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

Raleigh, the capital of North Carolina, appears on the Caring Senior Living Report 2022, sporting high scores for its affordability and exceptional health care. Residents of Raleigh are just 30 minutes from Duke University Hospital, which is located in nearby Durham and ranked among the nation’s leaders in cancer care by U.S. News and World Report. Raleigh itself is home to UNC Rex Hospital, which U.S. News ranks as high-performing in nearly 20 different procedures.

According to Genworth Financial, the average monthly cost of home care in Raleigh is $4,957, which matches the national average. Home care includes assistance with nonmedical tasks and helps meet other needs, such as companionship. Prices may be higher for home health care, which provides light medical services from licensed professionals, including nurses and therapists.

Below we’ve compiled a comprehensive directory of every home care provider in the Raleigh 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.

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Home Care Agencies in Raleigh, NC

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Paying for Home Care in Raleigh, NC

The Cost of Home Care in Raleigh, NC

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.

Raleigh

$4,957

North Carolina

$4,385

The United States

$4,957

Fayetteville

$4,004

New Bern

$3,813

Charlotte

$4,668

Asheville

$4,957

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

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.

Home Care

$4,957

Home Health Care

$4,957

Adult Day Health Care

$1,300

Assisted Living

$5,388

Nursing Home Care (semiprivate room)

$6,996

Financial Assistance for Home Care in Raleigh, 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 Raleigh, NC

The resources in the following chart help Raleigh seniors stay connected to their community, find legal representation and keep their homes in good repair. Some serve all North Carolina residents, while others serve only residents of Wake County or Durham County; Raleigh is in parts of both counties. 

ResourceContactService
Triple J Area Agency on Aging(919) 627-0080This organization works as a portal to senior services in and around Raleigh. In addition to providing limited assistance with respite care, it can help seniors find and apply for programs that help with home repair and energy costs.
Wake County Meals on Wheels(919) 833-1749Homebound seniors in Wake County may use this service to receive hot meals delivered directly to their doorsteps five days a week. The service doubles as a regular wellness check, helping ensure participants maintain a personal connection with the community.
Project Access Health Equipment Loan Program(919) 748-1022This program provides free short-to-medium-term loans of medical equipment for seniors in need. The program's inventory includes mobility and safety equipment, such as wheelchairs, canes and transfer benches. Some small assistive devices, such as shoe horns and dressing sticks, are also available.
Legal Aid of North Carolina Senior Law Project(866) 219-5262LANC lawyers provide free legal help to all North Carolina residents aged 60 and up. This pro bono firm can assist seniors in fighting against eviction and foreclosure, drawing up wills, assigning powers of attorney, claiming public benefits and other issues of landlord-tenant law and elder law.

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 in-home care
Checklist for determining the need for in-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.

Download
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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