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The 10 Best Home Care Agencies for Seniors in Portland, OR for 2024

The vibrant city of Portland is listed among the best retirement destinations in the United States in Caring’s 2019 Senior Living Report for its high access to health care, low-cost housing options, public transportation system and general quality of life. On average, seniors in this city pay $7,146 for home care, which includes non-specialized services such as companionship, housekeeping and meal preparation. Unlike home health care, in-home care doesn’t include medical services such as occupational therapy or disease monitoring. Fortunately, seniors can obtain services such as these at several outstanding hospitals nearby, including OHSA Hospital and Providence St. Vincent Medical Center.

Below we’ve compiled a comprehensive directory of every home care provider in the Portland 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 Portland, OR

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Paying for Home Care in Portland, OR

The Cost of Home Care in Portland, OR

The 2021 Genworth Cost of Care shows that seniors in Portland pay high home care rates of $7,146 per month. This exceeds the state median of $6,006 as well as the national average of $4,957. In Corvallis, care costs are relatively consistent with the state rate at $6,101 per month, and in Eugene, rates are a little lower at $5,911. Seniors in Grants Pass pay relatively budget-friendly rates of $5,482.

Portland

$7,146

Oregon

$6,006

The United States

$4,957

Corvallis

$6,101

Eugene

$5,911

Grants Pass

$5,482

The Cost of Home Care vs. Other Senior Care Options in Portland, OR

Seniors in Portland pay $7,146 per month for home care. This type of care includes non-medical services such as personal care, meal preparation and companionship. Home health care, which includes skilled nursing services such as chronic disease management and physical or occupational therapy, has the same monthly rate. Seniors may reduce care expenses by opting for assisted living, which costs $4,975 per month or obtaining adult day health care services for $2,708 per month. Nursing home care is considerably more expensive at $10,661 for shared rooms.

Home Care

$7,146

Home Health Care

$7,146

Adult Day Health Care

$2,708

Assisted Living Facility

$4,975

Nursing Home Facility (semiprivate room)

$10,661

Financial Assistance for Home Care in Portland, OR

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 Portland, OR

The Portland region has several agencies that provide services and supports to older adults, helping them remain in their homes for as long as possible. Through the following resources, which include the local senior center, Area Agency on Aging and Meals on Wheels, seniors can obtain services to supplement paid home care.  

ResourceContactService
Meals on Wheels(503) 736-6325Meals on Wheels is a nonprofit organization that provides home-delivered meals to qualified individuals in the Portland region. Meals are available on an intermittent or long-term basis. It accepts donations but does not deny anyone meals due to the inability to pay.
Hollywood Senior Center(503) 288-8303The Hollywood Senior Center has case managers who help older adults access community-based services that may help them remain in their own homes. The center also provides congregate meals, referrals for local agencies and a range of recreational and social activities.
Aging and Disability Resource Connection (ADRC)(503) 988-3646The ADRC staffs information specialists who work with seniors to help them determine their care needs and find resources in the community to supplement paid home care. Through the ADRC, seniors may be able to obtain transportation services, home-delivered meals and affordable chore services.
211info2-1-1211info is a free, confidential helpline open to all Portland residents. It staffs information specialists who direct seniors to community providers who may help meet their needs. Through this service, seniors may locate their local PACE program, find durable medical equipment loans and access prescription drug assistance.

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 – oftentimes 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 home care
Checklist for determining the need for 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.

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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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