The 10 Best Home Care Agencies for Seniors in Monroe, OH for 2025

As a suburb of Cincinnati, the city of Monroe shares its average cost for in-home care with the wider region. Seniors in the area generally pay an extra $191 per month over the state and national averages, according to the Genworth Cost of Care Survey 2021. To the north, home care costs in Dayton are even higher than in Monroe, adding $286 to the monthly bill, while residents of Springfield save an average of $763. Columbus is the most expensive city for in-home care, with costs averaging $477 higher than in Monroe.

There are important differences between types of home care. For example, home health care includes light medical care and administration of medication. However, in Monroe, the average cost is identical for both in-home care and home health care. The cost of assisted living is lower by $482 per month while also providing more supervision, whereas nursing home costs in Monroe are higher by $2,700. Adult day health care is much more affordable, with savings of almost $3,500 per month.

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.