The 10 Best Home Care Agencies for Seniors in Richardson, TX for 2025

Data from the 2021 Genworth Cost of Care Survey shows that seniors in Richardson pay approximately $4,862 per month for home care. This is lower than the national monthly average rate of $4,957 but is higher than the Texas average of $4,576. Monthly home care costs in Sherman and Waco are roughly $4,767 and $4,668, respectively, which are also higher than the state average. In Tyler, in-home care is more affordable at about $4,376 per month. 

Seniors in Richardson pay the same monthly average cost of $4,862 for home care and home health care. Home health care provides medical services from licensed nurses and therapists, whereas home care assists in non-medical needs, such as housekeeping. Adult day health care averages $1,517 monthly and assists seniors during the day. Seniors with more extensive needs can benefit from assisted living and nursing home care, which cost about $4,195 and $5,627, respectively.

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.