The 10 Best Home Care Agencies for Seniors in Fort Mill, SC for 2025

The 2021 Genworth Cost of Care Survey shows that based on rates in nearby Charlotte, North Carolina, seniors in Fort Mill pay $4,668 per month for home care. This is a couple hundred dollars more than the South Carolina average, but it’s about $300 less than the national norm. Care costs in Greenville are roughly the same as in Fort Mill, but in Columbia, home care agencies charge about $300 less for services. In Florence and Spartanburg, monthly care costs are about $500 less than in Fort Mill. 

Home care agencies in Fort Mill charge $4,668 monthly for nonmedical services such as housekeeping, personal care and meal preparation. Home health care agencies provide these services along with skilled nursing and charge an additional $100 per month. Adult day health care costs less than half the monthly rate of home care, and assisted living is about $270 less. Nursing home care, which is for those with medical needs, costs about $3,000 more than home 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 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.