The Best Home Care Agencies for Seniors in Monroeville, PA for 2025

According to the 2021 Genworth Cost of Care Survey, the median monthly fee for home care in Monroeville is $5,339. This is more than the state and national averages, which share a median fee of $4,957. Monroeville's average is the highest in this part of Pennsylvania. Chambersburg comes closest, at $4,957, followed by Erie at $4,767. Seniors and families looking to relocate for greater savings may wish to consider Altoona, where the norm is $4,290, or Johnstown, where it's $3,813.

At $5,339, home health care's average price is equal to home care's. This is despite the former being a medical service from licensed professionals and the latter being nonmedical. Both are costlier than assisted living, which provides 24/7 nonmedical residential care for around $3,250. Adult day care is a more affordable option for seniors wishing to remain at home. However, its low average of $1,495 is because the senior must regularly travel to the center and share care services with others. At $9,733, nursing homes are the costliest option because of their near-hospital levels of care.

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 to pay 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 nonmedical 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 services 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 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 tax-free portion of your home's equity in cash. 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 have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.