the state average. No North Carolina city in Genworth Financial’s 2021 data reports higher home care costs than Raleigh, though a few, including Asheville, match it. Prices are also significantly above average in  Charlotte. The lowest reported average prices are in New Bern at $3,813, with Fayetteville also featuring below-average costs at $4,004.

Nursing home care is usually the best option for seniors with conditions that require close observation by doctors. In Raleigh, such care is roughly 30% more expensive than in-home care, averaging $6,996 monthly. Assisted living represents a 7% increase over in-home care at $5,388 monthly. Adult day health care is much less expensive than all other types at $1,300 monthly, although it includes light medical services such as wound care and medication management. However, this option is usually insufficient for all a senior’s care needs and often must be supplemented with other types of caregiving.

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.