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

The 2021 Genworth Cost of Care Survey results show Salisbury’s monthly median fee of $3,909 for home care is among North Carolina’s most affordable. It’s also well below the state’s median of $4,385 and significantly less costly than the national average. Comparisons between Salisbury and the nearest surveyed cities show the city’s seniors can save $759 per month when measured against costs in nearby Charlotte’s and $667 compared to monthly averages in Burlington’s. Although the savings aren’t as high, Salisbury seniors can still retain about $286 and $190 compared to Greensboro and Hickory, respectively.

Salisbury’s home care agencies typically charge $3,909 per month for nonmedical services, such as bathing and dressing. Home health care agencies, which provide light medical care courtesy of registered therapists and nurses, also cost $3,909. At $1,354, adult day care is the most affordable option, while at $4,923, assisted living is costlier. In Salisbury, nursing homes, which provide medical care at near-hospital levels, typically cost $8,197 per month for a semiprivate room.

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,