The 10 Best Home Care Agencies for Seniors in Ashburn, VA for 2025

Ashburn’s average monthly home care cost of $5,339 is $572 higher than the Virginia average of $4,767 and $382 higher than the national average of $4,957. Prices for home care tend to be at their highest in the state’s central and northern cities such as Charlottesville and Richmond. Prices are below average in the western city of Roanoke, where seniors pay an average of $4,195 per month for home care. Prices on the state’s Atlantic coast, home to Virginia Beach, Norfolk and Newport News, are in keeping with the state average. 

The average monthly cost for assisted living, $5,948, is relatively close to the average monthly cost of home care, but the other two main options for long-term care have much different price points. Some seniors make use of adult day health care services, which cost thousands of dollars less than home care, but generally provide less extensive support and are outside the home. Nursing home care provides the most robust medical support, but is over twice as expensive as home-based 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.